- CDC in corroboration with NADONA and AMDA COVID-19 Tool Kit
- Delegation Tool Kit
- Dementia Tool Kit
- Epilepsy Allies Tool Kit
- FDA Press Release Final
- Free McKnights Subscription
- Mastering F441 - Infection Control
- Hepatic Encephalopathy (HE) In-Service Tool Kit
- Long Term Care Infection Prevention CDC
- Long-Term Living Magazine
- Parkinson's Tool Kit
As discussed, below are links to recently-posted information we wanted to share. Note there is an informational call on Mon., Dec. 21 that will provide a vaccine update. Information can be found attached and below.
Please let us know if you have any questions about any of the information here or shared earlier this week on our call.
- Post Vaccine Considerations for Healthcare Personnel | CDC
- Post Vaccine Considerations for Residents | CDC
- Importance of COVID-19 Vaccination for Residents of Long-term Care Facilities | CDC
- Interim Clinical Considerations for Use of Pfizer-BioNTech COVID-19 Vaccine | CDC
- The Advisory Committee on Immunization Practices’ Interim Recommendation for Use of Pfizer-BioNTech COVID-19 Vaccine — United States, December 2020 | MMWR (cdc.gov)
- ACIP recommendations were presented on a CDC partner call Sunday. Slides from the presentation can be found at: https://www.cdc.gov/vaccines/covid-19/planning/index.html
- The COVID-19 vaccination website for healthcare professionals has been updated to direct healthcare professionals to clinical information including ACIP recommendations, storage and handling information, and vaccination provider requirements and support.
- The new Pfizer-BioNTech COVID-19 Vaccine webpage has information specific to Pfizer’s vaccine, including resources to assist providers in storing, handling, and administering the vaccine.
- Providers participating in the COVID-19 Vaccination Program can find information about the requirements of the CDC COVID-19 Vaccination Provider Agreement at COVID-19 Vaccination Provider Requirements and Support | CDC and on the websites listed in the footnotes of the agreement.
- Updates to CDC’s COVID-19 vaccine information for consumers:
Recording available now: Webinar December 14, 2020 – What Every Clinician Should Know about COVID-19 Vaccine Safety (cdc.gov)
COVID-19 Response Vaccine Update
Date: Monday, December 21, 2020
Time: 3:00—4:00 p.m. ET
Register in advance for this webinar: COVID-19 Response Vaccine Update
Questions: Please submit your questions by 12/16 so that we can group similar questions and answer as many as possible. Please email firstname.lastname@example.org with “Partner Call 12/21” in the subject line.
Thank you for your interest in the Hepatic Encephalopathy (HE) In-service Toolkit. The materials in the kit are for your utilization in your facilities or other LTC treatment settings that you work to provide education to your staff on (HE).
The kit includes two (HE) in-service decks; Part 1: Change in Mental Status Hepatic Encephalopathy (HE) Management Overview and Part 2: Change in Mental Status Hepatic Encephalopathy (HE) Treatment & IDT Process that you can use to deliver two separate in-service presentations approximately 15-20 minutes In length. There is also a version of each in-service presentation with facilitator notes to help you prepare for your in-service presentations.
We have also included two links to recorded versions of each in-service presentation for easy on-demand utilization or for you to send out to your staff as you see fit to support their education and development.
Finally, we have included an article that was recently published in the Annals of Long Term Care titled “Hepatic Encephalopathy in LTC Residents: Missing a Potential Cause of Change in Mental Status in Patients With Cirrhosis”. This article can be utilized as another preparation piece or can be distributed to your staff as an enduring reference.
We hope you find these materials helpful and we thank you for the support you provide to your staff and the care you provide to you residents.
In-service Decks (For live presentation)
In-service recordings (Same as the decks but video with voice-over for plug and play or digital dissemination)
In-service Material – Additional Supportive
Article: “The Impact of COVID-19 on Liver Disease Management in Long-Term Care” Authors: Richard G Stefanacci, DO, MGH, MBA, AGSF, CMD1; Vinod K Rustgi, MD, MBA
Long-term care infection prevention
If you or a loved one is staying in a long-term care facility, there are some important things you need to know to prevent infections.
Why is infection prevention important for long-term care residents?
When people are living closely together, they are more likely to become sick with infections that are transmitted from person to person.
Because residents in long-term facilities may have open wounds, devices such as urinary catheters or intravenous catheters, or be incontinent of urine or stool, it is especially important for the staff, visitors, and other patients to practice good infection prevention and control techniques.
Good infection prevention and control techniques include cleaning hands before and after touching another resident, cleaning and disinfecting environmental surfaces, removing soiled items (like used tissues or adult diapers from the environment), or wearing personal protective equipment (such as gloves, a gown, or a mask).
Bacteria and viruses that can be transmitted to others in long-term care facilities include methicillin-resistant Staphylococcus aureus (MRSA), Clostridium difficile (C. diff), norovirus, and other bacteria, fungi, or viruses.
Infections, like influenza or the common cold, can spread when the sick person talks, coughs, or sneezes and releases droplets of saliva and mucus. These droplets can travel through the air and can be inhaled through the nose and mouth of another person or contaminate their hands.
What residents can do:
Wash your hands before you eat and after using the bathroom. It should take at least 20 seconds to thoroughly wash your hands. Using an alcohol-based hand sanitizer is a good option if your hands are not visibly dirty.
If you have open sores, cover them with a bandage. Do not pick at your sores or remove your bandage.
Cover your mouth with the inside of your elbow when you cough or sneeze. Throw away any used tissues and wash your hands afterwards.
Don’t share your personal items with other residents.
Remind your care providers to wash their hands frequently. It’s OK to ask if a care provider has cleaned their hands before caring for you.
If your doctor prescribes an antibiotic for an infection, take the medication exactly how it is prescribed.
Follow directions if you are asked to stay in your room.
Don’t touch any food that will be eaten by someone else.
What residents can observe/ask:
If your healthcare provider has prescribed you antibiotics, be sure to ask the following questions:
“Do I really need an antibiotic?”
“Can I get better without this antibiotic?”
“What side effects or drug interactions can I expect?”
“What side effects should I report to you?”
“How do you know what kind of infection I have? I understand that antibiotics won’t work for viral infections.”
If you have an infection, your caregivers may be wearing protective equipment, like gowns, gloves or face mask. Make sure they take them off before they leave the room.
Make sure that everyone (residents, care providers, and visitors) wash their hands when they enter the room and when they leave the room.
Make sure your care provider is wearing gloves if they are removing a dressing. A gown might be necessary if the wound is large.
Ask staff how they are cleaning items used by many residents (e.g., recreational therapy objects).
What family members or other visitors can do:
Wash hands before and after each visit.
Wear a surgical mask if visiting someone that has an infection with germs that can be spread to others through the air (for example, the flu).
Wear a gown and gloves if visiting someone who has a virus or type of bacteria that can be transmitted through direct contact.
Learn more and share:
How to be a good visitor at a nursing home—APIC consumer alert
Ask questions about your medications—Infection Prevention and You
Nursing Homes and Assisted Living (Long-term Care Facilities)—The Centers for Disease Control and Prevention
FAQ: Standard Precautions, FAQ: Droplet Precautions, and FAQ: Contact Precautions—Virginia Department of Health
Seniors at risk for the flu—Flu.gov