Reflection on long term care facility, infection control and prevention practices

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Reflection on long term care facility, infection
control and prevention practices

• Madeleine Senosier RN, B.Sc., M.Sc.

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Presentation

• Mission
• Fable
• Infection control and prevention practices
• Future

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Once upon a time...
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King Castonguay I
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LTCF

• L ords
• T ale of
• C astle life
• F raternity)

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Ladies in white
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King Rochon
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Jester
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Succession to the crown
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Mission
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Hospital
Dx Services Medical Nursing Specialized
psychosocial Rehabilitation
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Boarding room

• Housing

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LTCF
Housing Assistance Support Surveillance Rehabil
itation Psychosocial Nursing Rx M.D.
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Mission

• Home-like environment

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 Quality of professional practice is achieved
through the constant preoccupation of the quality
of life  
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 The resident has the right to a quality home
environment where he will receive quality care
and services 
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 Each resident has the right to a home-like
environment that will respect his/her identity
and dignity, assuring his/her security, comfort
and the capability of self-determination  and the
ability to give meaning to his/her life.
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Home-like environment
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Applying infection control and prevention
practices

• Is it possible in LTCF ?

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Nosocomial Infection 4th cause of death2nd
preventable infection
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Guidelines

• Conseil Canadien dagrément
• Carrefour milieu de vie et milieu de soins
• Orientation of the ministry of health on home
  like environment

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Promotion

• Information
• Population
• Client
• Family
• Personnel
• Doctor

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Promotion

• Vaccination
• Influenza
• Pneumococcal
• Tetanus and diphtheria
• Hepatitis B

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Prevention

• Routine Practices apply to all
• Hand washing and alcohol rub
• Proper usage of protective equipment (Gown ,
  glove, mask, goggles)
• Safe disposal of laundry
• Care with sharps
• Accommodation and equipment

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Prevention

• Additional precautions
• Contact transmission precaution
• Droplet transmission precaution
• Airborne transmission precaution

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Intervention

• Public Health
• Influenza
• Gastroenteritis - C DIFF
• Scabies
• Screening outbreaks

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CINQ...

• Guidelines
• VRE
• MRSA
• RAZOR USE
• HOUSEKEEPING - hydrotherapy
• MADO

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Recommendation

• Ratio for infection control nurse
• 1 for 250 LTCF
• 1 for 133 acute beds
• 1 for 100 specialized services
• 60 of task consists of surveillance

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Isolation

• Specific measures in LTCF
• Multiples changes
• Unique challenges

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Control and prevention

• Surveillance
• Education
• Infection control principles and gerontology
• educational skills
• Orientation program

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Infection control

• Quebec immunization protocol (PIQ)
• Law 90
• Law 113
• Recommendations of CINQ
• Recommendations of Spin
• CSSS ( fusion)
• Regional and national table

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Future

• Baby boomers tsunami (2019-2020)
• Necessity of team work
• A norm to be established and a culture to be
  developed in Quebec
• Specialisation
• Research

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Conclusion

• History
• Mission
• Infection control and prevention
• Ready Set. Go..

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THANKS!

• MADELEINE SENOSIER