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08.12.21 Infection Prevention and COVID-19

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08.12.21 Infection Prevention and COVID-19 Guidance and responses were provided based on information known on 8/12/2021 and may become out of date. Guidance is being updated rapidly, so users should look to CDC and NE DHHS guidance for updates. COVID-19 and LTC August 12, 2021 Presentation Information: Panelists today are:​ Dr. Salman Ashraf [email protected] Margaret Drake, MT(ASCP),CIC [email protected] Kate Tyner, RN, BSN, CIC [email protected] Lacey Pavlovsky, RN, MSN, CIC [email protected] Sarah Stream, MPH, CDA, FADAA [email protected] Rebecca Martinez, BSN, BA, RN, CIC [email protected] Daniel Taylor, DHHS [email protected] Becky Wisell, DHHS [email protected] Cindy Kadavy, NHCA [email protected] Debra Sutton, RN, BS, NHA [email protected] Jonathan Figliomeni, DHHS [email protected] Karen Stiles, SM(ASCP)CM [email protected] Melody Malone, PT, CPHQ, MHA, CDP, CADDCT [email protected] Debi Majo, BSN, RN [email protected] Moderated by Marissa Chaney [email protected] Slides and a recording of this presentation will be available on the ICAP website:​ https://icap.nebraskamed.com/covid-19-webinars/ Use the Q&A box in the webinar platform to type a question. Questions will be read aloud by the moderator.​ If your question is not answered during the webinar, please either e-mail it to NE ICAP or call during our office hours to speak with one of our IPs.​ Additional Q&A Support: In attempt to answer even more questions, ICAP Infection Preventionists and guest panelists are standing by! Some questions may be answered before the live discussion Q&A session! Please review the "Answered" tab for already-answered questions. We appreciate your understanding that all written answers provided during this webinar are based on information known on 7/22/2021 and may become out of date. Please continue to review questions for up voting. Continuing Education Disclosures ▪1.0 Nursing Contact Hour and 1 NAB Contact Hour is awarded for the LIVE viewing of this webinar​ ▪In order to obtain nursing contact hours, you must be present for the entire live webinar and complete the post webinar survey​ ▪No conflicts of interest were identified for any member of the planning committee, presenters or panelists of the program content​ ▪This CE is hosted Nebraska Medicine along with Nebraska ICAP and Nebraska DHHS​ ▪ Nebraska Medicine is approved as a provider of nursing continuing professional development by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation Nebraska LTC COVID-19 Cases TMF Health Quality Institute CMS Quality Improvement Organization Melody Malone, PT, CPHQ, MHA Quality Improvement Specialist NHSN COVID Vaccination Questions • We ask that you pay close attention to the following questions in the Vaccine Supply section of the vaccination coverage forms: 4. For the current reporting week, please describe the availability of COVID-19 vaccine(s) for your facility’s residents: › 4.1 Is your facility enrolled as a COVID-19 vaccination provider? [Select Yes or No] 7 NHSN COVID Vaccination Questions • 4.2. Did your facility have a sufficient supply of COVID-19 vaccine(s) to offer all residents the opportunity to receive COVID-19 vaccine(s) from your facility in the current reporting week? [Select Yes or No] • 4.3. Did your facility have other arrangements sufficient to offer all residents the opportunity to receive COVID-19 vaccine(s) in the current reporting week (examples of other arrangements include referring to the health department or pharmacies for vaccination)? [Select Yes or No] 8 NHSN COVID Vaccination Questions • 4.4. Please describe any other COVID-19 vaccination supply-related issue(s) at your facility. [Optional] • NHSN strongly encourages users to continually review responses to these questions in the NHSN application to ensure the information reported is up-to-date and accurate. 9 Level 3 Access • Current Users: email the NHSN user support [email protected] with “Enhancing Data Security” in the subject line your request. • Newly added Users: they receive emails from both NHSN and SAMS with directives. › They need to respond promptly or their window for submitting their SAMS Level 3 documents expires. › Check your SPAM/Junk Folders TIP: See: Increasing LTCF SAMS Level Access to NHSN 10 CMS Targeted COVID-19 Training for Frontline Nursing Home Staff & Management Learning • Available through the CMS Quality, Safety & Education Portal (QSEP). • Management staff modules: Module 1: Hand Hygiene and PPE • Can be completed on a cell phone Module 2: Screening and Surveillance • Frontline nursing home staff modules: Module 3: Cleaning the Nursing Home Module 1: Hand Hygiene and PPE Module 4: Cohorting Module 5: Caring for Residents with Dementia in a Pandemic Module 2: Screening and Surveillance Module 6: Basic Infection Control Module 3: Cleaning the Nursing Home Module 7: Emergency Preparedness and Surge Capacity Module 4: Cohorting Module 8: Addressing Emotional Health of Residents and Staff Module 9: Telehealth