DOH is conducting Covid-19 focus surveys in long term care facilities .
Suggestions:
* Prepare a separate entrance binder for this focus survey
* Use the CE pathway to identify deficient practices
Command and Control Center (CCC), Ministry of Health, Kingdom of Saudi ArabiaUN SPHS
Delivered by H.E. Dr. Hani Jokhdar, Deputy Minister for Public Health, Saudi Arabia, at the Global Forum 2020 Closing Panel: Enabling Leadership for Sustainability in the Health Sector: Moving Towards 2021.
This presentation was made by Marita Salgrave, former Head of Strategy and Development, Member of Council, State Audit Institution (SAI) Latvia. The webinar organised by SIGMA was held on 10 March 2021. Its main objective was to discuss how senior public managers manage the risks associated to public financial management, especially during the COVID-19 pandemic crisis.
R. Villano - Superbugs & superdrugs - Council Recommendation on patient safe...Raimondo Villano
You plot historical notes on the concept of antibiosis, on research, discovery and production of antibiotics and their global role not only therapeutic but also strategic since World War II. Then, you look at national and international issues related consumption, misuse and overuse of antibiotics in humans, in animal husbandry, agriculture, and thus in the food chain and the environment; policies to combat the phenomenon of excessive prescription and citizens in the degree of information and awareness of the risks; guidelines of good practice behavior of the patient; the main documents of struggle in this emergency. We make also an analytical overview and a discussion of some super diseases (tuberculosis, gonorrhea, meningitis, etc.) And bacterial resistance to major antibiotics. We realize, finally, a survey on current technologies and addresses of applied research and a survey on major recent new therapies. Closes work a technical appendix containing an apparatus essential regulations and ministerial directives Italian and European Community on the theme.
Command and Control Center (CCC), Ministry of Health, Kingdom of Saudi ArabiaUN SPHS
Delivered by H.E. Dr. Hani Jokhdar, Deputy Minister for Public Health, Saudi Arabia, at the Global Forum 2020 Closing Panel: Enabling Leadership for Sustainability in the Health Sector: Moving Towards 2021.
This presentation was made by Marita Salgrave, former Head of Strategy and Development, Member of Council, State Audit Institution (SAI) Latvia. The webinar organised by SIGMA was held on 10 March 2021. Its main objective was to discuss how senior public managers manage the risks associated to public financial management, especially during the COVID-19 pandemic crisis.
R. Villano - Superbugs & superdrugs - Council Recommendation on patient safe...Raimondo Villano
You plot historical notes on the concept of antibiosis, on research, discovery and production of antibiotics and their global role not only therapeutic but also strategic since World War II. Then, you look at national and international issues related consumption, misuse and overuse of antibiotics in humans, in animal husbandry, agriculture, and thus in the food chain and the environment; policies to combat the phenomenon of excessive prescription and citizens in the degree of information and awareness of the risks; guidelines of good practice behavior of the patient; the main documents of struggle in this emergency. We make also an analytical overview and a discussion of some super diseases (tuberculosis, gonorrhea, meningitis, etc.) And bacterial resistance to major antibiotics. We realize, finally, a survey on current technologies and addresses of applied research and a survey on major recent new therapies. Closes work a technical appendix containing an apparatus essential regulations and ministerial directives Italian and European Community on the theme.
The facility will obtain and maintain current guidance and signage advisories on disease-specific response actions from the New York State Department of Health (NYSDOH) and the Centers for Disease Control and Prevention (CDC). For more details please view this presentation - https://highlandrehabandnursing.com/
The UN has requested Member States to include UN personnel in the national/host country COVID-19 vaccination
programmes. While confirming the inclusion of UN personnel within their national planning, most Member States
have advised that they will be providing the vaccine free of charge. The vaccine may also be available and
accessed through a primary care provider, and in many cases that cost will be covered by medical insurance.
In countries where there is no national programme in place, or in which UN personnel are not included in the
national distribution programme, the UN Department of Operational Support (DOS) has been tasked by the
Secretary-General to identify alternative arrangements for making the vaccine available. DOS is working to ensure
alternative arrangements are put in place for UN personnel.
