Infection Prevention in Nursing Homes

Standard Precautions are the foundation for preventing the spread of infectious agents. Sometimes conditions require the addition of Transmission-based Precautions. In this module, we will review Standard Precautions and describe four transmission-based precaution categories.

In the 70 years since the first antibiotics where developed to treat common bacterial infections, resistance to these “wonder” drugs has increased due to overuse and misuse. This has led to the rise of "super-bugs" or “multi-drug resistant organisms” that are not treatable by any antibiotic. If not addressed, antibiotic resistance will result in people dying from simple bacterial infections. This module will describe multi-drug resistant organisms, how they affect the residents in your facility, and what you can do to help control their spread.

Unsafe injection practices have led to large outbreaks of bloodborne pathogens. It is critical that best practices for safe injections and blood glucose monitoring are followed without exception. We will look at factors that contribute to the misuse of injection equipment, and a special program health care personnel can utilize to address this problem: the One and Only Campaign.

Until recently, the role of the environment in disease transmission has been thought to be insignificant. Recent studies have shown that several major pathogens, like MRSA, VRE, C. difficile and norovirus, are shed by colonized and infected residents and contaminate surfaces at levels sufficient for disease transmission. This module will examine best practices for cleaning and disinfection.