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Infection Control In The Critical Access Hospital PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Infection Control in the Critical Access Hospital" by Jessica Trutna BSN, RN.

This medical PowerPoint presentation talks about infection control, a critical component of healthcare delivery in all settings, including critical access hospitals (CAHs). CAHs are rural hospitals that serve small communities with limited resources, and they face unique challenges in maintaining infection control standards.

Tags : Infection Control,Critical Access Hospital, critical care medicine, critical care medicine PowerPoint presentation

Published on : Mar 28, 2023 | Views : 800 | Downloads : 1

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Slide 1-

Infection Control in the Critical Access Hospital Jessica Trutna BSN, RN
Slide 2-

Tell me a little about yourself? Name and Title Where you work Are you the infection preventionist at your facility? What is one thing that you want to learn about infection control?
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What is an IP? Infection Preventionist According to the CMS regulation §485.635(a)(3)(vi) A designated individual who is qualified by education and/or experience and who is responsible for the infection control program. But we are so much more…
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Roles of an IP Leader Mentor Subject Matter Expert Educator Mediator Liaison Collaborator Evaluator Customer Service
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Regulations – What You Need Infection Control Plan A system to identify, report, investigate, and control infections and communicable disease for patients and employees Document surveillance activities, including measures selected for monitoring, collection, and analysis. Address issues in a timely manner and monitor interventions
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Regulations – What You Need Legionella Water Management Plan 42 CFR §485.635(a)(3)(vi) for critical access hospitals (CAHs): CMS expects Medicare certified healthcare facilities to have water management policies and procedures to reduce the risk of growth and spread of Legionella and other opportunistic pathogens in building water systems. Tool Kit https://www.cdc.gov/legionella/maintenance/wmp-toolkit.html
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Measurements and Outcomes Hand Hygiene HAI (Hospital Acquired Infection) SSI (Surgical Site Infection) C. Diff (Clostridium Difficile) CAUTI (Catheter Associated Urinary Tract Infection) CLABSI (Central Line and Blood Stream Infection) NHSN Training https://www.cdc.gov/nhsn/acute-care-hospital/index.html
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Measurements and Outcomes CAUTI Criteria
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Measurements and Outcomes CLABSI
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Metrics for Infection Prevention Take number of infections over patient/line days or procedures performed by 1000 patient days Count your Foley and Central Line days at the same time every day NHSN reporting can give you benchmark reports to show how you are doing compared to other CAHs
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Challenges in Infection Control MDROs (Multi Drug Resistant Organisms) Track and Identify Trends Safe Practices by Staff Exposures Ambulatory Care Quick turn around of patients Communicable Disease Outbreaks and Bioterrorism Emergency Preparedness - Ebola, Zika, SARS-CoV-2…
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Mitigating Risk Hand Hygiene Respiratory Hygiene/Cough Etiquette Use of Transmission-Based Precautions such as: contact precautions, droplet precautions, and airborne precautions Use of personal protective equipment (PPE) for healthcare personnel such as gloves, gowns, masks, respirators, face shields/eye protection Appropriate use of Foleys and central lines Safe work practices to prevent healthcare worker exposure to blood borne pathogens Annual Sharps Safety Evaluation Safe medication preparation and administration practices Safe Injection Champion(s) Patient Dedicated Equipment Policies to ensure that reusable patient care equipment is cleaned and reprocessed appropriately before use on another patient Role specific education for staff Education to patients and visitors
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Audit Techniques:Trust… But Verify Chart Review 100% or Random Sampling Secret Shoppers Hand Hygiene Watch and Wait Patient Rounds with Providers ATP Testing, Glow Spray, and Powder High Touch Areas Hand Hygiene
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https://www.cafepress.com/gigglemed/7943712
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IP Daily Activity Review Patient Charts Look for: Foleys Central lines Infections requiring isolation Updated lab results Round on Patients and Visit with Nurses and Providers Verify Isolation Signage is up Educate patients and family on isolation precautions Educate staff on isolation precautions Conduct Hand Hygiene Observation Review Daily Microbiology Report Address any gaps in treatment
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IP Weekly Activity Run report on 30 day and 90 day SSIs Create SSI cases as needed Run report for possible CAUTIs and CLABSIs Create HAI cases as needed Perform room cleaning surveillance Spray high touch areas in patient room prior to environmental services cleaning and go through with black light Swab with ATP tester swab after EVS cleaning
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IP Monthly Activity Prepare infection control report for med staff Collect hand hygiene observations from secret observers Remind secret observers for upcoming month to perform duties NHSN reporting Abstract all procedures Abstract HAIs Export procedures and HAIs Upload procedures and denominator data into NHSN Upload any SSI, CAUTI, or CLABSI cases into NHSN Check negative airflow rooms MDRO Report
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IP Yearly Activity Conduct and collaborate with department managers for education in these areas Hand Hygiene Standard & transmission-based precautions Asepsis Sterilization Disinfection Food Sanitation Housekeeping Linen Care Medical/Infectious Waste Injection Safety Separation of clean from dirty Send letters to specialty providers’ office for documentation of influenza vaccine for their staff that come to facility Perform Annual Sharps Review Perform Annual Infection Control Risk Assessment Send out letters to surgeons for previous year regarding SSI rate at facility
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Know Your CAH Get comfortable with the following departments: Operating Room Sterile Supply and Processing Lab Radiology Nursing Floor Emergency Department Nutrition Environmental Services and Facility Maintenance Clinic
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ICRA (Infection Control Risk Assessment) Used for construction to assure any and all precautions regarding infection control and patient safety are addressed and followed. Must work closely with maintenance. Daily audits of work being done. Document audits and any interventions.
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Antibiotic Stewardship CDC Published the 7 Core Elements for CAHs in 2015 https://www.cdc.gov/antibiotic-use/healthcare/pdfs/core-elements-small-critical.pdf ASAP with UNMC can provide education and assist in building your stewardship https://asap.nebraskamed.com/
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Why Antibiotic Stewardship?
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Resources and Guidelines for Best Practice APIC SHEA ASAP https://asap.nebraskamed.com/ ICAP https://icap.nebraskamed.com/ NHSN https://www.cdc.gov/nhsn/index.html Healthcare Infection Control Practices Advisory Committee (HICPAC) CDC https://www.cdc.gov AORN OSHA Clarkson College Infection Control Training https://www.clarksoncollege.edu/academics/professional-development/courses/primary-infection-prevention-courses/
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COVID- 19 PANDEMIC Has and will continue to change IP world Increase in HAI, CLABSI, and CAUTI’s PPE important but then complacent again Learn as you go is okay Rural infection preventionists’ experiences during the COVID-19 pandemic: Findings from focus groups conducted with association of professionals in infection control & epidemiology (APIC) members - American Journal of Infection Control (ajicjournal.org)
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That was A LOT of information…Lets talk about it! http://www.washingtonindependentreviewofbooks.com/index.php/features/information-overload
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References State Operations Manual. Appendix W - Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) and Swing-Beds in CAHs. (Rev. 183, 10-12-18)42 CFR §485.635(a)(3)(vi) https://www.youtube.com/watch?v=5rPk9XhA700 https://www.cdc.gov/antibiotic-use/healthcare/implementation/core-elements-small-critical.html