Pandemic Takes its Toll on Sleep

During the pandemic, sleep was in short order for many people. In one survey, 56 percent of U.S. adults said they have experienced more sleep disturbances—ranging from problems falling or staying asleep to having disturbing dreams or nightmares—in the past year and a half. In fact, this has been so common, the phenomenon has been given a name—COVID-somnia.

Pandemic-related sleep issues haven’t discriminated. Young and old people alike report some sleep-related problem. Long term and post-acute care centers not only need to identify and address sleep disturbances in their residents but in their staff as well.

See the full article at https://bit.ly/3DWPXE1

September is National Preparedness Month

AHCA/NCAL provides information and resources to help members respond to an emergency in a timely, organized, and effective manner. Find out what you need to know at https://www.ahcancal.org/Survey-Regulatory-Legal/Emergency-Preparedness/Pages/default.aspx

Vaccinations, Visitation, and Vigilance During the Delta Surge

The Delta variant is now the most common variant in the US, making up over 85% of cases, and is two to three times as contagious as prior variants. This is causing a surge in cases in communities across the US, which puts long term care facilities at risk of outbreaks. The Centers for Disease Control and Prevention (CDC) urges healthcare workers to stay vigilant to prevent the spread of the virus and protect staff and residents in long term care facilities.
The CDC recommends staff and visitors take the following steps:
  • Get vaccinated as soon as possible
  • Wear a mask even if you are vaccinated
  • Stay home if you feel ill
  • Get tested if you have COVID-19 symptoms

To maintain compliance with CMS’ QSO memo on visitation 20-39-NH Revised, while ensuring the safety of residents and staff, AHCA/NCAL recommends that nursing homes enact policies that “strongly encourage” (but not require) all visitors to:

  • Be vaccinated;
  • Always wear a mask during the visit; and
  • Have a negative COVID-19 test if the community spread of COVID-19 is moderate to high OR obtain a negative Point of Care test the day of or day before visitation.
Providers may also consider asking residents if they want visitors given the surge in the Delta variant and if they want any unvaccinated visitors or visitors that have not been tested. Residents can put such a requirement in place under their resident rights.
Providers should also continue to strongly encourage vaccinations among staff, using the resources provided through the #GetVaccinated campaign. AHCA/NCAL also hosted a webinar on boosting staff vaccination rates, which is now available on demand.
The CDC also provides the following web resources to help inform and educate about COVID-19, the Delta variant, and vaccination:

Upcoming AHCA/NCAL Convention & Expo Offers Education on Key Topics That Matter Most to You

Education takes center stage at the 72nd AHCA/NCAL Convention & Expo with over 85 education sessions to choose from in 16 tracks of learning. You can earn up to 15.5 CEs. Hot topics include trauma-informed care, rebuilding census, infection control and prevention, workforce, reimbursement, and much more. ​​​​Register by September 24 and save.

Sharpen Your Geriatric RN Skills with AHCA/NCAL’s Gero Nurse Prep!

