Infection Prevention and Control Resources for Long-term Care Facilities

• MDH: TEMPLATE: Time Study for Infection Prevention (PDF) | (Word)
  Track time spent weekly on infection prevention and control activities
• CDC: CDC's Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings
• CDC: Infection Control for Healthcare Providers
• CDC: HAI Prevention, Control and Outbreak Response for Public Health and Healthcare
• CDC: Infection Prevention and Long-term Care Facility Residents
• CDC: IPC Risk Assessment Spreadsheet (Excel)
• CMS: State Operations Manual Appendix PP (PDF)
• CMS: QAPI Written Plan How-To Guide (PDF)
• APIC: Implementation Guides

Infection prevention training

• CDC TRAIN: Nursing Home Infection Prevention Training
• CDC: 2019 Antibiotic Resistance Threats Report
• APIC Minnesota: Basic Infection Prevention Course

Surveillance and disease reporting

• MDH: Minnesota Reportable Disease Rule (Communicable Disease Reporting Rule)
• CDC: Inter-facility Infection Control Transfer Form (PDF)
• CDC: Healthcare-associated Infections (HAIs)
• CDC: National Healthcare Safety Network (NHSN)

Staff training

• MDH: Project Firstline Training and Resources
• CDC: CDC/STRIVE Infection Control Training
• CDC TRAIN: Nursing Home Infection Preventionist Training

Audit tools

• MDH: MDH Infection Prevention Audit Tools
  Tools to audit compliance with hand hygiene, PPE, wound care, and environmental cleaning and disinfection
• MDH: Infection and Antibiotic Use Tracking Tool Instructions (PDF) | Workbook (Excel)
  Resource to track resident illnesses and antibiotic use
• MDH: Employee Illness Tracking Tool (Excel) | Instructions (PDF)
• CDC: Infection Prevention Tools and Resources
• CDC: Options for Evaluating Environmental Cleaning

• MDH: Hand Hygiene Print Materials
• MDH: Project Firstline Hand Hygiene Steps (PDF)
• CDC: Clinical Safety: Hand Hygiene for Healthcare Workers
• CDC: Special Issues: Fire Safety and ABHS
• CDC: Clean Hands Count Materials
• CDC MMWR: Guideline for Hand Hygiene in Health-Care Settings
• WHO: Infection Prevention and Control
• WHO: WHO Guidelines on Hand Hygiene in Health Care

• MDH: Enhanced Respiratory Precautions (PDF)
  Sign/poster can be used for COVID-positive residents
• CDC: Standard Precautions for All Patient Care
• CDC: Transmission-Based Precautions
  General overview and example signs/posters
• CDC: Isolation Precautions Guideline
  Summary of recommendations including specific interventions for LTC settings
• CDC: Isolation Precautions Appendix A: Type and Duration of Precautions Recommended for Selected Infections and Conditions
  Type of precautions to implement (e.g., what PPE to wear) and for how long
  • Appendix A Table 2
    What PPE to wear when resident ill or pathogen not confirmed (e.g., diarrhea, rash) 
• CDC: Implementation of Personal Protective Equipment (PPE) Use in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms (MDROs)
  Enhanced Barrier Precaution guidance, includes example sign/poster in English and Spanish
• CDC: Frequently Asked Questions (FAQs) about Enhanced Barrier Precautions in Nursing Homes

Personal protective equipment (PPE)

• CDC: Isolation Precautions Guideline Appendix A: Figure. Example of Safe Donning and Removal of Personal Protective Equipment (PPE)
  Sign/poster for how to don and doff PPE

Health care worker safety

• MN Department of Labor: Minnesota OSHA Workplace Safety Consultation
• CDC/NIOSH: Healthcare Respiratory Protection Resources
• CDC/NIOSH: Fit Test FAQs
• U.S. Department of Labor: OSHA 1910.134 - Respiratory Protection

