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MRSA Prevention Initiative at the Ft. Thomas VA Community Living Center (CLC)

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

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MRSA Prevention Initiative at the Ft. Thomas VA Community Living Center (CLC)

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  1. MRSA Prevention Initiative at the Ft. Thomas VA Community Living Center (CLC) September 9, 2008 APIC Chapter 26 Continuing Education Program

  2. 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

  3. 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

  4. Planning • Goal: Prevent/control MRSA transmission • Selection of Team Members • Timeline/Implementation Dates

  5. Challenges • Management support • Maintaining home-like environment • CLC off site from hospital lab

  6. Challenges (continued) • Incorporating Enhanced Precautions • Reassignment of Residents • Determining best approach for resident/family education

  7. Use of Precautions • Contact Precautions • Enhanced Precautions • Resident Room Placement for MRSA

  8. Nasal Swabbing • Admission to facility • Transfer within facility • Discharge from facility • Repeat screening culture every 6 months minimally

  9. Resident Risk Assessment • High Risk Determination • Low Risk Determination • Risk Assessment Tools

  10. MRSA Education Efforts • Staff • Residents/Families • Promotion/Education Activities (fair theme, festival, games, etc.) • “Quiet Approach”

  11. For further information, contact: Karen Lipscomb, RN, BSN MRSA Prevention Coordinator Cincinnati VA Medical Center Karen.Lipscomb@va.gov Questions???

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