What you need to know: CMS made changes to the §483.80-Infection Control guidance. Changes include the following citations:
F880-Infection Control: Facility must have an infection prevention and control program (IPCP) that includes explanations of:
- standard and transmission-based precautions;
- droplet precautions;
- contact precautions;
- cleaning and disinfection; and
- a water management program.
F881-Antibiotic Stewardship Program:
- Facility must monitor closely the antibiotics being prescribed to residents.
- Feedback should also be provided to prescribing practitioners.
F882-Infection Preventionist.
- A specially trained infection preventionist (IP) must work at least part time in the facility.
F883-Influenza and Pneumococcal Immunizations
- Pneumococcal conjugate vaccine (PCV13) is no longer routinely recommended.
F868-Quality Assessment and Assurance (QAA) Committee
- The IP must be a member of the QAA committee.
- The IP must report to the committee on a regular basis.
Action for facilities
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Engage an inter-professional team including direct care staff when reviewing your IPCP to best evaluate strengths and identify areas requiring improvement.
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Include the medical director and consultant pharmacist when implementing antibiotic stewardship program.
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Ensure a plan for revising IPCP as national standards change.
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Use the CDC Core Elements for Antibiotic Stewardship in Nursing Homes to support development of the program.
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Perform regular hand hygiene observations and report through QAPI as appropriate.
Remember: Survey enforcement for the standards will begin on October 24, 2022.
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