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Implementing Infection Prevention and Control (IPC) Practices Including COVID-19 Mitigation Strategies in a Skilled Nursing Facility

BACKGROUND: The All Facilities Letter (AFL) issued by the California Department of Public Health (CDPH) on November 9, 2020, informed all skilled nursing facilities (SNFs) of the passage of AB 2644 (Chapter 287, Statutes of 2020). This AFL requires SNFs to have a full-time, dedicated infection preve...

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Autores principales: Mantes, Jeffrey, Pandya-Orozco, Bernadette P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Mosby, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9215235/
http://dx.doi.org/10.1016/j.ajic.2022.03.091
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author Mantes, Jeffrey
Pandya-Orozco, Bernadette P.
author_facet Mantes, Jeffrey
Pandya-Orozco, Bernadette P.
author_sort Mantes, Jeffrey
collection PubMed
description BACKGROUND: The All Facilities Letter (AFL) issued by the California Department of Public Health (CDPH) on November 9, 2020, informed all skilled nursing facilities (SNFs) of the passage of AB 2644 (Chapter 287, Statutes of 2020). This AFL requires SNFs to have a full-time, dedicated infection preventionist (IP), a plan for infection prevention, quality control, and annual infection prevention and control training for all healthcare personnel (HCP). Healthcare facilities are ideal settings for transmitting infections to residents, healthcare workers, their families, and communities. Therefore, the objective was to assess compliance with infection prevention and control and standardized practices in Hand Hygiene, Personal Protective Equipment (PPE) donning and doffing, and Catheter-Associated Urinary Tract Infection (CAUTI) prevention bundle. METHODS: Hand Hygiene, PPE, and CAUTI competencies were developed to increase awareness and compliance with standardized practices. Hand Hygiene and CAUTI champions representing every shift in the unit were created to lead SNF staff in observing IPC practices. A direct observation tool was utilized to gather data, and just in time, feedback was provided to staff when opportunities in non-compliance were identified. RESULTS: The compliance rate in Hand Hygiene, PPE, and CAUTI prevention in 11 months increased from 69 % to 99 %. CONCLUSIONS: Infection Prevention and Control practices are the most critical element in reducing healthcare-associated infection among residents and staff. Implementing IPC practices increased compliance in Hand Hygiene, PPE, and CAUTI prevention bundle. Comprehension of fundamental IPC practices is critical to health care systems, especially during a pandemic.
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spelling pubmed-92152352022-06-22 Implementing Infection Prevention and Control (IPC) Practices Including COVID-19 Mitigation Strategies in a Skilled Nursing Facility Mantes, Jeffrey Pandya-Orozco, Bernadette P. Am J Infect Control Etc-43 BACKGROUND: The All Facilities Letter (AFL) issued by the California Department of Public Health (CDPH) on November 9, 2020, informed all skilled nursing facilities (SNFs) of the passage of AB 2644 (Chapter 287, Statutes of 2020). This AFL requires SNFs to have a full-time, dedicated infection preventionist (IP), a plan for infection prevention, quality control, and annual infection prevention and control training for all healthcare personnel (HCP). Healthcare facilities are ideal settings for transmitting infections to residents, healthcare workers, their families, and communities. Therefore, the objective was to assess compliance with infection prevention and control and standardized practices in Hand Hygiene, Personal Protective Equipment (PPE) donning and doffing, and Catheter-Associated Urinary Tract Infection (CAUTI) prevention bundle. METHODS: Hand Hygiene, PPE, and CAUTI competencies were developed to increase awareness and compliance with standardized practices. Hand Hygiene and CAUTI champions representing every shift in the unit were created to lead SNF staff in observing IPC practices. A direct observation tool was utilized to gather data, and just in time, feedback was provided to staff when opportunities in non-compliance were identified. RESULTS: The compliance rate in Hand Hygiene, PPE, and CAUTI prevention in 11 months increased from 69 % to 99 %. CONCLUSIONS: Infection Prevention and Control practices are the most critical element in reducing healthcare-associated infection among residents and staff. Implementing IPC practices increased compliance in Hand Hygiene, PPE, and CAUTI prevention bundle. Comprehension of fundamental IPC practices is critical to health care systems, especially during a pandemic. Published by Mosby, Inc. 2022-07 2022-06-22 /pmc/articles/PMC9215235/ http://dx.doi.org/10.1016/j.ajic.2022.03.091 Text en Copyright © 2022 Published by Mosby, Inc. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Etc-43
Mantes, Jeffrey
Pandya-Orozco, Bernadette P.
Implementing Infection Prevention and Control (IPC) Practices Including COVID-19 Mitigation Strategies in a Skilled Nursing Facility
title Implementing Infection Prevention and Control (IPC) Practices Including COVID-19 Mitigation Strategies in a Skilled Nursing Facility
title_full Implementing Infection Prevention and Control (IPC) Practices Including COVID-19 Mitigation Strategies in a Skilled Nursing Facility
title_fullStr Implementing Infection Prevention and Control (IPC) Practices Including COVID-19 Mitigation Strategies in a Skilled Nursing Facility
title_full_unstemmed Implementing Infection Prevention and Control (IPC) Practices Including COVID-19 Mitigation Strategies in a Skilled Nursing Facility
title_short Implementing Infection Prevention and Control (IPC) Practices Including COVID-19 Mitigation Strategies in a Skilled Nursing Facility
title_sort implementing infection prevention and control (ipc) practices including covid-19 mitigation strategies in a skilled nursing facility
topic Etc-43
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9215235/
http://dx.doi.org/10.1016/j.ajic.2022.03.091
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