Category: Gero Nurse Prep

Personal Protective Equipment, Hazard Assessment Standard, and the Hierarchy of Controls

The Hierarchy of Controls
When conducting a hazard assessment to determine PPE, it is important to understand that PPE is only one control measure. In fact, PPE is the last safety measure to consider as you see in the illustration below. In long term care, we use a mix of measures to minimize occupational hazards. In OSHA’s vocabulary, this mix is known as the “hierarchy of controls,”  which consists of FIVE levels: elimination, substitution, engineering controls, administrative controls, and personal protective equipment (PPE).
Picture1.jpg
The most effective measures are at the top of the hierarchy, with elimination and substitution being the preferred methods. These involve removing the hazard entirely or replacing it with something less hazardous. Engineering controls come next, focusing on designing and isolating hazards. Examples of such controls in LTC might be negative pressure rooms or barrier walls for protection against airborne infectious agents. Administrative controls involve changing work practices and policies, including infection control procedures and hand-washing protocols.

Stay Informed. Stay Protected. New Resources for Long Term Care Providers

With winter and holiday gatherings right around the corner, it’s important to be well-prepared against respiratory viruses.

For the first time, vaccines are available to help protect against severe illness caused by all three of the major fall and winter respiratory viruses—flu, COVID-19, and RSV. People may choose to get flu, COVID-19, and RSV vaccines at the same visit if they are eligible, making it easier to stay up to date with CDC-recommended vaccines, while others may prefer to get their recommended vaccines at separate visits.

For those people, there is no need to wait a specific amount of time after receiving one vaccine to get the next one. Getting all three vaccines at the same visit can help protect people who are at higher risk of getting seriously sick from flu, COVID-19, or RSV or who may not be able to return to their provider.

Scientific studies during the last three years indicate that it is safe to get both a flu vaccine and a COVID-19 vaccine at the same visit. Additionally, coadministration of flu vaccines and the new RSV vaccines was found to be safe in clinical tri​als. While there are no clinical trial data on getting all three vaccines at the same time, CDC is continuing to monitor the safety of RSV vaccines, as it does for all vaccines. Getting multiple vaccines at the same visit may increase the risk of some side effects from vaccination. When side effects do occur, they are typically mild to moderate, like arm pain, swelling, headache, and fatigue. These side effects are usually short-lived.

Whether individuals choose to get flu, COVID-19, and RSV vaccines at the same visit or at separate visits, the most important thing is that they get all vaccines recommended to protect themselves against these and other potentially serious illnesses this fall and winter.

Additional Resources Available on #GetVaccinated Website.

  • Explore “Vaccine Information for Residents and Staff,” a hot topic brief for providers that emphasizes the crucial role of providing residents, their families and staff Vaccine Information Sheets (VIS).
  • Discover new insights in “Pneumonia Vaccine Timing for Adults” to help ensure adults stay up to date with pneumococcal vaccinations.

​Access the latest #GetVaccinated resources.

Encourage Action During National Influenza Vaccination Week

National Influenza Vaccination Week, which runs from December 4-8, is the perfect time to get a flu shot. This week highlights the importance of flu vaccines which are crucial in reducing the risk of illness, hospitalization, and even death.

The impact of influenza is substantial, with the Centers for Disease Control and Prevention (CDC) estimating 9 million illnesses, 4 million medical visits, 10,000 hospitalizations, and 5,000 deaths during the 2021-2022 season.

New Resources Available to Enhance Vaccination Efforts in Long Term Care

AHCA/NCAL is happy to introduce new resources available on the #GetVaccinated we​bsite, including the latest “Frequently Asked Questions,” “Vaccine Co-Administration in Long Term Care,” and “Offering and Documenting Vaccines in Long Term Care.”

