July 10, 2020

PANAC CMS Infection Control Survey

Session 2

2

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.

3

Safe ICP Practices

Whose job is it?

Infection Preventionist …… Everyone

4

Action Items = Compliance

Systems that follow guidelines and/or best

practices

Staff education

Supplies

Monitoring practices

Collecting and analyzing data

Begin at the beginning

5

Happy Birthday to You…

6

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

7

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

8

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

9

Respiratory Hygiene/Cough Etiquette

Cover the nose and mouth when coughing or

sneezing

Use tissues to contain respiratory secretions

Use elbow

Hand hygiene

10

Education, Monitoring & Screening

Self-monitor

Temperature of 100.0F

Selection and use of PPE

Facemasks

Social distancing in break rooms

11

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

12

Cohorting of Residents

Actively monitor upon admission

Restrictions

Dedicated space and Staff

COVID-19 and 14

ALL PPE

13

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

14

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

15

Resident Education

Encouraged to remain in their rooms

Hand hygiene

Social distancing

Monitoring x3

16

OCD: The only way to clean

properly…

17

Cleaning Considerations

Contact Time

EPA List N

Shared Equipment

High-touch Surfaces

18

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

19

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) i s 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 N G TO N , VI R G I N I A 2 2 2 0 2 | www.apic.org

MASK OUT COVID: How to Wear YourFacemask the Safe,Smart Way

When worn properly, a facemask i s 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

of 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.

21

QAPI Best Practices

System Audits

PPE use, handling, storage

Environmental cleaning

Kitchen & Dining room sanitation

Screening

22

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

23

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

24

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/infectioncontrol/resphygiene.htm

25

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

26

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Candy Sanchez, RN, NHA, IPCO, CDP Dee Adkins, RN, NHA, RAC-CT, 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:

Thank you!