KDHE-KHC Learning Action Network

Sessions                 

Between-session homework assignments

Session #1 (Premiered Feb. 25, 2021)
Infection Prevention Program Development, Leadership, Policies, and Procedures

• Define the purpose of the infection control program (IPC)
• Identify the IPC core activities
• Explain IPC policy and procedure development
• Discuss purpose and process of IPC risk assessment development

→ Presentation video
→ Presentation handout (.pdf)

1. Identify a risk assessment template that works for your facility and begin to fill it out.
   Samples can be found here [LINK].
2. Watch for a communication about participating in a LIST-SERV® in support of our Learning Action Network.
3. Ensure your e-calendars have your LAN events every other Thursday through June 17. 
     
4. Invite your colleagues to participate.  Eight sessions remain!
   Here is the link to sign up for the LAN:
   https://www.surveymonkey.com/r/KHC-KDHE-IP-LAN

Session #2 (Premiered March 11)
Disease Reporting and Surveillance

• Define disease reporting requirements for health professionals in Kansas
• Identify reportable conditions, timeframe for reporting, and who to report to

→ Presentation video
→ Presentation handout (.pdf)
→ Tools and resources (.zip)

1.  Distribute the Notifiable Disease List to appropriate staff or post them in easily accessible areas for staff to reference:
   https://kdheks.gov/epi/disease_reporting.html
2. Conduct the assessment of your outpatient facility found at the end of the CDC - Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care:
   https://www.cdc.gov/HAI/settings/outpatient/outpatient-care-guidelines.html
3. Begin performing some observational audits and start creating your trending charts.  Access tools and resources here:  Tools and resources (.zip)

Session #3 (Premiered March 25, 2021)
Occupational Health

• Name at least two basics of an Occupational Health program in an ambulatory healthcare setting
• Recognize mandatory onboarding and regulatory requirements of new staff
• Demonstrate how to develop Occupational Health Plans related to: bloodborne pathogens, tuberculosis, and respiratory protection
• Practice data collection, reporting, utilize forms, and demonstrate documentation as it relates to Occupational Health
• Recognize COVID-19 risks to healthcare workers
• Identify perceptions and attitudes to COVID-19 vaccine

→ Presentation video
→ Presentation handout (.pdf)
→ Tools and resources (.zip)

1.  Create a process to onboard new healthcare workers into your organization to include mandatory requirements per federal, state, OSHA and organizational standards.
2. Develop a process map to initiate when a healthcare worker sustains a bloodborne pathogen exposure.
3. Fill out the Facility Immunization Checklist to better determine in which ways your facility can improve the immunization rates among Healthcare Workers, including COVID-19 immunization rates.

Session #4 (Premiered April 8, 2021)
Personal Protective Equipment

• Explain key concepts of standard precautions
• Identify types of PPE and how they are used
• Define transmission-based precautions and how they differ from standard precautions
• Describe approaches to PPE training and competency
• Explain the importance of PPE audits

→ Presentation video
→ Presentation handout (.pdf)

1. Download and complete CDC Quick Observation Tool (QUOT) for Personal Protective Equipment (PPE) Supply Provision
   https://www.cdc.gov/infectioncontrol/pdf/QUOTS/Standard-Precautions-PPE-Provision-P.pdf
2. Begin monitoring PPE practices (eg, donning and doffing)
3. Begin tracking adherence to PPE practices and share information with your staff

Before next session:

• View the CDC Project Frontline Hand Hygiene Course (5-10 min.)

Session #5 (Premiered April 22, 2021)
Hand Hygiene

• Explain hand hygiene and why it's important
• Demonstrate proper HH techniques
• Describe and identify common bacteria and transmission
• Discuss auditing, signage, training, and compliance

→ Presentation video
→ Presentation handout (.pdf)
→ Tools and resources (.zip)

1.  View the CDC Project Frontline Hand Hygiene Course (5-10 min.)
2. Complete "Barriers or Excuses" worksheet and return copy to KHC by May 3
3. Review the APIC Guide to Hand Hygiene program for Infection Prevention.
4. Review hand hygiene auditing tools
5. Develop a policy to consistently measure adherence to proper hand hygiene over time.

Session #6 (Premiered May 6, 2021)
Environmental Cleaning and Disinfection

• Explain key concepts of environmental cleaning
• Describe the difference between cleaning and disinfection
• Identify best practices on evaluating cleaning and disinfection practices and impacts from the pandemic
• Define indoor air quality (IAQ)
• Describe issues that contribute to poor IAG and how HVAC systems can reduce spread of COVID-19

→ Presentation video
→ Presentation handout (.pdf)

1.  Check out this resource from the Centers for Disease Control (CDC):
   Best Practices for Environmental Cleaning in Healthcare Facilities:  in Resource-Limited Settings

Session #7 (Premiered May 20, 2021)
Device Reprocessing

• Explore the fundamental role of IP in device reprocessing in the outpatient setting
• Describe the role of the IP in identifying device reprocessing breaches
• Review top 10 HLD strategies for success
• Describe ways to facilitate safe sterilization in the outpatient setting

→ Presentation video
→ Presentation handout (.pdf)
→ Sample Risk Assessment template
→ Sample HLD Sterilization Hazard Assessment form

1. Review these three resources:
   
   CDC HICPAC Guideline for Disinfection and sterilization in Healthcare Facilities (2008)
   
   HICPAC Sample Gap Analysis and Risk Assessment Tools: Reprocessing Flexible Endoscopes
   
   2021 Multi-society guideline on reprocessing flexible GI endoscopes and accessories (giejournal.org)

Session #8 (Premiered June 3, 2021)
Antimicrobial Stewardship

• Review the state of antimicrobial stewardship in the clinic setting
• Evidence in support of antimicrobial stewardship
• Review the core elements of outpatient stewardship
• Identify and strategize how to overcome some of the outpatient stewardship challenges

→ Presentation video recording
→ Presentation handout (.pdf)

1. Review the KDHE CAH toolkit and other resources (see slide #45).
2. Identify a next step to advance your antimicrobial stewardship program.
3. Complete the Core Elements Survey by June 17 (approx. 7 min.)
   https://kdheks.co1.qualtrics.com/jfe/form/SV_1zfKZD6h9mtdEsS

Session #9 (Premiered June 17, 2021)

Bringing It All Together – Real life scenarios (55 min.)

• Environmental rounds
• Construction and renovation
• Device reprocessing, and
• Reportable diseases
• Relate daily functions of an infection preventionist
• Illustrate mitigation strategies in respone to practice gaps
• Discuss importance of identifying, investigating and reporting possible exposures and suspected or confirmed communicable diseases

→ Presentation video recording (60 min.)
→ Presentation handout (pdf)
→ Tools and resources (zip)

BONUS SESSION

→ Bed Bug Response in the Healthcare Setting (21 min.)
→ Bonus presentation handout (pdf)

• Provide feedback to today's session via SurveyMonkey
• Complete the Core Elements survey, if you haven't already
• Download and review Tools and Resources provided with this session
• Review recordings for any missed sections by June 30
• Watch for certificate of attendance to arrive by email in early July
• EPA Toolkit:  Integrated Pest Management in Health Care Facilities