Infection Control and Resident Education in Nursing Homes

This project is supported by the Health Resources and Services Administration
(HRSA) of the U.S. Department of Health and Human Services (HHS) under grant
number U1QHP28735. Its contents are solely the responsibility of the authors and
do not necessarily represent the official view of the Health Resources and
Services Administration or the U.S. Department of Health and Human Services.
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Common infections
Germs spread
Prevent spread
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Why do certain germs spread more easily in nursing home
communities?
What steps can be taken in the nursing home environment to
stop the spread of infections?
How can being informed and involved respect resident rights
while preventing and controlling infections?
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Susceptible people
Shared spaces, shared germs
Home, not a hospital
Products and practices
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All of the above!
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Perfect people, places, and
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Adapt to conditions
Survive on surfaces for long
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Multi-drug resistant organisms
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Indirect
 
 
Contact
Hugs, kisses, hands
 
Large drops
Coughs & sneezes
 
 
Objects in our environment
Objects to hands to our eyes, nose, mouth, broken skin
Air
Very, very small droplets carrying germs long distances and time
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Blood pressure
cuffs
Stethoscopes
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monitors/Med carts
Therapy
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Bedrails
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All items in nursing home
community!!
Soap or detergent, water, and
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Some germ removal
Removes dirt and debris for
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All resident care & frequently
touched items!
Disinfectants
Different types/strength levels
(low, intermediate, high)
Destroys most germs
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Objects that enter certain
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Needles, catheters
Pressure/steam, or chemicals
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Cleaning needed for disinfection and
sterilization
Combine cleaning and disinfection
Best practice- keep a pattern!
Work from top to bottom, clean to dirty
One area to another
Cleaning cloth use per room
Avoid skipping & recontamination
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Policies & Procedures
Routine cleaning & disinfection
Resident care, high touch, special soiled
Single-use, single resident items (insulin
pens, blood glucose monitor)
Written, reviewed, education, checked
Products
Hospital-grade, approved
Specific “kill” and “contact” claim
Ease of use and safety
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Balance procedures and practices
Routine, ongoing, collection of information for improvement
Surveillance
Not punishment! Progress not perfection!
Outcome Surveillance
Process Surveillance
 
 
Infection Clusters
Monitor: certain germs, antibiotic orders
 
 
Cleaning and Disinfection
Monitor: observations, markers, amount of possible germs
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Informed
Policies & procedures
Practices
Involved
Education
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Policies & Procedures
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Infection control policies and procedures based on recognized
guidelines
As needed and at least annually, review and revise based on
changes to resident infection risk
Consider changes or trends within the nursing home and
general community which may change resident infection risk
 
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Informed
Cleaning and disinfection policies
and practices
Monitoring
Involved
Education regarding cleaning and
disinfection
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Have you seen any practices in this nursing home that are
different than what you learned in this lesson? What are
those practices?
Have you been involved in education regarding your role in
preventing the spread of germs in this nursing home?
 What role do you think residents play in keeping the
nursing home environment safe from germ spread?
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Nursing home specific risk assessment
Nursing home specific policies and procedures
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Resident or family council to review policies and monitoring
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Quality assurance and assessment committee (QAA committee)
Resident and/or family member role in monitoring
This project is supported by the Health Resources and Services Administration
(HRSA) of the U.S. Department of Health and Human Services (HHS) under grant
number U1QHP28735. Its contents are solely the responsibility of the authors and
do not necessarily represent the official view of the Health Resources and
Services Administration or the U.S. Department of Health and Human Services.
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Welcome to ICARE- Infection Control Advocate and Resident Education

https://www.unthsc.edu/center-for-geriatrics/education-programs/icare/

ICARE: Infection Control Advocate and Resident Education

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This project, supported by Health Resources and Services Administration (HRSA), aims to educate and advocate for infection control in nursing homes. The focus is on preventing the spread of germs, safeguarding the environment, and empowering residents to protect their health rights. Through informative materials and collaborative efforts, the program addresses common infections, germ transmission, and strategies for maintaining a safe nursing home environment.


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  1. This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U1QHP28735. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of the Health Resources and Services Administration or the U.S. Department of Health and Human Services. ICARE Infection Control Advocate & Resident Education

  2. Infection Control Advocate and Resident Education Safeguarding the Nursing Home Environment

  3. A fall morning at the Springville Nursing Home...

  4. Learning Together Common infections Germs spread Prevent spread

  5. Working Together Do certain germs spread more easily in nursing homes? What is being done to keep the nursing home environment safe?

