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Title Layout

Infection Prevention and Control Mandatory Training Genesis Administrative Services LLC Confidential Information This Education Program, in its entirety (slides, workbooks, instructor guides, participant guides, CDs, evaluation forms, competency checklists, etc.), is proprietary to Genesis Administrative Services LLC and is protected by the copyright laws of the United States of America. Under no circumstances may any part of these materials be copied, transmitted, reproduced, or disclosed to third parties in any form, either electronically or otherwise, without the prior written consent of Genesis Administrative Services LLC. References made in this presentation to Genesis, the Company, we us and our refer to each of Genesis Healthcares wholly-owned subsidiaries, acting as employer. Copyright 2019 by Genesis Administrative Services LLC. All Rights Reserved. Participant Outcomes . f c Discuss surveillance designed to identify possible communicable o n I y can spread , disease or infections beforerthey to other persons in the t e r e center;

a p C o h r Explain when &to whom possible incidents of communicable disease or t l P a infection should be reported; e H Describe standard &stransmission based precautions to be followed to i s prevent the spread of infections; e n e G Following this training, participants will be able to: Participant Outcomes Discuss when & how isolation should be used for a resident, including the type & duration of the isolation depending on the infectious agent & a requirement of the least restrictive precaution possible for the resident; Discuss the circumstances under which the center must prohibit employees with a communicable disease or infected skin lesion from direct contact with residents or their food; and

Describe hand hygiene procedures to be followed by staff with direct resident contact. n e G . f c o n I y , t e r r e a p C o h r P ealt H s i s e Role of the Infection Preventionist n e G

. f c o n I y , t e r r e a p C o h r P ealt H s i s e 5 IP Authority . f c o n I y

, t e r r e a p C o h Pr ealt H s i s e n e G Infection Control and Safety & Health Manuals Your online Resources n e G . f c o n I y , t

Located On Central in e r r e a p C P&P section o h r t l P Revised a e as new H s i guidelines are released s e Infection Prevention & Control Page on Central Answers to Frequently Asked Questions (FAQs) Information for adult immunizations Forms, tools, and resources IPC mailbox for questions regarding infection prevention and control needs

Support and contact information G Another online resource . f c o n I y , t e r r e a p C o h Pr ealt H s i s e en 8 . f c o

n I y , t e r r e a p C o h r P ealt H s i s Surveillance e n e G A system Surveillance for Infections in LTC Centers n e G . f c

o n I y , t e r r e a p C o h r P ealt H s i s e Surveillance . f c o n I y , t e r r e

a p C o h r P ealt H s i s e Recognition Communication Precautions Education Collect Information Make changes n e G Standard . f c o n Precautions I y , t e r r

e a p C & o h r P ealt H Transmissio s i s e n e n-Based G Precautions We isolate the germ NOT the patient! n e G . f c o n I y , t e r r

e a p C o h r P ealt H s i s e Standard Precautions n e G . f c o n I y , t e r r e a p C o

h r P ealt H s i s e Transmission-Based Precautions Based upon the germ, NOT the location of infection. Initiation and discontinuation is . f c o n based on clinicaltyjudgement I , e r r e a p C o h r t P e al H s i s

e en Contact Droplet G Airborne Infection Isolation (AII) Contact Precautions n e G . f c o n I y , t e r Germs that are transmitted by direct or indirect r e a p contactC with

the patient or patients o h r environment t l P ea H s Requires gown & gloves before entering i s e Used most often patients room Typically used for drug resistant organisms when secretions, excretions, or drainage CANNOT be contained and for C. difficile diarrhea Droplet Precautions G . f c o n I y , t e r

r e a p C o h Pr ealt H s i s e en Airborne Infection Isolation (AII) . f c o n I y , t e r r e a p C o Pr ealth H s

i s e n e G INFLUENZA TUBERCULOSIS How do we determine what precautions are f o necessary y for illnesses and conditions? t r e p s i o Pr enes Inc. G are, C h t l a e H We follow guidance from the Centers of Disease Control

19 . f c o n I y , t e r r e a p C o h r t Infection l P ePrevention a H s i Measures s e n e G Hand Hygiene

n e G The single most effective action in preventing the spread of infection even WITH glove use!! . f c o n Per CDC: when hands are not I y , t e r visibly dirty, ABHR is the preferred r e a p C method for hand hygiene. o h

r P ealt H s i s e 1. Turns on water at 2. Applies soap to 3. Produces friction 4. Cleanses sink and wets hands and wrists thoroughly hands. Lathers all surfaces of fingers and hands including wrists, which while lathering for at least 20 seconds . Uses clean, dry paper towels to dry all surfaces of hands, wrists and fingers . Uses clean, dry paper towel to turn off the faucet, without recontaminating hands 5. Rinses all fingernails by rubbing fingertips against palms of opposite

hand . f c o n I y , t e r r e a p C o h r t l P a 6 7 8 e H s i s e n e G

surfaces of hands, wrists and fingers keeping hands lower than the elbow and fingertips down Hand Washing . Disposes of used paper towel(s) in waste container immediately after turning off faucet 1. Applies ABHR 2. Rubs hands product to the palm of one hand. Amount of ABHR is specified by the manufacturer of the product. together covering all surfaces of the fingers and hands including wrists n e G 3. Rubs hands, fingers, and wrists until the product is dry