for Nursing Homes Module 5: Caring for Residents with Dementia in a Pandemic Module 10: Getting Your Vaccine Delivery System Ready • 4 hours total training time • 3 hours total training time NHSN Series: • Fast Facts about NHSN - Part 2 • Wednesday, August 18 from 1:30-2 p.m. CT • Register to attend this webinar to learn how a new National Healthcare Safety Network (NHSN) user can apply for a Secure Access Management Services (SAMS) Entrust grid card. 12 LTC Connect: NHSN Data Reports • Thursday, August 19 from 1:30-2:30 p.m. CT • Register to attend this LTC Connect call to learn more about accurate data reporting, and how to generate data sets and explain the value of running the data reports for quality improvement, such as establishing vaccination goals, monitoring these goals and verifying data entry 13 Reach out to us at: [email protected] to submit requests for assistance with NHSN reporting problems or quality improvement assistance. NPHL-ICAP Confirmation Testing Protocol Karen Stiles 402-559-3590 [email protected] Jonathan Figliomeni 402-890-1094 [email protected] Helping People Live Better Lives. 15 Outline Contact with ICAP or Local Health Department (LHD) Contact NPHL Collections Ordering a Test Send Specimens to NPHL Results and Further Action Helping People Live Better Lives. 16 Contact with ICAP or LHD ICAP or the LHD will contact you • You will be told the number of tests you need • You will be told isolation strategies • You will be told your facility’s testing strategy • You should work with your LHD for testing equipment • Swabs • Transport media • Biohazard bags • Category B boxes • Gel cooler packs Helping People Live Better Lives. 17 Contact NPHL ICAP will get you in touch with NPHL • NPHL will work with you to get testing kits • Jon Figliomeni ([email protected]) will help you • If you don’t have one, you will get a NUlirt Account • RPS Interface Support ([email protected]) will help • Support will need: • Account Name • Address • City/State/Zip • Phone • Fax (where you’d like results faxed to) • A complete new user form for each user needing access to order tests • Here Helping People Live Better Lives. 18 Collections Once Collection Kits Have Arrived • Follow collection protocol • Order tests in NUlirt Helping People Live Better Lives. 19 Collections, cont. While wearing appropriate PPE, collect specimen with nasopharyngeal (NP) swab. Helping People Live Better Lives. 20 Collections, cont. While wearing appropriate PPE, place specimen into vial, break at score and seal tube. Helping People Live Better Lives. 21 Collections, cont. BEFORE specimen goes into the specimen bag, vial MUST have 2 identifiers on it (Name, DOB, etc). Helping People Live Better Lives. 22 Collections, cont. Deposit specimen into specimen bag. (Note: Bag must have absorbent material.) Helping People Live Better Lives. 23 Collections, cont. Multiple specimen bags can be gathered into a larger specimen bag and refrigerated until sent to NPHL. Helping People Live Better Lives. 24 Collections, cont. Keep specimens refrigerated in a NON-FOOD refrigerator/freezer until specimens are picked up. Helping People Live Better Lives. 25 Ordering a Test Once you have a NULirt account, go to https://nulirt.nebraskamed.com/login Helping People Live Better Lives. 26 Ordering a Test, cont. NPHL COVID-19 test code: • [NCOVFL] Helping People Live Better Lives. 27 Ordering a Test, cont. Upper left corner for Covid-19 test ordering Helping People Live Better Lives. 28 Ordering a Test, cont. Complete all test ordering questions. • If you have any questions, please reach out for help. • Client Services/Regional Pathology Services (RPS) • 866-290-1406 (24-hour line) • Karen Stiles • 402-559-3590 (during normal business hours) • Jonathan Figliomeni • 402-890-1094 (during normal business hours) Helping People Live Better Lives. 29 Ordering a Test, cont. Once all questions are complete, review and submit the order. Helping People Live Better Lives. 30 Ordering a Test, cont. If information looks good, submit the order. Helping People Live Better Lives. 31 Ordering a Test, cont. If information looks good, submit the order. Helping People Live Better Lives. 32 Return Specimens to NPHL To return specimens, contact Client Services to arrange courier services. • Client Services: (866) 290-1406 (24-hour line) • You will either • Deliver the specimens to a nearby hospital for courier pick up; or, • Give specimens directly to a courier Helping People Live Better Lives. 33 Return Specimens to NPHL, cont. Delivering specimens to a hospital for courier pick up • Client Services should inform you of WHEN and WHERE to go • Contact the place you are dropping them off • You are most likely going to a local hospital lab • The lab may have a protocol for delivering outside specimens • If you have any questions, please reach out for help • Client Services/Regional Pathology Services (RPS) • (866) 290-1406 (24-hour line) • Karen Stiles • 402-559-3590 (during normal business hours) • Jonathan Figliomeni • 402-890-1094 Helping People Live Better Lives.
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