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

PANAC CMS Infection Control Survey Session 2 July 10, 2020

Infection Prevention & Preparation  7/02/2020 – Part 1 – Do you have all the pieces in place for a successful survey outcome? 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. 2

Safe ICP Practices Whose job is it? Infection Preventionist …… Everyone 3

Action Items = Compliance  Systems that follow guidelines and/or best practices  Staff education  Supplies  Monitoring practices  Collecting and analyzing data  Begin at the beginning 4

Happy Birthday to You… 5

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 6

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 7

5 Moments for Hand Hygiene Before Patient Contact 1. What’s on your hands? ▪ Before an Aseptic Task 2. Patient’s own germs ▪ After Body Fluid Exposure Risk 3. Glove removal ▪ After Patient Contact 4. After Contact with Patient Surroundings 5. 8

Respiratory Hygiene/Cough Etiquette  Cover the nose and mouth when coughing or sneezing  Use tissues to contain respiratory secretions  Use elbow  Hand hygiene 9

Education, Monitoring & Screening  Self-monitor  Temperature of 100.0F  Selection and use of PPE  Facemasks  Social distancing in break rooms 10

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 11

Cohorting of Residents  Actively monitor upon admission  Restrictions  Dedicated space and Staff  COVID-19 and 14  ALL PPE 12

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 13

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 14

Resident Education  Encouraged to remain in their rooms  Hand hygiene  Social distancing  Monitoring x3 15

OCD: The only way to clean properly… 16

Cleaning Considerations  Contact Time  EPA List N  Shared Equipment  High-touch Surfaces 17

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 18

Education Best Practices  Let Super Stars Shine  Train Champions  Divide and Conquer  Stations  When & What  Orientation  PPE  HH 19

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. THE RIGHT WAY THE WRONG WAY Make sure your facemask Don’t touch the outside completely covers your nose of your mask while you and mouth and is secured are wearing it. snugly under your chin. Wash your hands before Don’t reuse disposable you put on, and after you masks. Throw away take off, your mask. after single use. Touch only the ties or ear Don’t wear a mask that’s loops when putting on or too loose or slides down taking off your facemask. your face. If your mask has a metal wire Don’t lower your mask so running along the top edge, you can talk. mold it over the bridge of your nose to help contain droplets. Don’t rest your mask Launder your cloth facemask between uses, around your neck or under your chin. especially when visibly soiled. Don’t hang your mask off Store masks in a clean your ear. environment. For more information, review the CDC’s recommendations HERE 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. | AR L I NG TO N, VI R G I NI A 2 2 2 0 2 | www.apic.org 1 4 0 0 C R Y S TAL DR I VE, S U I T E 9 0 0

QAPI Best Practices  System Audits  PPE use, handling, storage  Environmental cleaning  Kitchen & Dining room sanitation  Screening 21

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 22

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 23

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 24

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 25

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Thank you! 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 Connect with ACT: 27