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MRSA Prevention Initiative at the Ft. Thomas VA Community Living Center (CLC) September 9, 2008 APIC Chapter 26 Continuing Education Program
Demographics 64 beds based in Ft. Thomas, KY 2 units (3North/3South) Only 4 private rooms CLC Patient Mix: Short and long term stay, rehab, respite, and end of life care
Demographics (continued) Support Services: Dietary, Pharmacy, Voluntary Service, Physical/Occupational/Recreational/Speech Therapies Other Services: Dental, Podiatry, Optometry Nursing Staff Mix include: 11.6 RNs, 19 LPNs, 27 NAs, and 1 NP, 3 physicians Actively involved in Cultural Transformation to move towards Patient-Centered Care
Planning Goal: Prevent/control MRSA transmission Selection of Team Members Timeline/Implementation Dates
Challenges Management support Maintaining home-like environment CLC off site from hospital lab
Challenges (continued) Incorporating Enhanced Precautions Reassignment of Residents Determining best approach for resident/family education
Use of Precautions Contact Precautions Enhanced Precautions Resident Room Placement for MRSA
Nasal Swabbing Admission to facility Transfer within facility Discharge from facility Repeat screening culture every 6 months minimally
Resident Risk Assessment High Risk Determination Low Risk Determination Risk Assessment Tools
MRSA Education Efforts Staff Residents/Families Promotion/Education Activities (fair theme, festival, games, etc.) “Quiet Approach”
Questions??? For further information, contact: Karen Lipscomb, RN, BSN Karen Lipscomb, RN, BSN MRSA Prevention Coordinator MRSA Prevention Coordinator Cincinnati VA Medical Center Cincinnati VA Medical Center
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