In the ever-evolving landscape of long term care, staying informed and equipped with the latest resources is paramount for providers.

https://www.ahcancal.org/News-and-Communications/Blog/Pages/New-Resources-Available-to-Enhance-Vaccination-Efforts-in-Long-Term-Care-.aspx

Deadline Approaching to Submit Comments on Proposed Minimum Staffing Rule

​The formal comment period on the CMS minimum staffing proposed rule is nearing an end. Though AHCA/NCAL met its original goal of submitting 10,000 comments to CMS from members during the 60-day comment period, a new goal has been set to reach 15,000 comments to have a greater impact with CMS and the Administration.
With just under two weeks until the end of the comment period, this is a great opportunity to share with CMS why this rule won’t work. Submitting a comment is easy! Just visit our Action Center, where there are details on what to write in the comments, including specific asks for CMS regarding the rule. Comments are due November 6. Assisted living providers are encouraged to submit comments, as well.
For information on the effects of the minimum staffing proposed rule on skilled nursing, view our Issue Brief. For details on the impact of the minimum staffing proposed rule on assisted living, view our NCAL Issue Brief.
For additional information or questions, please contact Matt Smyth or Heather Posthumus​.

New Resource Available #GetVaccinated Reimbursement Guide

AHCA/NCAL  unveiled a new resource to encourage and support vaccinations in long term care facilities this season. Their  aim is to ensure that every member of the long term care community is well-informed about vaccine payment options, making it easier to prioritize their health and that of their residents.

Find out more at https://www.ahcancal.org/News-and-Communications/Blog/Pages/New-Resource-Available-GetVaccinated-Reimbursement-Guide.aspx

Gerontological Nursing Certification Improves Care Outcomes and Reduces Citations, Research Shows

Recent research suggests that board certification in gerontological nursing offers immense benefits for nursing facilities and residents alike. According to an analysis of U.S.-based providers conducted by AHCA/NCAL this year, facilities that employ at least one RN with ANCC board certification in gerontological nursing enjoy numerous advantages over the national average: higher five-star ratings and quality ratings, lower short-stay and long-stay rehospitalization rates, fewer deficiencies, and fewer costly immediate-jeopardy citations.

Despite the clear advantages of board-certification in gerontological nursing, however, only 1 percent of RNs have this credential. The University of Nebraska Medical Center’s Gero Nurse Prep course is designed to change this.

Read the full article at https://www.providermagazine.com/Articles/Pages/Gerontological-Nursing-Certification-Improves-Care-Outcomes-and-Reduces-Citations,-Research-Shows.aspx

Proposed Minimum staffing requirements for SNFs from CMS – What You Need to Know!

Thanks to one of our alert Gero Nurse Prep students for reminding us of the importance of this pending regulation.

To get the Fast Facts on the implications of  this unfunded mandate, go here:

https://www.ahcancal.org/Advocacy/IssueBriefs/NEW%20unfunded%20staffing%20mandate_IB.pdf

AHCA/NCAL has set a goal of submitting more than 10,000 comments on this proposed rule between now and November 6th. To make your voice heard, go to:

https://www.votervoice.net/AHCA/Campaigns/103471/Respond [votervoice.net]

HealthCap® Offers Free Tools and Resources to Help Reduce Risk

HealthCap’s Resource and Education Center offers a bounty of free educational resources and tools to help long term care providers deliver quality care and reduce risk. AHCA/NCAL members are encouraged to take advantage of these quality risk management resources including policies and procedures, toolkits, and continuing education credits.

AHCA/NCAL has embraced HealthCap®​ for more than a decade as a premier provider of liability insurance that is solely dedicated to serving senior care communities. HealthCap® clients have the fewest liability claims in the industry, and HealthCap settles claims below the industry average.

Stop by Booth # 806 in the Expo Hall at AHCA/NCAL’s annual convention in Denver October 1-4 and meet HealthCap’s experts.  ​

How to Interact With an OSHA Inspector

AHCA/NCAL has published a new resource on preparing for inspections from the Occupational Health and Safety Administration (OSHA). This comprehensive resource provides members with information on how to prepare for an OSHA inspection and avoid citations for violating standards.
Planning for an inspection in advance will make it go more smoothly, allow you to be in control and create a positive impression on the OSHA officer, all of which will result in avoidance of or a lesser citation. Visit the AHCA/NCAL OSHA website​ for more information.

​https://www.ahcancal.org/News-and-Communications/Blog/Pages/How-to-Interact-With-an-OSHA-Inspector-.aspx