PANAC CMS Infection Control Survey Session 2 July 10, 2020 - - PowerPoint PPT Presentation

July 10, 2020

PANAC

CMS Infection Control Survey Session 2

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Infection Prevention & Preparation

 7/02/2020 – Part 1 – Do you have all the

pieces in place for a successful survey

• utcome? Review of Infection Control Survey

process and components.

 7/10/2020 – Part 2 – Use of tools and best

practices to promote and monitor for compliance with Infection Control related to COVID-19.

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Safe ICP Practices

Whose job is it?

Infection Preventionist …… Everyone

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Action Items = Compliance

 Systems that follow guidelines and/or best

practices

 Staff education  Supplies  Monitoring practices  Collecting and analyzing data  Begin at the beginning

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Happy Birthday to You…

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Hand Hygiene

 Alcohol-Based Hand Rub (ABHR) dispensers

are located at facility entrances

 ABHR is accessible in all resident care areas  Do not rinse or wipe off the hand sanitizer

before it’s dry – 20 seconds

 Soap dispensers & disposable hand towels

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Hand Hygiene COVID-19 Observations

 Prior to donning gloves and PPE  Before & after performing personal cares  After handling soiled items  Before handling resident food  Before handling resident care devices  After touching facemask or goggles

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5 Moments for Hand Hygiene

1.

Before Patient Contact

▪

What’s on your hands?

2.

Before an Aseptic Task

▪

Patient’s own germs

3.

After Body Fluid Exposure Risk

▪

Glove removal

4.

After Patient Contact

5.

After Contact with Patient Surroundings

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Respiratory Hygiene/Cough Etiquette

 Cover the nose and mouth when coughing or

sneezing

 Use tissues to contain respiratory secretions  Use elbow  Hand hygiene

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Education, Monitoring & Screening

 Self-monitor  Temperature of 100.0F  Selection and use of PPE  Facemasks  Social distancing in break rooms

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Visitor Restrictions

 All visitors should have temperature and

symptom screening

 Ill visitors or visitors with a temperature should

not enter

 Hand hygiene  Cloth face covering  Designate a single entrance for visitors

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Cohorting of Residents

 Actively monitor upon admission  Restrictions  Dedicated space and Staff  COVID-19 and 14  ALL PPE

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Return to Work Criteria COVID-19

 Symptom Based Strategy

 At least 3 days have passed since recovery AND  At least 10 days have passed since symptoms

first appeared

 Test Based Strategy

 Resolution of fever without the use of fever

reducing meds AND

 Improvement in respiratory symptoms AND  Negative results from at least two consecutive

respiratory specimens

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Return to Work Criteria COVID-19

 Time Based Strategy

 10 days have passed since first positive test  If symptoms develop then use symptom based or

test based strategy

 Test Based Strategy

 Negative results from at least two consecutive

respiratory specimens

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Resident Education

 Encouraged to remain in their rooms  Hand hygiene  Social distancing  Monitoring x3

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OCD: The only way to clean properly…

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Cleaning Considerations

 Contact Time  EPA List N  Shared Equipment  High-touch Surfaces

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Communication Best Practices

 Families & Residents

 Automated Voice Messages  Dedicated “info” email address and voice mail  Resident Meetings

 Staff

 COVID-19 Bulletin Boards  Staff Only Section on Website  Printed Documentation  Tell Their Story

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Education Best Practices

 Let Super Stars Shine

 Train Champions  Divide and Conquer  Stations

 When & What

 Orientation  PPE  HH

The Association for Professionals in Infection Control and Epidemiology (APIC) is creating a safer world through the prevention of

• infection. APIC’s nearly 16,000 members develop and direct infection prevention and control programs that save lives and improve

the bottom line for healthcare facilities. APIC advances its mission through patient safety, education, implementation science, com- petencies and certification, advocacy, anddatastandardization. Visit us at apic.org. 1 4 0 0 C R Y S TAL DR I VE, S U I T E 9 0 0 | AR L I NG TO N, VI R G I NI A 2 2 2 0 2 | www.apic.org

MASK OUT COVID: How to Wear Your

Facemask the Safe, Smart Way

When worn properly, a facemask is an important way to prevent the spread of COVID-19.

For more information, review the CDC’s recommendations HERE

Make sure your facemask completely covers your nose and mouth and is secured snugly under your chin. Don’t touch the outside

• f your mask while you

are wearing it.

THE RIGHT WAY THE WRONG WAY

Wash your hands before you put on, and after you take off, your mask. Don’t reuse disposable

• masks. Throw away

after single use. Touch only the ties or ear loops when putting on or taking off your facemask. Don’t wear a mask that’s too loose or slides down your face. Don’t lower your mask so you can talk. Don’t rest your mask around your neck or under your chin. If your mask has a metal wire running along the top edge, mold it over the bridge of your nose to help contain droplets. Launder your cloth facemask between uses, especially when visibly soiled. Store masks in a clean environment. Don’t hang your mask off your ear.

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QAPI Best Practices

 System Audits

 PPE use, handling, storage  Environmental cleaning  Kitchen & Dining room sanitation  Screening

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COVID-19 Focus Survey Recap

 Resident Care Observations:

 Hand Hygiene Practices  Proper use/discard of PPE  Cleansing Medical Equipment  Effective Transmission-Based Precautions

 Environmental Observations:

 Signage at Entrances and Resident Rooms  Screening  Hand Hygiene Stations

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COVID-19 Focus Survey Recap

 Interviews with Relevant Staff:

 Policy/Procedure Knowledge  Surveillance for Signs/Symptoms  Notifying Local Health Officials  Information Provided

 Offsite Activities:

 Medical Records Review  Telephone Interviews  Facility Policy/Procedure Reviews  Review Communications

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Infection Control Resources

 CDC Infection Prevention Resources for Long-

term Care: http://www.cdc.gov/longtermcare

 Hand Hygiene in Healthcare Settings:

http://www.cdc.gov/handhygiene

 Guidance for the Selection and Use of PPE:

http://www.cdc.gov/HAI/prevent/ppe.html

 Respiratory Hygiene and Cough Etiquette in

Healthcare Settings: http://www.cdc.gov/flyu/professionals/infection control/resphygiene.htm

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Infection Control Resources

 Guidelines for Environmental Infection Control

in Healthcare Facilities: http://www.cdc.gov/hicpac/pdf/guidelines/eic in HCF 03.pdf

 Options for Evaluating Environmental Infection

Control: http://www.cdc.gov?HAI/toolkits/Evaluating- Environmental-Cleaning.html

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Ca Candy y San Sanchez, , RN, RN, NHA, A, IPCO IPCO, , CD CDP De Dee Adk Adkins, ins, RN RN, , NHA, A, RA RAC-CT CT, , CD CDP Manager – Health Care Services Senior Manager – Health Care Services e-mail: Candy.Sanchez@actcpas.com e-mail: Dee.Adkins@actcpas.com voice: 304.346.0441 or 800.642.3601

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