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CDC Outbreak Management
Long Term Care Homes

Content of this website is accurate as of June 30, 2022.  The website is unable to be updated after this date. 

Gastrointestinal and Respiratory Outbreak Management in Long Term Care (LTC)

​COVID-19 Update

If one or more residents develop symptoms, Don't Wait ... Isolate.

  • Isolate the symptomatic resident(s)
  • Initiate Droplet/Contact Plus Precautions
  • Start enhanced cleaning
  • Inform resident's MRHP
  • Test each symptomatic resident for COVID-19
  • Report to Public Health if a resident tests positive for COVID-19 or two or more residents are experiencing symptoms.  If within the Saskatoon Health Area, please phone 306-655-4612 to report

Covid Outbreak Checklist can be found here:

Signs and symptoms may include: fever, new or worsening cough, shortness of breath, sore throat, hoarse voice, nasal or sinus congestion, headache, runny nose, joint pain, or loss of sense of taste or smell.  Atypical symptoms may include nausea, vomiting, diarrhea, increased fatigue or lethargy, muscle aches, chills, malaise, or an acute functional decline.


All documents are PDFs unless otherwise noted.

Outbreak Preparation

DC 300 Outbreak Preparation Checklist
DC 321 LTC Demographics Page  (fillable PDF)
DC 205 LTC Outbreak Team Members (fillable PDF)
DC 423 Outbreak Folder and Kit Contents List
DC 463 Outbreak Declared Over - Checklists and Posters Order Form (fillable PDF)
DC 490 Pharmacy off hours contact info (fillable PDF)

Suspect & Confirmed Outbreak

Outbreak Checklists (PDF):

DC 99 Confirmed and Suspect Outbreak Definitions
DC 424 Suspect Outbreak Checklist
DC 425 Confirmed Outbreak Checklist
DC 429 Outbreak Declared Over Checklist

Line List forms:

Contact CDC Saskatoon for most up-to-date line list forms at


Outbreak Preparation Video (Don't Wait . . .  Isolate)

Cohorting Staff

DC 491 General Cohorting Principles for Outbreaks

Collective Agreements related to Influenza

Collective Agreement for HSAS - refer to section 23.11
Collective Agreement for SEIU - refer to section 23.06 page 145
Collective Agreement for SUN - refer to page 135

Transfers or Move Ins During Confirmed Outbreak

SHA 0197 LTC Request Transfer Move In During Confirmed Outbreak
Work Standard- Move-ins-Transfers During Confirmed Outbreak

Personal Protective Equipment (PPE) Resources 

Hand Hygiene Resources

Germ Smart Hand Hygiene Resources for Healthcare Workers (web page)

Specimen Collection

Specimen Transport to Lab Instructions
Courier Information
Nasopharyngeal Swab for Influenza Testing
Specimen Labels
Requisition Labels (respiratory only)

​Saskatoon Regional Lab

SHA Saskatoon Lab Requisitions

​Requisition Instructions

Outbreak Database - Currently Not in Use

Quick Reference
LTC Outbreak Electronic Data Entry Manual

Medication Administration in an Outbreak

Rx Files Drugs for Influenza
AMMI Canada Guidelines on Antiviral Drugs for Influenza
*NACI Statement on Seasonal Influenza
Oseltamivir (Tamiflu) product monograph (website)
Physician Orders for Tamiflu in Influenza Outbreak
DC 192 Tamiflu Prophylaxis/Tx form
Management of Employees, Physicians & Other Health Care Workers During Influenza
Outbreaks in Long Term Care and Integrated Facilities - Antiviral Use for Influenza Outbreaks in Special Care Homes

*if NACI link does not load, copy and paste the link into your browser and then click on the Influenza vaccine section for current statement.


DC 433 Checklist for Cleaning Resident Care Equipment
DC 434 Checklist for Common Areas Enhanced Cleaning
DC 435 Checklist for Resident Room Enhanced Cleaning

LTC Environmental & Equipment Cleaning Information (SHR Infonet)
- Presentations and Videos
- Other resources
- Housekeeping Cue Cards & Quick Reference Charts

Environmental Services LTC Work Standards (SHA website)

DC 438 LTC Enhanced Cleaning for Outbreaks Guidelines

Linen Work Standards (SHA website)

Disease Fact Sheets

- DC 138 Gastrointestinal
- DC 193 Norovirus
- DC 383 Influenza for the General Public
- DC 382 Influenza for Health Care Workers
- Comparison of COVID-19, influenza, common cold and gastrointestinal (GI) illness
- DC 38 Rotavirus
- DC 45 Human Metapneumovirus
- DC 42 Antiviral Meds in Health Care
- DC 495 Respiratory Illness in LTC
- DC 496 Influenza Information for Residents in LTC Homes
- Covid 19 Information

Other Outbreak Reference Materials

Outbreaks in LTC & Integrated Facilities (Sk Ministry of Health)

Outbreaks in LTC & Integrated Facilities Generic Protocol
Roles and Responsibilities during an LTC Outbreak
Family Presence and Visitor Restrictions
Saskatchewan Ministry of Health Public Eating Establishment Standards
Guidance Infection Prevention and Control


Last Modified: Thursday, June 30, 2022 |
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