Infection Prevention and Control Resources

With the latest updates to the State Operations Manual, it is more important than ever to promote resident safety and well-being through infection prevention and control. A robust and successful infection control program requires many thoughtfully designed and well-operating pieces—from antibiotic stewardship and physician engagement to immunization planning and tracking, reduced hospital readmissions, and comprehensive clinical surveillance. Explore the resources below to learn how you can bolster your infection control program.

Learn more about  AADNS's comprehensive Antibiotic Stewardship Program in Long-Term Care Virtual Workshop.

  • Abuse Reporting F-Tags 608 and 609 At-a-Glance Tools

    By AADNS - February 20, 2018
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  • Do Your MDSs Match Up With Supporting Documentation?

    By Caralyn Davis, Staff Writer - February 20, 2018

    Historically, many providers have treated the MDS and the Resident Assessment Instrument (RAI) process as a silo of government-mandated busywork. That’s always been a problem because, since day 1, the primary purpose of the MDS has been to identify resident care problems that are addressed in an individualized care plan. However, the footprints of the MDS are now carved deep into multiple facets of facility life, including:

    ·         The Medicare Part A Skilled Nursing Facility Prospective Payment System (SNF PPS);

    ·         Some Medicare Advantage payment systems;

    ·         Some Medicaid payment systems;

    ·         The MDS-based quality measures (QMs) that are publicly reported on Nursing Home Compare and used in the Five Star Quality Rating System; and

    ·         The MDS-based QMs that will be publicly reported under the Skilled Nursing Facility Quality Reporting Program (SNF QRP) beginning in October 2018 assuming ongoing data issues are resolved timely. Note: SNFs also must meet an MDS-based reporting threshold under the SNF QRP to avoid a SNF PPS payment penalty each fiscal year.

    Last but not least, the new Long-term Care Survey Process (LTCSP) makes sure that surveyors have MDS-based clinical indicators to guide their investigations from the moment they walk in the door, according to the LTCSP Procedure Guide.

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  • Show Yourself a Little Love!

    By Linda Shell, DNP, MA, RN, DNS-CT - February 20, 2018

    In his children’s book Happy Birthday to You, Dr. Seuss eloquently wrote, “Today YOU are YOU, that is truer than true. There is no one alive who is youer than YOU.” The book was intended to encourage children to celebrate who they are and the ability they have to shape the course of their lives. Those same words can also be powerful in the life of a nurse leader. The long-term care environment is challenging, chaotic, and tumultuous, and that is on the good days. Changes in regulations, staff, processes, and census come fast. Nurse leaders need to celebrate who they are and their ability to shape the course of their lives. Nurse leaders need a little love!

    “There is no one alive who is youer than YOU.” So what is your YOU and how can it be used to guide your leadership role? You can begin to identify your YOU by asking the following questions:

    (1)   What are my strengths?

    (2)   What do I do well?

    (3)   What energizes me? and

    (4)   How do people say I make them feel?

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  • Q&A: What are the specific rules regarding restraints?

    By Amy Stewart, RN, RAC-MT, DNS-CT, QCP- MT - February 20, 2018
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  • Nursing Practice: Study Examines Impact of Workplace Incivility on Patient Safety / Quality of Care (2/18)

    By AHRQ - February 15, 2018
    Unprofessional behavior among clinicians adversely affects patient safety and the quality of care. This literature review sought to apply a systems approach to studies of workplace civility in nursing. 
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  • Study: Hand Hygiene Interventions Can Lower LTC Mortality, Antibiotic Use Rates (2/18)

    By Association for Professionals in Infection Control and Epidemiology - February 15, 2018

     Infection prevention practices centered on hand hygiene (HH) protocols can save lives across all healthcare facilities, not just hospital settings. This includes nursing homes, according to a new study published in the February issue of theAmerican Journal of Infection Control (AJIC), the journal of the Association for Professionals in Infection Control and Epidemiology (APIC).

    Researchers reviewed the impact of implementing a multicomponent HH program among nursing homes (NH). They found that incorporating consistent measures that prompt staff, residents and visitors to wash hands can lower mortality and antibiotic prescription rates, and increase overall hand cleaner use. This study is among the first to assess HH practices outside of the hospital setting through a randomized controlled trial.

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  • 2018 Dementia Care Practice Recommendations (2/18)

    By Alzheimer's Association - February 15, 2018
    The Alzheimer’s Association 2018 Dementia Care Practice Recommendations are published in the Supplemental Issue of The Gerontologist via 10 articles providing detail about the specific recommendations, as well as the evidence and expert opinion supporting them.
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  • Weaknesses in SNF Discharge Planning: AHRQ Case Study (2/18)

    By AHRQ - February 13, 2018
    Summary: Following a hospital stay for a broken arm and dislocated shoulder, an older man was discharged to a skilled nursing facility (SNF) for rehabilitation. Providers were concerned about his ability to live independently given results of cognitive and living skills assessments performed during the hospital stay. Although the hospital social worker had begun the process of applying for home care and meals for the patient, the SNF discharged him home with no access to care, food, or his medications. Mark Toles, PhD, RN, of the University of North Carolina at Chapel Hill, explores weaknesses in skilled nursing facility discharge planning and suggests that transitional care should focus on family caregivers, who assume the largest share of patient care after discharge, to improve safety.
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  • At A Glance QM, QRP, and VBP Tool

    By AADNS - February 10, 2018
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  • Human Rights Watch Reports on Antipsychotic Drug Use in Nursing Homes (2/18)

    By Human Rights Watch - February 09, 2018

    Nursing homes across the United States routinely give antipsychotic drugs to residents with dementia to control their behavior, despite rules against the misuse of drugs as “chemical restraints,” Human Rights Watch said in a report and video released today. This abusive practice remains widespread, even though the use of antipsychotic drugs on older people with dementia is associated with a nearly doubled risk of death.

