COVID-19 and LTC - icap.nebraskamed.com

COVID-19 and LTCJuly 29, 2021

Guidance and responses were provided based on information known on 7/29/2021 and may become out of date. Guidance is being updated rapidly, so users should look

to CDC and NE DHHS guidance for updates.

Panelists today are:

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.

Presentation Information:

Dr. Salman Ashraf [email protected] Tyner, RN, BSN, CIC [email protected] Drake, MT(ASCP),CIC [email protected]

Lacey Pavlovsky, RN, MSN, CIC [email protected] Stream, MPH, CDA, FADAA [email protected] Martinez, BSN, BA, RN, CIC [email protected]

Dan German [email protected]

Melody Malone, PT, CPHQ, MHA, CDP, CADDCT [email protected]

Debi Majo, BSN, RN [email protected]

Moderated by Margaret Deacy [email protected]

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that all written answers provided during this webinar are based on information known on 7/22/2021 and may become out of date.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 upvoting.

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

Tracking Coronavirus in Nebraska: Latest Map and Case Count 7/29/2021

https://covid.cdc.gov/covid-data-tracker/#county-view

Tracking Coronavirus in Nebraska: COVID-19 Integrated County View

https://covid.cdc.gov/covid-data-tracker/#county-view

7/29/2021 7/22/2021

7/15/2021 7/8/2021

Which Data Source Should I Be Using?

Use the CDC COVID-19 Data Tracker for:

• Gray Zone Assessments

• Risk assessments such as:

• Eye Protection

• Community Outings

• Other High-Risk Tasks

Use CMS COVID-19 Test Positivity Rates for:

• COVID Testing (QSO-20-38-NH REVISED (cms.gov)

• Visitation (QSO-20-39-NH REVISED (cms.gov))

COVID Updates

Interim Public Health Recommendations for Fully Vaccinated PeopleUpdated 7/28/2021

Summary of Updates:

• Updated information for fully vaccinated people given new evidence on the B.1.617.2 (Delta) variant currently circulating in the United States.

• Added a recommendation for fully vaccinated people to wear a mask in public indoor settings in areas of substantial or high transmission.

• Added information that fully vaccinated people might choose to wear a mask regardless of the level of transmission, particularly if they are immunocompromised or at increased risk for severe disease from COVID-19, or if they have someone in their household who is immunocompromised, at increased risk of severe disease or not fully vaccinated.

• Added a recommendation for fully vaccinated people who have a known exposure to someone with suspected or confirmed COVID-19 to be tested 3-5 days after exposure, and to wear a mask in public indoor settings for 14 days or until they receive a negative test result.

• CDC recommends universal indoor masking for all teachers, staff, students, and visitors to schools, regardless of vaccination status.

Interim Public Health Recommendations for Fully Vaccinated People | CDC

The following recommendations apply to non-healthcare settings

Support Statements for COVID-19 Vaccine

Mandates in Long-Term Care

Joint Statement in Support of COVID-19 Vaccine Mandates for All Workers in Health and Long-Term Care

Joint Statement in Support of COVID-19 Vaccine Mandates for All Workers in Health and Long-Term Care (acponline.org)

Joint Statement in Support of COVID-19 Vaccine Mandates for All Workers in Health and Long-Term Care

Association for Professionals in Infection Control and Epidemiology (APIC)Association of Academic Health Centers (AAHC

Association of American Medical Colleges (AAMC)

Association of Rehabilitation Nurses (ARN)Council of Medical Specialty Societies (CMSS)

HIV Medicine AssociationInfectious Diseases Society of America (IDSA)

LeadingAge

National Association of Indian Nurses of America (NAINA)National Association of Pediatric Nurse Practitioners (NAPNAP)

National Council of State Boards of Nursing (NCSBN)National Hispanic Medical Association (NHMA)

National League for Nursing (NLN)

National Medical Association (NMA)National Pharmaceutical Association (NPhA)

Nurses Who Vaccinate (NWV)Organization for Associate Degree Nursing (OADN)

Pediatric Infectious Diseases Society (PIDS)

Philippine Nurses Association of America, Inc (PNAA)Society of Gynecologic Oncology (SGO)

Society for Healthcare Epidemiology of America (SHEA)Society of Hospital Medicine (SHM)

Society of Infectious Diseases Pharmacists (SIDP)

Society of Interventional Radiology (SIR)Texas Nurses Association (TNA)

The John A. Hartford FoundationTranscultural Nursing Society (TCNS)

