TESTING BACKGROUND: As we shared earlier this week, the State has not yet been able to match testing to patient and resident rosters to document 100 percent universal testing in our sector that the State ordered, conducted and provided tests for from April 29 to May 29. We know from speaking with many of you that many centers were well underway with testing of residents, patients, and some staff in advance of the government order and the National Guard delivery of tests;
your tests need to reconcile with state records. If it turns out that skilled nursing and rehabilitation centers did not test, it would obviously be a major problem for those centers, and not a best foot forward for our sector. We are asking for a roster/list from the State for you all to compare against.
Our advice now would be for centers to account for State tests and tests they conducted independently of the State tests to ensure 100 percent testing and compliance with the initial State order on universal testing. Testing is critical in the fight against COVID-19 and it is difficult to plan ahead without reconciling the current gap in numbers.
VISITATION: We have for weeks been advocating for skilled nursing and rehabilitation centers, assisted living campus, and senior housing to begin thinking about and planning for resuming some form of visitation, as well as augmenting work that has been done on virtual visitation. We have advised the State with these
recommendations and continue to coordinate our thinking on this with LeadingAge Maryland and Lifespan. We could expect more extensive federal and state orders on this front soon. This is another reason why the first round of universal testing and CRISP reporting is so very important.
AS ALWAYS:
- Over communicate with residents, patients, families and staff
- Operate DRIVEN your infectious disease protocol
- Take and document your action
- Keep a timeline
- Work with your hospital partners, and coordinate with local and state regulatory partners
- Training - now is the time to be continuously training on PPE, Donning, Doffing and all things infectious disease protocol, workforce/workflow