    The 157-page report, “‘They Want Docile’: How Nursing Homes in the United States Overmedicate People with Dementia,” estimates that every week in US nursing facilities, more than 179,000 people, mostly older and living with dementia, are given antipsychotic drugs without an appropriate diagnosis. Facilities administer these drugs in many cases without obtaining informed consent from residents or their families.

    The report is based on visits by Human Rights Watch researchers to more than 100 nursing facilities in six states and more than 300 interviews with people living in facilities, their families, staff, long-term care and disability experts, government officials, and advocates.

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  • Register Now: March 20 CMS Dementia Call: Person-Centered Care Planning / Practice Recommendations

    By CMS - February 09, 2018

    During this call, gain insight on the phase two changes for person-centered care planning and discharge planning. Also, learn about the new Alzheimer’s Association Dementia Care Practice Recommendations. Additionally, CMS shares updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes. A question and answer session follows the presentations.


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  • When the Surveyors Come to Dinner (or Breakfast, or Lunch)

    By Amy Stewart, RN, DNS-MT, QCP-MT, RAC-MT - February 06, 2018

    After the surveyors walk through the facility door, according to the Dining Observation checklist, they will observe the first full meal to be given after their entrance, in all dining areas. (If there are fewer surveyors than dining areas, they will observe those dining areas with the most dependent residents.) There are many, many things that surveyors will be looking for; these fall into four general categories:

    1.       Resident dignity—Is resident choice being honored?

    2.       Comfortableness of dining area—Is the dining area a comfortable temperature with appropriate lighting? Are residents positioned appropriately to eat effectively?

    3.       Food quality—Is food palatable?

    4.       Safe handling—Are serving conditions sanitary and safe?

    As a leader in your facility, you have the power to underscore the importance of the staff’s role in affirming the dignity of all residents at all times, including at mealtime. The best way to prepare your staff for the items on the Dining Observation checklist is to cultivate awareness of what surveyors will be looking for, and the best way to do that is to lead by example and to train staff on proper dining room protocols. Here’s a review of what to look for before the surveyors do.

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  • Can You Simulate the Survey Team’s Offsite Prep?

    By Caralyn Davis, Staff Writer - February 06, 2018

    The survey team’s offsite preparation is integral to the new long-term care survey process (LTCSP), says Amy Stewart, RN, RAC-MT, DNS-MT, QCP-MT, curriculum development specialist for AADNS. As part of the offsite prep, the survey team coordinator reviews and documents findings from the facility’s CASPER 3 report for patterns of repeat deficiencies, the results of the last standard survey, and complaints and facility-reported incidents since the last standard survey, as well as any facility history of abuse, federal waivers or variances for onsite review, active enforcement cases that shouldn’t be investigated, and information provided by the ombudsman.

     

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  • CMS FAQs: LTC Regs, Survey Process, and Training UPDATED (2/18)

    By CMS - February 06, 2018

    CMS updated these Long-term care survey process (LTCSP) FAQs on Feb. 6, 2018.  Topics covered: 

    A. 483.10 Resident Rights; B. 483.12 Freedom from Abuse, Neglect, and Exploitation; C. 483.15 Admission, Transfer, and Discharge; D. 483.20 Resident Assessments; E. 483.21 Comprehensive Resident Centered Care Plans; F. 483.24 Quality of Life; G. 483.25 Quality of Care; H. 483.30 Physician Services; I. 483.35 Nursing Services; J. 483.40 Behavioral Health Services; K. 483.45 Pharmacy Services; L. 483.50 Laboratory, Radiology, and Other Diagnostic Services; M. 483.55 Dental Services; N. 483.60 Food and Nutrition Services; O. 483.65 Specialized Rehabilitative Services; P. 483.70 Administration, F838 Facility Assessment; Q. 483.75 Quality Assurance and Performance Improvement (QAPI); R. 483.80 Infection Control; S. 483.85 Compliance and Ethics Program; T. 483.90 Physical Environment; U. 483.95 Training Requirements; V. LTC Survey Process Training; W. LTC survey Process; and Z. General Questions.

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  • 4 Times McKnight’s Asked the Nursing Expert and AADNS’s Judi Kulus Responded

    By AADNS - February 06, 2018

    Over the past four months for McKnight’s “Ask the Nursing Expert about…” column, AADNS’s Vice President of Curriculum Development, Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT, addressed some of the challenges that nurse leaders are facing today, from understanding unusual citations to Facility-Wide Assessment preparation. Read all four articles here and get the expert answers you need now.

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