Member States have also been requested by the Secretary-General to follow the WHO’s Values Framework and
Prioritization Roadmap for the fair and equitable allocation and prioritization of the COVID-19 vaccine.
A Sustainable Healthcare Emergency Management Framework: COVID-19 and BeyondHealth Catalyst
With an ever-changing understanding of COVID-19 and a continually fluctuating disease impact, health systems can’t rely on a single, rigid plan to guide their response and recovery efforts. An effective solution is likely a flexible framework that steers hospitals and other providers through four critical phases of a communitywide healthcare emergency:
Prepare for an outbreak.
Prevent transmission.
Recover from an outbreak.
Plan for the future.
The framework must include data-supported surveillance and containment strategies to enhance detection, reduce transmission, and manage capacity and supplies, providing a roadmap to respond to immediate demands and also support a sustainable long-term pandemic response.
The international health regulations (IHR) is an agreement among 194 countries, including all WHO member countries ,to work together for healthy security of the world. Under the IHR, all countries need to report all events of international public health impact
1
8
Compliance Policies
Name
Course
Professor
Date
Compliance Policies
In the previous project, two compliance plans were developed and a job description developed for safety and compliance manager. However, strength for any compliance programs depends on compliance policy and procedurals which outlines applicable laws, regulations and standards that should be followed to implement developed plans. Compliance policies should be clear and simple to eliminate confusion or difficulties which may be experienced by implementers of compliance plans. Considering there are two compliance plans, to enhance clarity on the developed compliance, each compliance plan would be considered individually constituting two sections for two compliance policies under each compliance plan.
Compliance Plan For Covid protocols
The impact of Covid-19 has been felt in all sectors of economies and health sectors is not exceptional. Even though numerous professionals have been affected by the virus, significant healthcare providers have succumbed to the virus on the line of the duty. According to a study conducted that assess the impact of Covid-19 on the health sector, as of April 2020, countries that reported the significant number of healthcare providers that had succumbed to the virus are Italy with 44%, Iran with 15%, Philippines with 8%, Indonesia with 6%, and China, Spain, U.S each with 4% (Iyengar et al…,2020). Healthcare providers are the first line of defense at high risk of infection because they constantly engage and interact with Covid protocols. Given there is no cure for the virus, hospitals are implementing prevention measures to contain the spread of the virus, protect clients and also its staff. However, it has been noticed that staff members have been violating Covid protocols such as washing hands between patients necessitating the development of a Compliance plan for COVID. In the following two sections, compliance policies for the compliance plan for COVID are outlined.
Section 1: Compliance Standards for COVID Protocols
Healthcare providers should comply with standard precaution practices when treating patients regardless of the nature of diagnosis (Beyamo, Dodicho & Facha, 2019). In the healthcare facility, healthcare workers are at high risk of infection. Covid-19 is an infectious disease which means healthcare workers are at high risk of being exposed to the virus. For example, it is reported that more than 570,000 healthcare personnel had been infected with the virus in America (PAHO, 2020). This underscores need to take standard precaution which constitutes of policies which aimed at reducing the risk of transmitting infection in the healthcare (facility Beyamo et al…, 2019). Standard precautions are not selective to particular diseases because medical personal handles clients with a variety of infections.
To minimize the spread of Covid in the healthcare facility, standard precaution policies entail hand hygiene which requ ...
Procedures to be followed for the re-opening of the road cycling season in th...Maxim Horssels
This document sets out instructions (mandatory measures) and makes recommendations for good practice (recommended and desired measures) for organising cycling events during the COVID-19 pandemic in the best possible conditions. Source: UCI
How Smart Cities In India Responded to the COVID - 19 Pandemicaakash malhotra
The first step in addressing the pandemic was the Government implementing a complete lockdown. Smart cities post the strongest support in efforts to combat the disease. Technological innovations boosted during the lockdown. Innovative ways to collaborate and respond to the crisis were set in place by forty-five smart cities. Database keeping track of the entire country helped to contain the virus. Smart cities turned their control rooms into a Covid - 19 War room. Smart cities did all the tracing, tracking, updating test and quarantine protocols, managing lockdown, safe access to health systems and making sure helpline operations functioned twenty-four seven. See More: https://www2.deloitte.com/in/en/pages/public-sector/articles/smart-city-2020.html
Access to credible information is important during any public health crisis. Faculty in the OSU Center for Small Farms and Community Food systems are working with community partners to provide current information that is relevant for small farms and local food systems. As the pandemic progresses, we may update or add to these Frequently Asked Questions.