  6. What Will I Learn? Why do certain germs spread more easily in nursing home communities? What steps can be taken in the nursing home environment to stop the spread of infections? How can being informed and involved respect resident rights while preventing and controlling infections?

  7. Germs and the Environment Susceptible people Shared spaces, shared germs Home, not a hospital Products and practices Hardy and resistant germs All of the above!

  8. Unique and Tough Germs Perfect people, places, and practices for pathogens! Adapt Adapt to conditions Survive on surfaces for long periods Survive Multi-drug resistant organisms (MDROs) Resist

  9. Germ Spread (Transmission) Direct Contact Hugs, kisses, hands Large drops Coughs & sneezes Objects in our environment Objects to hands to our eyes, nose, mouth, broken skin Air Very, very small droplets carrying germs long distances and time Indirect Indirect Objects in our environment Objects to hands to our eyes, nose, mouth, broken skin Air Very, very small droplets carrying germs long distances and time

  10. Indirect Spread: Nursing Home Environment Care Equipment Household Surfaces

  11. Indirect Spread: Nursing Home Environment Blood pressure cuffs Minimal Touch Floors Stethoscopes Ceilings Mobile monitors/Med carts Frequent Touch Doorknobs Therapy equipment Call lights Lots of contact!! Bedrails Laundry

  12. Safeguarding the Nursing Home Environment Sterilization Sterilization Sterilization Disinfection Disinfection Disinfection Cleaning Cleaning Cleaning

  13. Cleaning All items in nursing home community!! Sterilization Soap or detergent, water, and friction Some germ removal Disinfection Removes dirt and debris for disinfection Cleaning Does NOT mean germs killed or surface is free of all germs

  14. Disinfection All resident care & frequently touched items! Sterilization Disinfectants Different types/strength levels (low, intermediate, high) Disinfection Destroys most germs Cleaning Does NOT mean surface is free of all germs

  15. Sterilization Objects that enter certain places in the body Sterilization Needles, catheters Disinfection Pressure/steam, or chemicals Destroys ALL germs and forms of germs Cleaning

  16. Routine Cleaning Process Cleaning needed for disinfection and sterilization Combine cleaning and disinfection Best practice- keep a pattern! Work from top to bottom, clean to dirty One area to another Cleaning cloth use per room Avoid skipping & recontamination

  17. Policies, Procedures, and Products Policies & Procedures Routine cleaning & disinfection Resident care, high touch, special soiled Single-use, single resident items (insulin pens, blood glucose monitor) Written, reviewed, education, checked Products Hospital-grade, approved Specific kill and contact claim Ease of use and safety

  18. Checks and Balances (Surveillance) Balance procedures and practices Routine, ongoing, collection of information for improvement Surveillance Not punishment! Progress not perfection! Outcome Surveillance Infection Clusters Monitor: certain germs, antibiotic orders Process Surveillance Cleaning and Disinfection Monitor: observations, markers, amount of possible germs

  19. Quality Care & Resident Rights Certain germs Quality Protect nursing home environment Infection Prevention & Control Infection Prevention & Control Resident Rights Informed and Involved Resident Rights

  20. Resident & Advocate: Rights & Responsibilities Informed Policies & procedures Practices Involved Education Plan Policies & Procedures

  21. Nursing Home Requirements: Infection Prevention & Control Infection control policies and procedures based on recognized guidelines Strong Infection Prevention and Control Program As needed and at least annually, review and revise based on changes to resident infection risk Federal and State Law Requirements Consider changes or trends within the nursing home and general community which may change resident infection risk

  22. Ms. Johnson and Mr. Moore Informed Cleaning and disinfection policies and practices Monitoring Involved Education regarding cleaning and disinfection

  23. Discussion Have you seen any practices in this nursing home that are different than what you learned in this lesson? What are those practices? Have you been involved in education regarding your role in preventing the spread of germs in this nursing home? What role do you think residents play in keeping the nursing home environment safe from germ spread?

  24. Advocacy: Next Steps Education Nursing home specific risk assessment Nursing home specific policies and procedures Engagement Resident or family council to review policies and monitoring Empowerment Quality assurance and assessment committee (QAA committee) Resident and/or family member role in monitoring

  25. This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U1QHP28735. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of the Health Resources and Services Administration or the U.S. Department of Health and Human Services. https://www.unthsc.edu/center-for-geriatrics/education-programs/icare/ ICARE Infection Control Advocate & Resident Education

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