Infection Control Programs
Considerations for AL Residents
• May use an alcohol-based hand rub when hands are not visibly soiled.
• Complete the hand hygiene before donning gloves and perform it again after removal of gloves and between procedures.
|Use of Personal Protective Equipment (PPE)|
• Use gloves, gowns, masks, eye protection, or face shields depending on anticipated exposure.
• Don PPE before entering a resident’s room, and doff (remove) PPE before leaving the resident’s room.
• Cover the mouth and nose during coughing and sneezing with a tissue or offer a surgical mask to a coughing resident; discard the mask or tissue appropriately and perform hand hygiene.
• Keep residents a safe 3 to 6 feet away from others if they are coughing and can’t engage in respiratory hygiene. A safety shield placed in front of the individual is another option to keep others safe while the resident is able to be out of his or her room.
• PPE: Gown and glove. Always do hand hygiene with glove changes. Again, hand hygiene and regloving are necessary between procedures.
• Environment: Clean daily with a focus on high-touch areas, resident bathrooms, and areas close to the resident.
• Ideally keep residents in private rooms if infected or keep 3 to 6 feet apart.
• PPE: Continue to wear gloves and masks during all interactions.
• Environment: Clean daily as noted above.
• PPE: Ideally use a fit-tested National Institute for Occupational Safety and Health (NIOSH)–approved N95 respirator. This face mask will remove, by filtration, airborne particles in the range of 1–5 μm
• Remove a resident from the facility if he or she is positive for tuberculosis or certain other diseases if no negative pressure room is available.
|Staff Safety Precautions|
• Do not allow immunocompromised and/or pregnant staff to care for residents who are known or suspected to have measles (rubella), chickenpox or disseminated zoster (varicella zoster virus), or smallpox.
|Staff Zero Tolerance Regarding Illness|
• Require that staff stay home when sick, and adhere to that policy.
|• Identify case(s).|
• Identify the mode of transmission: Where and how did this start?
• Create a cleaning schedule, especially for contact precaution–related illnesses.
• Keep residents in their apartments/rooms, and provide meals, plan one-to-one activities, and close the dining rooms or distance the residents if possible. Alternatively, in small communities where family-style home eating together may be the only option, practice good hand and respiratory hygiene, and have staff or those not eating use personal protective equipment (PPE).
• Report new and resolved cases to the health department as required.
• Review the list of symptoms with all staff to provide for early symptom reporting response and treatment.
• Monitor the residents and staff daily to prevent or identify further cases. Ensure that the staff stay home when sick by having a zero-tolerance policy.
• Review and oversee adherence to hand hygiene, standard precautions, and other necessary precautions with staff, residents, and family/visitors.
• Provide staff with appropriate and adequate supplies of PPE.
• Post notices on community doors alerting visitors and vendors of the outbreak, and restrict visitors at this time, except for compassionate care.
• Communicate with administration, families, and staff daily to advise on the progress and results of the outbreak investigation.