Presentation by Minister Nkosazana Dlamini Zuma during the media briefing on the classification of industries as part of the risk-adjusted strategy on re-opening the economy as announced by President Ramaphosa.
Real-world patients have an average of 6 serious co-morbid conditions & take 10 medications
*Complicated patients are invariably excluded from clinical research studies, making it impossible to know what treatments work best
Launching or expanding a telehealth & remote patient monitoring (RPM) program can be an intimidating task
*HRS health system, home health & hospice
*HRS’ Client Success, Implementation,Reimbursement & Clinical teams
More Related Content
Similar to Coronavirus Nursing Homes Preparedness Checklist
The facility will obtain and maintain current guidance and signage advisories on disease-specific response actions from the New York State Department of Health (NYSDOH) and the Centers for Disease Control and Prevention (CDC). For more details please view this presentation - https://highlandrehabandnursing.com/
The UN has requested Member States to include UN personnel in the national/host country COVID-19 vaccination
programmes. While confirming the inclusion of UN personnel within their national planning, most Member States
have advised that they will be providing the vaccine free of charge. The vaccine may also be available and
accessed through a primary care provider, and in many cases that cost will be covered by medical insurance.
In countries where there is no national programme in place, or in which UN personnel are not included in the
national distribution programme, the UN Department of Operational Support (DOS) has been tasked by the
Secretary-General to identify alternative arrangements for making the vaccine available. DOS is working to ensure
alternative arrangements are put in place for UN personnel.
Member States have also been requested by the Secretary-General to follow the WHO’s Values Framework and
Prioritization Roadmap for the fair and equitable allocation and prioritization of the COVID-19 vaccine.
A Sustainable Healthcare Emergency Management Framework: COVID-19 and BeyondHealth Catalyst
With an ever-changing understanding of COVID-19 and a continually fluctuating disease impact, health systems can’t rely on a single, rigid plan to guide their response and recovery efforts. An effective solution is likely a flexible framework that steers hospitals and other providers through four critical phases of a communitywide healthcare emergency:
Prepare for an outbreak.
Prevent transmission.
Recover from an outbreak.
Plan for the future.
The framework must include data-supported surveillance and containment strategies to enhance detection, reduce transmission, and manage capacity and supplies, providing a roadmap to respond to immediate demands and also support a sustainable long-term pandemic response.
The international health regulations (IHR) is an agreement among 194 countries, including all WHO member countries ,to work together for healthy security of the world. Under the IHR, all countries need to report all events of international public health impact
1
8
Compliance Policies
Name
Course
Professor
Date
Compliance Policies
In the previous project, two compliance plans were developed and a job description developed for safety and compliance manager. However, strength for any compliance programs depends on compliance policy and procedurals which outlines applicable laws, regulations and standards that should be followed to implement developed plans. Compliance policies should be clear and simple to eliminate confusion or difficulties which may be experienced by implementers of compliance plans. Considering there are two compliance plans, to enhance clarity on the developed compliance, each compliance plan would be considered individually constituting two sections for two compliance policies under each compliance plan.
Compliance Plan For Covid protocols
The impact of Covid-19 has been felt in all sectors of economies and health sectors is not exceptional. Even though numerous professionals have been affected by the virus, significant healthcare providers have succumbed to the virus on the line of the duty. According to a study conducted that assess the impact of Covid-19 on the health sector, as of April 2020, countries that reported the significant number of healthcare providers that had succumbed to the virus are Italy with 44%, Iran with 15%, Philippines with 8%, Indonesia with 6%, and China, Spain, U.S each with 4% (Iyengar et al…,2020). Healthcare providers are the first line of defense at high risk of infection because they constantly engage and interact with Covid protocols. Given there is no cure for the virus, hospitals are implementing prevention measures to contain the spread of the virus, protect clients and also its staff. However, it has been noticed that staff members have been violating Covid protocols such as washing hands between patients necessitating the development of a Compliance plan for COVID. In the following two sections, compliance policies for the compliance plan for COVID are outlined.