Virgin Islands State Nurses Association (VISNA)

Wound, Ostomy, and Continence Nurses Society (WOCN

Academy of Managed Care Pharmacy (AMCP)American Academy of Ambulatory Care Nursing (AAACN)American Academy of Child and Adolescent Psychiatry (AACAP)American Academy of Family Physicians (AAFP)American Academy of Nursing (AAN)American Academy of Ophthalmology (AAO)American Academy of PAs (AAPA)American Academy of Pediatrics (AAP)American Academy of Allergy, Asthma & Immunology (AAAAI)American Association of Clinical Endocrinology (AACE)American Association of Colleges of Pharmacy (AACP)American Association of Neuroscience Nurses (AANN)American College of Clinical Pharmacy (ACCP)American College of Physicians (ACP)American College of Preventive Medicine (ACPM)American College of Surgeons (ACS)American Epilepsy Society (AES)American Medical Association (AMA)American Nurses Association (ANA)American Pharmacists Association (APhA)American Psychiatric Association (APA)American Public Health Association (APHA)American Society for Clinical Pathology (ASCP)American Society for Radiation Oncology (ASTRO)American Society of Health-System Pharmacists (ASHP)American Society of Hematology (ASH)American Society of Nephrology (ASN)American Thoracic Society (ATS)Association for Clinical Oncology (ASCO)

Who signed the joint statement?

BREAKING: AHCA backs mandatory COVID-19 vaccinations for healthcare workers - News - McKnight's Long Term Care News (mcknights.com)

Multisociety Statement on COVID-19 Vaccination as a Condition of Employment for Healthcare Personnel | Infection Control & Hospital Epidemiology | Cambridge Core

Control your message

1. Vaccines prevent serious illness, hospitalizations, and death in the vast majority of people.

2. Residents have a right to safe care.

3. A vaccine mandate may help with staffing; keeping illness out of the building.

CDC Travel Guidance Update

Travel Recommendations for Fully Vaccinated Updated 7/27/2021If you are fully vaccinated:

Domestic Travel:

• If you travel in the United States, you do not need to get tested before or after travel or self-quarantine after travel.

International Travel:

You need to pay close attention to the situation at your international destination before traveling outside the United States.

– You do NOT need to get tested before leaving the United States unless your destination requires it.

– You still need to show a negative test result or documentation of recovery from COVID-19 before boarding an international flight to the United States.

– You should still get tested 3-5 days after international travel.

– You do NOT need to self-quarantine after arriving in the United States.

When You’ve Been Fully Vaccinated | CDC

Domestic Travel Recommendations for Unvaccinated People Updated 6/10/2021

Domestic Travel During COVID-19 | CDC

Travel FAQs for the Domestic Travel

Travel: Frequently Asked Questions and Answers | CDC

International Travel Recommendations for Unvaccinated People Updated 6/10/2021

International Travel During COVID-19 | CDC

Travel FAQs for the International Travel

Travel: Frequently Asked Questions and Answers | CDC

PPE and Testing Supplies Update

PPE RequestsAs of August 4th, the DHHS jot form for PPE requests will no longer be available.

What do I do to fulfill our PPE needs?

1. Determine your PPE needs during normal operations and during an outbreak situation.

– Use the Personal Protective Equipment (PPE) Burn Rate Calculator | CDC

2. Increase your inventory of PPE supplies through your own supply chains.

How do I get more testing supplies?

1. Increase your inventory of testing supplies (such as Binax) through your own supply chains.

2. Check with your local health departments for testing supplies.

3. Check with other facilities in your area to see if they have extra testing supplies (many do!).

4. PCR testing is available through NPHL.

1. Can get supplies through local health departments.

TMF Health Quality Institute CMS Quality Improvement

OrganizationMelody Malone, PT, CPHQ, MHAQuality Improvement Specialist

NHSN News Flash on 7/27/2021• Recently, we identified a defect in the NHSN

application that hindered facilities with only Level 1 SAMS access from modifying weekly COVID-19 vaccination data.

• However, this error was resolved as of 7/23/21 and users should no longer have any issues with data submission.

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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 NHSN27

NHSN Issues We Are Seeing• Not reporting COVID-19 modules consistently on

the same day of the week. › Therefore the requirement for ‘every 7 day’s’ is not met

• Not reporting Cumulative Vaccination data, each week, before Sunday 11:59 p.m.

› Don’t forget to update the data if there are changes in the reporting week (Monday – Sunday) – do updates the following week.

