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Presentation #5b Risk Assessment Practice …

RISK Assessment Practice sessions long TERM CAREC indy Winfrey, MSN, RN, VA-BC, CIC, IP-BC, CDONA, CDP, CADDCT, FACDONAM aster Trainer NADONAOBJECTIVES Discuss the format of an Infection Control Risk Assessment Demonstrate how to create an Infection Control Risk Assessment based on Practice setting. WHAT S ASSESSED? risks : (Infections, contamination, exposures)Harm: (Loss of life/function, reputation, financial, legal/regulatory)Preparedness: (Ability to eliminate or mitigate the harm or risk of harm)WHY DO IT?The risk Assessment : Is the basis of the infection prevention program Provides focus for departmental and organizational activities Outlines where resources needed (may be used to justify additional resources) Outcomes (positive or negative) effect everyone so the Assessment should be multidisciplinaryINFECTION CONTROL DOMAINS FOR GAP ANALYSIS Infection Control Program and Infrastructure Healthcare Personnel and Resident Safety Surveillance and Disease Reporting Hand Hygiene Personal Protective Equipment (PPE) Respiratory/ Cough Etiquette Antibiotic Stewardshi

risk assessment practice sessions – long term care cindy winfrey, msn, rn, va-bc, cic, ip-bc, cdona, cdp, caddct, facdona master trainer nadona

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Transcription of Presentation #5b Risk Assessment Practice …

1 RISK Assessment Practice sessions long TERM CAREC indy Winfrey, MSN, RN, VA-BC, CIC, IP-BC, CDONA, CDP, CADDCT, FACDONAM aster Trainer NADONAOBJECTIVES Discuss the format of an Infection Control Risk Assessment Demonstrate how to create an Infection Control Risk Assessment based on Practice setting. WHAT S ASSESSED? risks : (Infections, contamination, exposures)Harm: (Loss of life/function, reputation, financial, legal/regulatory)Preparedness: (Ability to eliminate or mitigate the harm or risk of harm)WHY DO IT?The risk Assessment : Is the basis of the infection prevention program Provides focus for departmental and organizational activities Outlines where resources needed (may be used to justify additional resources) Outcomes (positive or negative) effect everyone so the Assessment should be multidisciplinaryINFECTION CONTROL DOMAINS FOR GAP ANALYSIS Infection Control Program and Infrastructure Healthcare Personnel and Resident Safety Surveillance and Disease Reporting Hand Hygiene Personal Protective Equipment (PPE) Respiratory/ Cough Etiquette Antibiotic Stewardship Injection safety and Point of Care Testing Disaster Preparedness STRUCTURE Descriptive analysis.

2 Geographic location & size Populations served Staffing mix Services performed (volumes) Surveillance data Epidemiologically important organisms System issues Other risks / support agenciesNHSN Currently, LTCF can enroll in two NHSN Components long -term Care Facility Component (UTI; MDRO & CDI surveillance)/(HH, PPE Use) Healthcare Personnel Safety Component (HCW Flu immunization rate) For more information see Components Probability of Performance-Failure Impact (Clinical/Financial/Resources) Infection Prevention Systems Score GoPotential risks /Problems HighMedLowNeverHighModerate MinimalPoorFairGoodExcellent >7 32103 2 1 321 0 Procedures HAI s Surgical Site Infections 22 26 SSI-Ortho Join Replacement 13 26 SSI-plastic surgery 23 27 SSI-vasectomy 1 113 Failure of Prevention Activities Lack of Hand Hygiene program 23 27 Lack of Standard Precautions 12 25 Lack of TB screening of patients 23 27 Lack of

3 Appropriate prophylactic antibiotic 23 27 Lack of appropriate OR attire 12 25 Environment Refrigerator Temp logs 1 113 Infection from inadequate sterilization monitoring 03 2 5 Improper eating and drinking in the OR environment 03 6 REFERENCES Chilton, L. Infections and Antimicrobial Resistance in the Elderly Living in long -Term Cares Settings. Available at Centers for Disease Control and Prevention. (2007). Guidelines for isolation precautions: Preventing transmission of infectious agents in healthcare settings 2007. Retrieved January 5, 2010 from Centers for Disease Control and Prevention (2017). Vaccination Information for Adults. Available at: SHEA/APIC Guideline: Infection Prevention and Control in the long -Term Care Facility.

4 (2008). Available at RESOURCES APIC available at: + Assessment &x=0&y=0 Centers for Disease Control and Prevention (CDC) available at Centers for Medicare and Medicaid available at: Office of Disease Prevention and Health Promotion (ODPHP). Healthcare Associated Infections available at.


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