. f c o n I y , t e r r Hand Rub e a p C o h r P ealt H s i s e DON And DOFF n e PPE G . f

c o n I y , t e r r e a p C o h r P ealt H s i s e DON And DOFF n e G PPE . f c o n I

y , t e r r e a p C o h r P ealt H s i s e Patient & Employee Immunizations . f c o n I EMPLOYEE y PATIENT , t e r r e

Influenza a Influenza p C o h r Hepatitis B t l P Pneumococcal a Other vaccines e Prevnar 13 and s H i s Pneumovax e n e Other vaccines G TB Exposure Control Plan n e G . f c o n I

y , t e r r e a p C o h r P ealt H s i s e Take Care of Yourself & Your . f c Co-workers! o n I y , t e r r e

a p C o h r P ealt H s i s e n e G Revised 12/2016 Communicable . f c o n I y , Diseases and t e r r e a p C o h r

t Infections l P ea H What to do s i s e n e G MDROs Multi-Drug Resistant . Organismsof c In y , t e r r e a p C o h r MRSAP t l a

e VRE sis H e n e G ESBL CRE MRSA VRE ESBL Multi-Drug Resistant Organisms Colonization vs. Infection n e G . f c o n I y , t e r r e a p C

o h r P ealt H s i s e MDRO Management = Teamwork To successfully manage MDROs and prevent infections requires teamwork across all departments: . f c o n I y , t Environmental Services e r r e a p C Dietary o Pr ealth Therapy

H Nursing s i s Administration e n e Social Services and Recreation G Para-professionals Clostridioides difficile (C. diff) Guidelines n e G Contact Precautions for 48 hours after diarrhea stops or stool returns to baseline Dedicated bedside commode for duration of diarrhea Commode bags with absorbent liners must be used in bedside commode or bedpans for all active C. diff patients . f c o n I y ,

t e r r e a p C o h r P ealt H s i s e n e G . f c o n I y , t e r r e a p C

o h r P ealt H s i s e 34 C. difficile G . f c o n I y , t e r r e a p C o h Pr ealt H s i

s e en Influenza and Influenza Like Illnesses (ILI) n e G Standard plus Droplet Precautions Three feet separation with privacy curtain drawn Signage Stop, see the nurse before entering-Droplet Precautions PPE and Hand Hygiene Cleaning and disinfecting high touch surfaces Respiratory hygiene/cough etiquette Duration 7 days after onset of flu or until 24 hours after symptoms and fever stop, whichever is longer, without use of medication . f c o n I y , t e r r e a

p C o h Pr ealt H s i es Environmental and Equipment Cleaning Clean first, then disinfect Use correct product for the job Clean and disinfect shared equipment between each use Clean and disinfect high-touch surfaces G . f c o n I y , t e r r e a p C o h

Pr ealt H s i s e en Outbreak Management n e G . f c o n I y , t e r r e a p C o h r P ealt H s i

s e n e G . f c o n I y , t e r r e a p C o h r P ealt H s i s e 39 . f c

o n I y , t e r r e a p C o h r P ealt H s i s e n e G Employee Health Infection Prevention and Control Considerations Reportable Conditions for Employees G . f c

o n I y , t e r r e a p C o h Pr ealt H s i s e n e Employees with a Communicable Disease or Condition . f c o n I Per CMS, employees with a y , t e

r r communicable disease, e a p C o condition, or infected skin h r t l P lesions are prohibited fromea direct patient contactsorH i s their food, if direct contact e n will transmite the G disease/condition What To Do . f c o n I y , t

e r r e a p C o h r P ealt H s i s e Concerns about how to care for a patient from an Infection Prevention and Control perspective? Concerns or needs for additional training? n e G Reach Out to your designated IP or National Infection Prevention and Control Team References Management of Multidrug-Resistant Organisms In Healthcare Settings, 2006 Jane D. Siegel, MD; Emily Rhinehart, RN MPH CIC; Marguerite Jackson, PhD; Linda Chiarello, RN MS; the Healthcare Infection Control Practices Advisory Committee Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings 2007 Jane D. Siegel, MD; Emily Rhinehart, RN MPH CIC; Marguerite Jackson, PhD; Linda Chiarello, RN MS; the Healthcare Infection

Control Practices Advisory Committee Genesis HealthCare Infection Control Policy and Procedure Manual 11-28-16 Genesis HealthCare Safety and Health Policy and Procedure Manual 11-28-16 CMS Federal Register. Vol 81, No. 192/Tuesday, Oct. 4, 2016/Rules and Regulations State Operations Manual Appendix PP. Guidance to Surveyor for Long Term Care Facilities. Rev. 173, 11-22-17. www.cdc.gov www.apic.org n e G . f c o n I y , t e r r e a p C o h r P ealt H s i s

e

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