Section 1: Compliance Standards for COVID Protocols
Healthcare providers should comply with standard precaution practices when treating patients regardless of the nature of diagnosis (Beyamo, Dodicho & Facha, 2019). In the healthcare facility, healthcare workers are at high risk of infection. Covid-19 is an infectious disease which means healthcare workers are at high risk of being exposed to the virus. For example, it is reported that more than 570,000 healthcare personnel had been infected with the virus in America (PAHO, 2020). This underscores need to take standard precaution which constitutes of policies which aimed at reducing the risk of transmitting infection in the healthcare (facility Beyamo et al…, 2019). Standard precautions are not selective to particular diseases because medical personal handles clients with a variety of infections.
To minimize the spread of Covid in the healthcare facility, standard precaution policies entail hand hygiene which requ ...
Procedures to be followed for the re-opening of the road cycling season in th...Maxim Horssels
This document sets out instructions (mandatory measures) and makes recommendations for good practice (recommended and desired measures) for organising cycling events during the COVID-19 pandemic in the best possible conditions. Source: UCI
How Smart Cities In India Responded to the COVID - 19 Pandemicaakash malhotra
The first step in addressing the pandemic was the Government implementing a complete lockdown. Smart cities post the strongest support in efforts to combat the disease. Technological innovations boosted during the lockdown. Innovative ways to collaborate and respond to the crisis were set in place by forty-five smart cities. Database keeping track of the entire country helped to contain the virus. Smart cities turned their control rooms into a Covid - 19 War room. Smart cities did all the tracing, tracking, updating test and quarantine protocols, managing lockdown, safe access to health systems and making sure helpline operations functioned twenty-four seven. See More: https://www2.deloitte.com/in/en/pages/public-sector/articles/smart-city-2020.html
Access to credible information is important during any public health crisis. Faculty in the OSU Center for Small Farms and Community Food systems are working with community partners to provide current information that is relevant for small farms and local food systems. As the pandemic progresses, we may update or add to these Frequently Asked Questions.
Presentation by Minister Nkosazana Dlamini Zuma during the media briefing on the classification of industries as part of the risk-adjusted strategy on re-opening the economy as announced by President Ramaphosa.
Real-world patients have an average of 6 serious co-morbid conditions & take 10 medications
*Complicated patients are invariably excluded from clinical research studies, making it impossible to know what treatments work best
Launching or expanding a telehealth & remote patient monitoring (RPM) program can be an intimidating task
*HRS health system, home health & hospice
*HRS’ Client Success, Implementation,Reimbursement & Clinical teams
The information reflects information available as of June 2, 2020.
We encourage monitoring subsequent regulation updates pertaining to telehealth in wound care
Chronic illness: 75% of health system costs in North America
* Reimbursement models & care pathways focused
on disease management will continue to escalate
National Survey of Canadian Nurses
* Use & impact of digital health technologies on nursing practice
*Top barriers to EMR/EHR:
* Hybrid record systems (38%), multiple log-ins (25%),
system integration (25%)
PwC’s Health Research Institute (HRI)
"People are accessing health information in new ways"
Telehealth users had employer-sponsored health plans, were middle-aged, and had chronic conditions
"Home healthcare needs tools & protocols to support a higher degree of post-acute care in the home
* Clinical supervisors complete the assessment in their EHR while video conferencing with the client/patient"
* Patient-level & wound-level parameters influencing wound
healing were identified from prior research and clinician input
* Probability of wound healing can be predicted with reasonable
accuracy in real-world data from EMRs
in order to meet cost reduction targets, CMOs
* Share patient data across ecosystems
* Embed shared organizational intelligence
* Establish guidance for quality & cost within physician workflows
* Prepare physician leaders to create a culture of continual improvement
Medicare-certified home health providers' landscape changed with PDGM
* How they get paid
* How they run their businesses
* Staff their cases
* How they use technology.
