Vaccines
What tag might you look at if you have concerns with Flu or pneumonia vaccinations?
F883
What tag might you write ABT stewardship?
F881
The IP should have a professional training in? (Name two)
nursing, medical technology,
microbiology, epidemiology, or other related field
Before offering the influenza or Pneumonia immunization, each resident or the resident’s representative should receive?
education regarding the benefits and potential side
effects of the immunization
What is an ABT stewardship program?
includes antibiotic use protocols and a system to monitor antibiotic use.
How often must the IP work?
at least part time
Each resident is offered an influenza immunization October 1 through March 31 annually, unless
the immunization is medically contraindicated or
the resident has already been immunized during this time period
What infection control program ensures the correct indication of and ABT, dose, and duration to appropriately treat the resident while also attempting to reduce the development of antibiotic-resistant organisms.
ABT stewardship program
What is the title of the staff responsible for infection control?
Infection Preventionist (IP)
The resident’s medical record includes documentation that indicates, at a minimum?
(A) That the resident or resident’s representative was provided education regarding the benefits and potential side effects of influenza immunization; and
(B) That the resident either received the influenza immunization or did not receive the influenza immunization due to medical contraindications or refusal.
Nursing home residents are at risk for adverse outcomes associated with the inappropriate use of antibiotics that may include (Name at least two)
• Increased adverse drug events and drug interactions
• Serious diarrheal infections from C. difficile;
• Disruption of normal flora
• Colonization and/or infection with antibiotic-resistant organisms such as MRSA, VRE, and multidrug-resistant gram negative bacteria.
The facility may be cited for infection control at F tag?
F880
The facility failed to ensure that medical contraindications were identified for the influenza or pneumococcal vaccine, and administered the vaccine to a resident with identified allergies/contraindications. As a result, the resident experienced a life- threatening reaction of anaphylactic shock requiring immediate treatment and admission to the hospital. This is a possible IJ?
TRUE
The facility failed to implement its protocol for antibiotic use and failed to monitor actual antibiotic use. Record review indicated that the facility developed a protocol which indicated “residents with MDROs are not to be treated with antibiotics for colonization”. However, record review revealed one resident colonized with an MDRO receiving an antibiotic to eliminate colonization. As a result, the potential exists for the resident to develop an adverse drug event, antibiotic resistance, and/ or CDI. This is an example of IJ? (T or F)
False
An example of Level 2, no actual harm with potential for more than minimal harm that is not immediate jeopardy includes, but is not limited to:
The facility failed to ensure the IP was qualified by education, training, experience or certification to identify a gastrointestinal outbreak in the facility and implement appropriate control measures. Surveyors identified that the IP did not ensure that appropriate control measures (e.g., transmission-based precautions, environmental cleaning and disinfection) and reporting to public health occurred. As a result, several residents became seriously ill with diarrheal illnesses resulting in dehydration. This is an example of an IJ? (T or F)
True
An example of Level 4, immediate jeopardy to resident health and safety includes