› See training here: Weekly HCP & Resident COVID-19 Vaccination

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CMS Targeted COVID-19 Training for Frontline Nursing Home Staff & Management Learning

• Available through the CMS Quality, Safety & Education Portal (QSEP).

• Can be completed on a cell phone

• Frontline nursing home staff modules:

Module 1: Hand Hygiene and PPE

Module 2: Screening and Surveillance

Module 3: Cleaning the Nursing Home

Module 4: Cohorting

Module 5: Caring for Residents with Dementia in a Pandemic

• 3 hours total training time

• Management staff modules:

Module 1: Hand Hygiene and PPE

Module 2: Screening and Surveillance

Module 3: Cleaning the Nursing Home

Module 4: Cohorting

Module 5: Caring for Residents with Dementia in a Pandemic

Module 6: Basic Infection Control

Module 7: Emergency Preparedness and Surge Capacity

Module 8: Addressing Emotional Health of Residents and Staff

Module 9: Telehealth for Nursing Homes

Module 10: Getting Your Vaccine Delivery System Ready

• 4 hours total training time

CMS Targeted COVID-19 Training for Frontline Nursing Home Staff & Management LearningQ: Do Staff get CEUs when they’ve completed their set of modules?

A: No they do not, but they can print a certificate and we encourage you to keep a copy in their HR folder.

• Remember to build in time for new staff to do the training.

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Reach out to us at: [email protected]

to submit requests for assistance with

NHSN reporting problems or quality improvement

assistance.

ICAP Updates

Project Firstline Resources

• Project Firstline Inside Infection Control Resources: https://www.cdc.gov/infectioncontrol/projectfirstline/resources.html?s_cid=dhqp_001

• 25 short training videos that are topic specific for all healthcare providers

Project Firstline Resources

Poll:

1. Does your facility find the Firstline training videos helpful?

2. Would your facility like to see a regularly scheduled short (15-20 minute) ICAP led, basic training using the Firstline videos as a resource for your employees?

3. If we schedule regular trainings and off-shift times would be helpful, what times would be best?

1. Saturday mornings

2. Saturday afternoons

3. Evenings during the week

COVID-19 Tele-ICAR Reviews

• ICAP is offering COVID-19 focused virtual ICAR reviews to LTC, outpatient and acute care facilities

• The review will assess the status of COVID-19 policies and procedures and offer a summary of recommendations from ICAP

• Home Health Agencies fall under the outpatient umbrella and ICAP has developed a HH focused review to support our HH partners

• Contact NE ICAP at 402.552.2881 to be connected with the IP responsible for the facility

NAB:

➢ Completion of survey is required.

➢ The survey must be specific to the individual obtaining credit. (i.e.: 2 people cannot be listed on the same survey)

➢ You must have a NAB membership

➢ Credit is retrieved by you

➢ Any issues or questions regarding your credit must be directed to NAB customer service.

➢ ICAP can verify survey completion and check the roster list

Nursing Contact Hours:

➢ Completion of survey is required.

➢ The survey must be specific to the individual obtaining credit. (i.e.: 2 people cannot be listed on the same survey)

➢ One certificate is issued monthly for all webinars attended

➢ Certificate comes directly from ICAP via email

➢ Certificate is mailed by/on the 15th of the next month

Contact Marissa with questions:[email protected]

Webinar CE Process

1 Nursing Contact Hour and 1 NAB Contact Hour is offered for attending this LIVE webinar

A separate survey must be completed for each attendee.

Infection Prevention and ControlHotline Number:

Call 402-552-2881Office Hours are Monday – Friday

8:00 AM - 4:00 PM Central Time

On-call hours are available for emergencies onlyWeekends and Holidays from 8:00 AM- 4:00 PM

**Please call the main hotline number only during on-call hours**

Questions and Answer Session

Use the QA box in the webinar platform to type a question. Questions will be read aloud by the moderator.

Panelists:

• Dr. Salman Ashraf

• Kate Tyner, RN, BSN, CIC

• Margaret Drake, MT(ASCP),CIC

• Lacey Pavlovsky, RN, MSN, CIC

• Rebecca Martinez, BSN, BA, RN, CIC

• Sarah Stream, MPH, CDA, FADAA

• Dan German

• Melody Malone, PT, CPHQ, MHA

• Debi Majo, BSN, RN

• Moderated by Marissa Chaney

• Supported by Margaret Deacy

• Slide support from Lacey Pavlovsky,

RN, MSN, CIC

https://icap.nebraskamed.com/resources/

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