20% of U.S.medical claims, +10% of settlements wound-related
Pressure ulcers:
* Catalysts for malpractice litigation against nursing facilities
* Standards of care through the lens of the legal process
Comprehensive Primary Care Functions:
1) Access and Continuity;
2) Care Management;
3) Comprehensiveness and Coordination;
4) Patient and Caregiver Engagement; and
5) Planned Care and Population Health.
CPC+ includes three payment elements:
1) Care Management Fee (CMF);
2) Performance-Based Incentive Payment; and
3) Payment under the Medicare Physician Fee Schedule.
* What channels to share video?
* How long should a segment be?
* Production value related to business use?
* Things to consider when making video content
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
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1. Coronavirus Disease 2019 (COVID-19) Preparedness
Checklist for Nursing Homes and other Long-Term
Care Settings
U.S. D
Health
Center
Contro
Nursing homes and other long-term care facilities can take steps to assess and improve their preparedness for
responding to coronavirus disease 2019 (COVID-19). Each facility will need to adapt this checklist to meet its
needs and circumstances based on differences among facilities (e.g., patient/resident characteristics, facility size,
scope of services, hospital affiliation). This checklist should be used as one tool in developing a comprehensive
COVID-19 response plan. Additional information can be found at www.cdc.gov/COVID-19. Information from
state, local, tribal, and territorial health departments, emergency management agencies/authorities, and trade
organizations should be incorporated into the facility’s COVID-19 plan. Comprehensive COVID-19 planning can
also help facilities plan for other emergency situations.
This checklist identifies key areas that long-term care facilities should consider in their COVID-19 planning.
Long-term care facilities can use this tool to self-assess the strengths and weaknesses of current preparedness
efforts. Additional information is provided via links to websites throughout this document. However, it will be
necessary to actively obtain information from state, local, tribal, and territorial resources to ensure that the
facility’s plan complements other community and regional planning efforts. This checklist does not describe
mandatory requirements or standards; rather, it highlights important areas to review to prepare for the
possibility of residents with COVID-19.
A preparedness checklist for hospitals, including long-term acute care hospitals is available.
https://www.cdc.gov/coronavirus/2019-ncov/downloads/hospital-preparedness-checklist.pdf
Interim Infection Prevention and Control Recommendations for Patients with Confirmed Coronavirus
Disease 2019 (COVID-19) or Persons Under Investigation for COVID-19 in Healthcare Settings:
https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html
Strategies to Prevent the Spread of COVID-19 in Long-Term Care Facilities (LTCF):
https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/prevent-spread-in-long-term-care-
facilities.html
1. Structure for planning and decision making
ƒƒ COVID-19 has been incorporated into emergency management planning for the
facility.
ƒƒ A multidisciplinary planning committee or team* has been created to specifically
address COVID-19 preparedness planning.
List committee’s or team’s name:
*An existing emergency or disaster preparedness team may be assigned this responsibility.
continue on next page
Completed In Progress Not Started
1
2. cont.
ƒƒ People assigned responsibility for coordinating preparedness planning, hereafter
referred to as the COVID-19 response coordinator.
Insert name(s), title(s), and contact information:
ƒƒ Members of the planning committee include the following: (Develop a list of
committee members with the name, title, and contact information for each
personnel category checked below and attach to this checklist.)
‚‚ Facility administration
‚‚ Medical director
‚‚ Director of Nursing
‚‚ Infection control
‚‚ Occupational health
‚‚ Staff training and orientation
‚‚ Engineering/maintenance services
‚‚ Environmental (housekeeping) services
‚‚ Dietary (food) services
‚‚ Pharmacy services
‚‚ Occupational/rehabilitation/physical therapy services
‚‚ Transportation services
‚‚ Purchasing agent
‚‚ Facility staff representative
‚‚ Other member(s) as appropriate (e.g., clergy, community representatives,
department heads, resident and family representatives, risk managers,
quality improvement, direct care staff including consultant services, union representatives)
ƒƒ The facility’s COVID-19 response coordinator has contacted local or regional planning
groups to obtain information on coordinating the facility’s plan with other COVID-19
plans.
