COVID-19 and LTC
August 5, 2021
Guidance and responses were provided based on information known on 8/5/2021
and may become out of date. Guidance is being updated rapidly, so users should look
Panelists today are:
Slides and a recording of this presentation will be available on the ICAP website:
https://icap.nebraskamed.com/covid-19-webinars/
Use the Q&A box in the webinar platform to type a question. Questions will be read aloud by
the moderator.
If your question is not answered during the webinar, please either e-mail it to NE ICAP or call
during our office hours to speak with one of our IPs.
Presentation Information:
Dr. Salman Ashraf [email protected]
Margaret Drake, MT(ASCP),CIC [email protected]
Lacey Pavlovsky, RN, MSN, CIC [email protected]
Sarah Stream, MPH, CDA, FADAA [email protected]
Rebecca Martinez, BSN, BA, RN, CIC [email protected]
Daniel Taylor, DHHS [email protected]
Becky Wisell, DHHS [email protected]
Cindy Kadavy, NHCA [email protected]
Debra Sutton, RN, BS, NHA [email protected]
Karen Stiles, SM(ASCP)CM [email protected]
Melody Malone, PT, CPHQ, MHA, CDP, CADDCT [email protected]
Debi Majo, BSN, RN [email protected]
Additional Q&A Support:
In attempt to answer even more
questions, ICAP Infection Preventionists
and guest panelists are standing by!
Some questions may be answered before
the live discussion Q&A session!
Please review the "Answered" tab for
already-answered questions.
We appreciate your understanding that all
written answers provided during this
webinar are based on information known
on 7/22/2021 and may become out of
date.
Continuing Education Disclosures
▪
1.0 Nursing Contact Hour and 1 NAB Contact Hour is awarded for
the LIVE viewing of this webinar
▪
In order to obtain nursing contact hours, you must be present for the
entire live webinar and complete the post webinar survey
▪
No conflicts of interest were identified for any member of the planning
committee, presenters or panelists of the program content
▪
This CE is hosted Nebraska Medicine along with Nebraska ICAP and
Nebraska DHHS
Tracking Coronavirus in Nebraska:
Latest Map and Case Count 8/4/2021
https://covid.cdc.gov/
TMF Health Quality Institute
CMS Quality Improvement
Organization
NHSN News Flash on 7/28/2021
•
Changes coming this Fall
•
Training will be provided – watch your email for
notices.
•
So far announced changes:
›
COVID-19 Vaccination Data Collection Forms for
Healthcare Personnel
›
Facilities will need to create a monthly reporting plan
before entering data into NHSN.
Level 3 Access
•
Current Users: email the NHSN user
support
[email protected]
with “Enhancing Data
Security” in the subject line your request.
•
Newly added Users: they receive emails from both
NHSN and SAMS with directives.
›
They need to respond promptly or their window for
submitting their SAMS Level 3 documents expires.
›
Check your SPAM/Junk Folders
TIP: See:
Increasing LTCF SAMS Level Access to NHSN
CMS Targeted COVID-19 Training for
Frontline Nursing Home Staff &
Management Learning
• Available through the CMS Quality, Safety & Education Portal (QSEP).
• Can be completed on a cell phone • Frontline nursing home staff modules: Module 1: Hand Hygiene and PPE
Module 2: Screening and Surveillance Module 3: Cleaning the Nursing Home Module 4: Cohorting
Module 5: Caring for Residents with Dementia in a Pandemic
• 3 hours total training time
• Management staff modules:
Module 1: Hand Hygiene and PPE Module 2: Screening and Surveillance Module 3: Cleaning the Nursing Home Module 4: Cohorting
Module 5: Caring for Residents with Dementia in a Pandemic Module 6: Basic Infection Control
Module 7: Emergency Preparedness and Surge Capacity Module 8: Addressing Emotional Health of Residents and Staff Module 9: Telehealth for Nursing Homes
New QSEP Resources
•
User Guide: CMS Targeted COVID-19 Training for
Frontline Nursing Home Staff and Management
•
QSEP Training User Guide - Spanish Translation
•
CMS Targeted COVID-19 Training for Frontline
Nursing Home Staff and Management Kudos Kit
Vaccine Hesitancy: Concerns with
Fertility and Pregnancy
•
Video now posted and available for viewing
•
Speaker: Gloria Richard-Davis, MD, MBA, NCMP,
FACOG, with the University of Arkansas Medical
Sciences (UAMS)
•
Topic: addresses common fertility concerns with
COVID-19 vaccines and why it is important to
receive the vaccine.