Specifically designed for registered nurses working in long term care, the American Health Care Association/National Center for Assisted Living’s Gero Nurse Prep course provides comprehensive online training that leads to board certification in gerontological nursing by the American Nurses Credentialing Center (ANCC) for RNs.
Research released by AHCA/NCAL in 2019 found compelling reasons to consider the AHCA/NCAL’s Gero Nurse Prep course and ANCC Board certification for RNs. Nursing facilities with at least one ANCC Board certified RN experienced:
  • Two fewer deficiencies on average (5.71 citations versus the 7.55 national average in last cycle)
  • Fewer Immediate Jeopardy (IJ) citations (1.60 versus the 2.27 national average)
  • More stars — nearly twice as likely to be a CMS 5-Star facility (50% versus the 28% national average)
  • Significantly lower re-hospitalization rates over the previous six years
  • Significantly lower rates of off-label use of antipsychotics over the previous five years
  • ​​Significantly higher average SNF Value Based Purchasing scores (44.17 versus 34.42 for the nation). Higher SNF VBP Score = Higher Medicare Part A reimbursement rates.
Gero Nurse Prep makes a big difference even for those RNs who are not interested in pursuing ANCC Board certification. Nurses who complete Gero Nurse Prep show an average 24 percent increase between their pre- and post-course test scores. Quite simply, Gero Nurse Prep delivers smarter RNs who are better prepared to deliver quality geriatric nursing care in skilled nursing and assisted living settings. Both two-year RNs and BSNs can take the Gero Nurse Prep course and sit for the ANCC exam.
RNs have one year to complete Gero Nurse Prep and earn 30 quality nursing contact hours – enough to meet the criteria for taking the ANCC certification exam. Gero Nurse Prep grads who choose to sit for the ANCC gerontological nursing certification exam ($395 separate fee paid to ANCC) have a pass rate of 96% on their first try. RNs who pass the ANCC exam can then use the GERO-BC™ credential after their RN credential.
Watch this video or visit the website at geronurseprep.com to learn more about this online program designed to help RNs increase their geriatric nursing skills and to pass the ANCC exam. Remember to use the AHCAPAYLESS promo code when you register to save $100 off the regular $790 Gero Nurse Prep registration fee.

New Updates to Regulatory and Agency COVID-19 Guidelines

With the Delta variant spreading rampantly throughout the U.S., AHCA/NCAL wants to keep members informed of the recent COVID-19 regulatory and Agency updates.

Find links to all these updates at https://www.ahcancal.org/News-and-Communications/Blog/Pages/New-Updates-to-Regulatory-and-Agency-COVID-19-Guidelines-.aspx

National Pressure Injury Advisory Panel (NPIAP) Podcast – Wheelchair Wounds Parts 1 and 2.

Join our co-host Renee Paulin as she brings on three professionals from Permobil who are highly involved in best practices with NPIAP. They share their expertise in the seating system with wheelchairs in regard to proper seated posture, cushion selection and maintenance, and the actual structure of the wheelchair. Renee along with Ana Endsjo, Kara Kopplin, and Stacey Mullis chat about their seating and wound expertise and how to help patients prevent pressure injuries. Helpful tips and resources are discussed to help healthcare professionals in multiple settings who work with wheelchair bound patients who are at risk or have current pressure injures. This series is helpful to learn how the team can work together to prevent breakdown and what to look for to ensure patients are receiving the best quality of care based on best practices.

https://rnhuddle.unmc.edu/national-pressure-injury-advisory-panel-npiap-podcast-wheelchair-wounds-part-1/

n Part 2, this discussion focuses on funding for various seating systems as well as Medicare HCPC coding. Take a listen!  https://rnhuddle.unmc.edu/national-pressure-injury-advisory-panel-npiap-podcast-wheelchair-wounds-part-2/

Online Training to Become Board Certified!

Gero Nurse Prep is an online training course designed to prepare RNs who care for elders to attain board certification in Gerontological Nursing by the American Nurses Credentialing Center (ANCC). This course equips RNs with a broad array of clinical knowledge, skills and competencies that are tested on the ANCC certification exam and essential for quality gerontological nursing practice and leadership of elder care teams.

To find out more:

Watch this short video  https://www.youtube.com/watch?v=BvKXcs-NO2o

Visit our website at https://www.geronurseprep.com/

Contact us at concne@unmc.edu for additional information or to answer any questions you might have.

 

Hitting Reset on Pressure Injury Prevention

The complexities of the COVID-19 public health emergency required skilled nursing facility (SNF) operations to change dramatically and often to save the lives of the most vulnerable population. Through heroic efforts, SNFs transformed clinical systems of care, sometimes in less than a day, to win the war against the pandemic.

While operations and resources shifted to battle COVID-19, unintended consequences emerged—one being greater incidence of pressure injuries. Now that the pandemic is at a turning point, facilities can start to refocus and improve this trend. This article suggests ways to reorient efforts toward preventing and managing pressure injuries.

Read the full article at https://www.providermagazine.com/Monthly-Issue/2021/July/Pages/Hitting-Reset-on-Pressure-Injury-Prevention.aspx