Insert groups and contact information:
2. Development of a written COVID-19 plan.
ƒƒ A copy of the COVID-19 preparedness plan is available at the facility and accessible
by staff.
ƒƒ Relevant sections of federal, state, regional, or local plans for COVID-19 or pandemic
influenza are reviewed for incorporation into the facility’s plan.
ƒƒ The facility plan includes the Elements listed in #3 below.
ƒƒ The plan identifies the person(s) authorized to implement the plan and the
organizational structure that will be used.structure that will be used.
Completed In Progress Not Started
Completed In Progress Not Started
2
3. Completed In Progress Not Started
3. Elements of a COVID-19 plan.
General:
ƒƒ A plan is in place for protecting residents, healthcare personnel, and visitors from
respiratory infections, including COVID-19, that addresses the elements that follow.
ƒƒ A person has been assigned responsibility for monitoring public health advisories
(federal and state) and updating the COVID-19 response coordinator and members of
the COVID-19 planning committee when COVID-19 is in the geographic area. For more
information, see https://www.cdc.gov/coronavirus/2019-ncov/index.html.
Insert name, title, and contact information of person responsible.
ƒƒ The facility has a process for inter-facility transfers that includes notifying transport
personnel and receiving facilities about a resident’s suspected or confirmed diagnosis
(e.g., presence of respiratory symptoms or known COVID-19) prior to transfer.
ƒƒ The facility has a system to monitor for, and internally review, development of
COVID-19 among residents and healthcare personnel (HCP) in the facility. Information
from this monitoring system is used to implement prevention interventions (e.g.,
isolation, cohorting), see CDC guidance on respiratory surveillance: https://www.cdc.
gov/longtermcare/pdfs/LTC-Resp-OutbreakResources-P.pdf.
ƒƒ The facility has infection control policies that outline the recommended Transmission-
Based Precautions that should be used when caring for residents with respiratory
infection. (In general, for undiagnosed respiratory infection, Standard, Contact, and
Droplet Precautions with eye protection are recommended unless the suspected
diagnosis requires Airborne Precautions; see: https://www.cdc.gov/infectioncontrol/
guidelines/isolation/appendix/type-duration-precautions.html.) For recommended
Transmission-Based Precautions for residents with suspected or confirmed COVID-19,
the policies refer to CDC guidance; see: https://www.cdc.gov/coronavirus/2019-ncov/
infection-control/control-recommendations.html.
ƒƒ The facility periodically reviews specific IPC guidance for healthcare facilities caring
for residents with suspected or confirmed COVID-19 (available here: https://www.
cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html)
and additional long-term care guidance (available here: https://www.cdc.gov/
coronavirus/2019-ncov/healthcare-facilities/prevent-spread-in-long-term-care-
facilities.html).
Facility Communications:
ƒƒ Key public health points of contact during a COVID-19 outbreak have been identified.
(Insert name, title, and contact information for each.)
Local health department contact:
State health department contact:
State long-term care professional/trade association:
continue on next page
3
4. Completed In Progress Not Startedcont.
ƒƒ A person has been assigned responsibility for communications with public health
authorities during a COVID-19 outbreak.
Insert name and contact information:
ƒƒ Key preparedness (e.g., Healthcare coalition) points of contact during a COVID-19
outbreak have been identified.
Insert name, title, and contact information for each:
ƒƒ A person has been assigned responsibility for communications with staff, residents,
and their families regarding the status and impact of COVID-19 in the facility. (Having
one voice that speaks for the facility during an outbreak will help ensure the delivery
of timely and accurate information.)
ƒƒ Contact information for family members or guardians of facility residents is up to date.
ƒƒ Communication plans include how signs, phone trees, and other methods of
communication will be used to inform staff, family members, visitors, and other
persons coming into the facility (e.g., consultants, sales and delivery people) about
the status of COVID-19 in the facility.
ƒƒ A list has been created of other healthcare entities and their points of contact (e.g.,
other long-term care and residential facilities, local hospitals and hospital emergency
medical services, relevant community organizations—including those involved with
disaster preparedness) with whom it will be necessary to maintain communication
during an outbreak. Attach a copy of contact list.