Reach out to us at:
[email protected]
to submit requests for
assistance with
NHSN reporting problems
or quality improvement
DHHS, NHCA, and
LeadingAge Updates
0 10 20 30 40 50 60 70 80 90
Nebraska Counties (93) by CMS Test Positivity Color
August 13, 2020 - July 27, 2021
SOURCE: https://data.cms.gov/covid-19/covid-19-nursing-home-data
Resident Exposures to
Visitors
ICAP has noticed an increase in resident exposures to COVID+ visitors, which has resulted in yellow zone/quarantine for these residents.
• Many visitors are stating they had symptoms during visit.
mAb Update:
Prophylaxis Indication
Casirivimab-Imdevimab
Prophylaxis Indication
As of 7/30/2021, casirivimab-imdevimab (no other mAb) has been authorized
for use as post-exposure prophylaxis in:
– Adult and pediatric individuals (12 years of age and older weighing at
least 40 kg) for post-exposure prophylaxis of COVID-19 in individuals
who are at high risk for progression to severe COVID-19, including
hospitalization or death, and are:
– Not fully vaccinated or who are not expected to mount an adequate
immune response to complete SARS-CoV-2 vaccination (for example,
individuals with immunocompromising conditions including those
taking immunosuppressive medications)
AND
• Have been exposed to an individual infected with SARS-CoV-2
consistent with close contact criteria per CDC or
• Who are at high risk of exposure to an individual infected with
SARS-CoV-2 because of occurrence of COVID-19 infection in
other individuals in the same institutional setting (for example,
nursing homes or prisons)
Casirivimab-Imdevimab
Prophylaxis Indication
Post-exposure prophylaxis dose is same as treatment dose (600 mg
casirivimab + 600 mg imdevimab)
– For individuals with continued risk of exposure >4 weeks, a repeat
dose of 300 mg casirivimab + 300 mg imdevimab can be given once
every 4 weeks
Can be administered as IV infusion or subcutaneous injection for
post-exposure prophylaxis
Updated provider fact sheet:
https://www.fda.gov/media/145611/download
If you have patient(s) who you consider eligible for and interested in
mAb for prophylaxis, or for any questions, please email
COVID-19 Tele-ICAR Reviews
• ICAP is offering COVID-19 focused virtual ICAR reviews to LTC,
outpatient and acute care facilities
• The review will assess the status of COVID-19 policies and
procedures and offer a summary of recommendations from ICAP
• Home Health Agencies fall under the outpatient umbrella and ICAP
has developed a HH focused review to support our HH partners
NAB:
➢ Completion of survey is required.
➢ The survey must be specific to
the individual obtaining credit.
(i.e.: 2 people cannot be listed
on the same survey)
➢ You must have a NAB membership
➢ Credit is retrieved by you
➢ Any issues or
questions regarding your credit must
be directed to NAB customer service.
➢ ICAP can verify survey
completion and check the roster
list
Nursing Contact Hours:
➢ Completion of survey is required.
➢ The survey must be specific
to the individual obtaining
credit. (i.e.: 2 people cannot
be listed on the same survey)
➢ One certificate is issued monthly
for all webinars attended
➢ Certificate comes directly from
ICAP via email
➢ Certificate is mailed by/on the 15th
of the next month
Contact Marissa with questions:
[email protected]
402-552-2881
Webinar CE Process
1 Nursing Contact Hour and 1 NAB Contact Hour is offered for attending this LIVE
webinar
Infection Prevention and Control
Hotline Number:
Call 402-552-2881
Office Hours
are Monday – Friday
8:00 AM - 4:00 PM Central Time
On-call hours are available for emergencies only
Weekends and Holidays from 8:00 AM- 4:00 PM
Questions and Answer
Session
Use the QA box in the webinar platform to type a question. Questions will be read aloud by the moderator.
Panelists:
• Dr. Salman Ashraf
• Margaret Drake, MT(ASCP),CIC • Lacey Pavlovsky, RN, MSN, CIC • Sarah Stream, MPH, CDA, FADAA • Rebecca Martinez, BSN, BA, RN, CIC • Daniel Taylor, DHHS
• Becky Wisell, DHHS • Cindy Kadavy, NHCA
• Debra Sutton, RN, BS, NHA • Karen Stiles, SM(ASCP)CM
• Melody Malone, PT, CPHQ, MHA, CDP, CADDCT
• Debi Majo, BSN, RN
• Moderated by Marissa Chaney • Supported by Margaret Deacy
• Slide support from Lacey Pavlovsky, RN, MSN, CIC
https://icap.nebraskamed.com/resources/