by Broad Street Solutions
James Marx, RN, MS, CIC
Infection Control and Epidemiology Consultant
A review of the infection surveillance data can
be done at the facility's request. Data collected
can be put in graphic form for easier presentation.
the quarterly infection control committee meeting,
we can review the summary of all bacteriology
cultures done over the past three months.
addition we will review the antibiogram of all
isolated bacteria and their sensitivity patterns
are generated each quarter. This enables the
facility to identify the emergence of antibiotic
resistance within the facility, and helps guide
the physician in empirical antibiotic treatment.
of the infection surveillance system can be
done at any time.
Utilization Review for cost savings
antibiotic use in a facility can cost hundreds
of dollars. This service examines the use and
indications of antibiotics.
use of antibiotics frequently leads to antibiotic
resistant microorganisms (like MRSA). Our goal
is to prevent the occurrence of MRSA and other
review of all departmental policies related
to infection control is available. Patient care
related policies are required to be reviewed
annually according to licensing regulations.
recommend updating your current Infection Control
Manual. As a reference, we use the Infection
Control Manual and Resource Book for Nursing
Homes written by Nancy Satterfield of Eldercare
Consultants, Inc., 1995 and listed by the Centers
for Disease Control and Prevention (CDC) as
a resource for long term care facilities.
classes to the staff on topics relevant to infection
control. Examples are the annual review of Universal
Precautions and the OSHA Bloodborne Exposure
Control Plan; disease specific topics, such
as MRSA, Hepatitis A-E, Tuberculosis and HIV
disease; and infection prevention strategies,
such as prevention of pneumonia, urinary tract
infection, influenza and pressure ulcer infection.
walk-through of the facility is done at the
request of the facility. A written report of
findings along with recommendations is provided.
Some areas reviewed are appropriate use of personal
protective equipment, nursing, review of housekeeping
procedures, waste handling and storage of equipment.
plans for outbreaks
you suspect an outbreak or other infection control
related occurrence, we are available to answer
your questions and provide support.
epidemiologic investigation of the problem can
be initiated at the request of the facility.
We can provide a written report of the findings
and recommendation for further action.
would include changes or additions to regulatory
requirements, such as the latest OSHA Guidelines
for the Control of Tuberculosis.
Control Walk Through with written evaluation
education programs (Lecture and Video Tape)
plans for outbreaks
policies for changing regulations (OSHA, OBRA,
CDC references for prevention of infection
System Review, using the 1996 CDC Guidelines
for Long Term Care Nurses
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