ƒƒ A facility representative(s) has been involved in the discussion of local plans for
inter-facility communication during an outbreak.
Supplies and resources:
The facility provides supplies necessary to adhere to recommended IPC practices
including:
ƒƒ Alcohol-based hand sanitizer for hand hygiene is available in every resident room
(ideally both inside and outside of the room) and other resident care and common
areas (e.g., outside dining hall, in therapy gym).
ƒƒ Sinks are well-stocked with soap and paper towels for hand washing.
ƒƒ Signs are posted immediately outside of resident rooms indicating appropriate IPC
precautions and required personal protective equipment (PPE).
ƒƒ Facility provides tissues and facemasks for coughing people near entrances and in
common areas with no-touch receptacles for disposal.
ƒƒ Necessary PPE is available immediately outside of the resident room and in other
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ƒƒ Facilities should have supplies of facemasks, respirators (if available and the facility
has a respiratory protection program with trained, medically cleared, and fit-tested
HCP), gowns, gloves, and eye protection (i.e., face shield or goggles).
ƒƒ Trash disposal bins should be positioned near the exit inside of the resident room to
make it easy for staff to discard PPE after removal, prior to exiting the room, or before
providing care for another resident in the same room.
ƒƒ Facility ensures HCP have access to EPA-registered hospital-grade disinfectants
to allow for frequent cleaning of high-touch surfaces and shared resident care
equipment.
‚‚ Products with EPA-approved emerging viral pathogens claims are recommended for use
against COVID-19. If there are no available EPA-registered products that have an approved
emerging viral pathogen claim for COVID-19, products with label claims against human
coronaviruses should be used according to label instructions.
ƒƒ The facility has a process to monitor supply levels.
ƒƒ The facility has a contingency plan, that includes engaging their health department
and healthcare coalition when they experience (or anticipate experiencing) supply
shortages. Contact information for healthcare coalitions is available here:
https://www.phe.gov/Preparedness/planning/hpp/Pages/find-hc-coalition.aspx
Identification and Management of Ill Residents:
ƒƒ The facility has a process to identify and manage residents with symptoms of
respiratory infection (e.g., cough, fever, sore throat) upon admission and daily
during their stay in the facility, which include implementation of appropriate
Transmission-Based Precautions.
ƒƒ The facility has criteria and a protocol for initiating active surveillance for respiratory
infection among residents and healthcare personnel. CDC has resources for
performing respiratory surveillance in long-term care facilities during an outbreak,
see: https://www.cdc.gov/longtermcare/pdfs/LTC-Resp-OutbreakResources-P.pdf
ƒƒ Plans developed on how to immediately notify the health department for clusters of
respiratory infections, severe respiratory infections, or suspected COVID-19.
ƒƒ The facility has criteria and a protocol for: limiting symptomatic and exposed residents
to their room, halting group activities and communal dining, and closing units or the
entire facility to new admissions.
ƒƒ The facility has criteria and a process for cohorting residents with symptoms of
respiratory infection, including dedicating HCP to work only on affected units.
Considerations about Visitors:
ƒƒ The facility has plans and material developed to post signs at the entrances to the
facility instructing visitors not to visit if they have fever or symptoms of a respiratory
infection.
ƒƒ The facility has criteria and protocol for when visitors will be limited or restricted from
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ƒƒ Should visitor restrictions be implemented, the facility has a process to allow for
remote communication between the resident and visitor (e.g., video-call applications
on cell phones or tablets) and has policies addressing when visitor restrictions will be
lifted (e.g., end of life situation).
For more information about managing visitor access and movement in the
facility see: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-
recommendations.html
Occupational Health:
ƒƒ The facility has sick leave policies that are non-punitive, flexible, and consistent with
public health policies that allow ill healthcare personnel (HCP) to stay home.
ƒƒ The facility instructs HCP (including consultant personnel) to regularly monitor
themselves for fever and symptoms of respiratory infection, as a part of routine
practice.
ƒƒ The facility has a process to actively screen HCP for fever and symptoms when they
report to work.
ƒƒ The facility has a process to identify and manage HCP with fever and symptoms of
respiratory infection.
ƒƒ The facility has a plan for monitoring and assigning work restrictions for ill and
exposed HCP.
(See: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.
html)
ƒƒ The facility has a respiratory protection plan that includes medical evaluation, training,
and fit testing of employees.
Education and Training:
ƒƒ The facility has plans to provide education and training to HCP, residents, and
family members of residents to help them understand the implications of, and basic
prevention and control measures for, COVID-19. Consultant HCP should be included in
education and training activities.
ƒƒ A person has been designated with responsibility for coordinating education and
training on COVID-19 (e.g., identifies and facilitates access to available programs,
maintains a record of personnel attendance).
Insert name, title, and contact information:
ƒƒ Language and reading-level appropriate materials have been identified to
supplement and support education and training programs to HCP, residents, and
family members of residents (e.g., available through state and federal public health
agencies such and through professional organizations), and a plan is in place for
obtaining these materials.
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ƒƒ Plans and material developed for education and job-specific training of HCP which
includes information on recommended infection control measures to prevent the
spread of COVID-19, including:
‚‚ Signs and symptoms of respiratory illness, including COVID-19.
‚‚ How to monitor residents for signs and symptoms of respiratory illness.
‚‚ How to keep residents, visitors, and HCP safe by using correct infection control practices
including proper hand hygiene and selection and use of PPE. Training should include
return demonstrations to document competency.
‚‚ Staying home when ill.
‚‚ HCP sick leave policies and recommended actions for unprotected exposures (e.g., not
using recommended PPE, an unrecognized infectious patient contact).
ƒƒ See:“Strategies to prevent the spread of COVID-19 in long-term care facilities,’available
at: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/prevent-spread-
in-long-term-care-facilities.html
ƒƒ The facility has a plan for expediting the credentialing and training of non-facility HCP
brought in from other locations to provide resident care when the facility reaches a
staffing crisis.
ƒƒ Informational materials (e.g., brochures, posters) on COVID-19 and relevant
policies (e.g., suspension of visitation, where to obtain facility or family member
information) have been developed or identified for residents and their families.
These materials are language and reading-level appropriate, and a plan is in place to
disseminate these materials in advance of the actual pandemic.
Surge Capacity:
Staffing
ƒƒ A contingency staffing plan has been developed that identifies the minimum staffing
needs and prioritizes critical and non-essential services based on residents’health
status, functional limitations, disabilities, and essential facility operations.
ƒƒ A person has been assigned responsibility for conducting a daily assessment of
staffing status and needs during a COVID-19 outbreak.
Insert name, title, and contact information:
ƒƒ Legal counsel and state health department contacts have been consulted to
determine the applicability of declaring a facility“staffing crisis”and appropriate
emergency staffing alternatives, consistent with state law.
ƒƒ The staffing plan includes strategies for collaborating with local and regional
planning and response groups to address widespread healthcare staffing shortages
during a crisis.
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Consumables and durable medical equipment and supplies
ƒƒ Estimates have been made of the quantities of essential resident care materials and
equipment (e.g., intravenous pumps and ventilators, pharmaceuticals) and personal
protective equipment (e.g., masks, respirators, gowns, gloves, and hand hygiene
products), that would be needed during an eight-week outbreak.
ƒƒ Estimates have been shared with local, regional, and tribal planning groups to better
plan stockpiling agreements.
ƒƒ A plan has been developed to address likely supply shortages (e.g., personal
protective equipment), including strategies for using normal and alternative channels
for procuring needed resources.
ƒƒ A strategy has been developed for how priorities would be made in the event
there is a need to allocate limited resident care equipment, pharmaceuticals, and
other resources.
ƒƒ A process is in place to track and report available quantities of consumable medical
supplies including PPE.
Postmortem care:
ƒƒ A contingency plan has been developed for managing an increased need for
postmortem care and disposition of deceased residents.
ƒƒ An area in the facility that could be used as a temporary morgue has been identified.
ƒƒ Local plans for expanding morgue capacity have been discussed with local and
regional planning contacts.
www.cdc.gov/COVID198