• CDC: Considerations for Reducing Risk: Surfaces in Healthcare Facilities
  Core components of environmental cleaning and disinfection
• CDC: Environmental Infection Control Guidelines
• CDC: Training: EVS and the Battle Against Infection
• CDC: CDC/STRIVE Infection Control Training: Environmental Cleaning
• CDC: How to Read a Disinfectant Label (PDF)
• EPA: Selected EPA-Registered Disinfectants
  What disinfectants are listed by EPA for specific pathogens
• APIC: Environmental Services
• Minnesota Hospital Association: Environmental Services Cleaning Guidebook (PDF)
• WHO: How to Dilute and Use Bleach (PDF)

• CDC: Safe Injection Practices and Your Health
  Injection safety general resources
• CDC: Injection Safety Resources for Providers
  Includes Injection Safety Checklist and other resources/posters for clinicians
• CDC: Safe Injection Practices to Prevent Transmission of Infections to Patients
• CDC: Preventing Unsafe Injection Practices
• CDC: Clinician Brief: Drug Diversion
• U.S. Department of Labor: OSHA 1910.1030 - Bloodborne Pathogens
• Code of Federal Regulations: 21 CFR 1301.71 Security Requirements Generally
• CSTE: Healthcare-Associated Infections (HAI) Drug Diversion Planning and Response Toolkit for State and Local Health Departments (PDF)

• CDC: Considerations for Blood Glucose Monitoring and Insulin Administration
• CDC: Healthcare-Associated Hepatitis B and C Outbreaks (≥ 2 cases) Reported to the CDC 2008-2019
• CDC: 2021 Viral Hepatitis Surveillance Report Appendix
• FDA: Blood Glucose Monitoring Test Systems for Prescription Point-of-Care Use
• FDA: Self-Monitoring Blood Glucose Test Systems for Over-the-Counter Use

• MDH: Wound Care Infection Prevention Recommendations for Long-Term Care Facilities (PDF)
  Wound care treatments and services provided in the long-term care setting can entail complex procedures utilizing a wide array of products and/or equipment. These recommendations are designed to assist long-term care facilities with general principles and are not all-inclusive.
• MDH: ICAR Infection Prevention Audit Tools
  Includes wound care audit tracking tool and wound dressing change observation tool used to conduct audits, record and analyze data, and develop an action plan
• MDH wound care webinar recorded on April 20, 2023
  
  • MDH: Slides: Key Infection Prevention Principles During Wound Care (PDF)
  • MDH: Key Infection Prevention Principles During Wound Care Transcript (PDF)

• MDH: Cleaning Recommendations for Prevention of Infectious Agent Transmission
  Learn the best methods for cleaning and disinfecting, refer to laundry section
• CDC: Environmental Infection Control Guidelines G. Laundry and Bedding
• CDC: Environmental Cleaning in Global Healthcare Settings: Appendix D: Linen and Laundry Management
  Best practices for linen and laundry handling

• MDH: Antibiotic Resistance and Stewardship for Health Professionals
• MDH: Antimicrobial Stewardship Programs (ASP)
  About creating a ASP in your facility, including guidelines for acute care and toolkits for long-term care and outpatient clinics
  • MDH: Minnesota Antimicrobial Stewardship Program Resources for Long-term Care Facilities
    Includes Loeb and McGeer Criteria, 72-Hour Time-out, and sample feedback form for providers, etc.
• MDH: Minnesota Antibiotic Stewardship Honor Roll
  Consider applying for the MDH Honor Roll
• CDC: Core Elements of Antibiotic Stewardship for Nursing Homes
  Offers providers and facilities a set of key principles to guide efforts to improve antibiotic use and, therefore, advance patient safety and improve outcomes
• CDC: Antibiotic Stewardship Training
  Educational resources, continuing education and training opportunities, handouts, and posters
• CDC: Patient Education Resources | Antibiotic Use
  Print materials and tools to help patients and residents learn about antibiotic resistance
• AHRQ: Toolkit To Improve Antibiotic Use in Long-Term Care
  Explains the Four Moments of Antibiotic Decision Making and has tools to support their implementation and improve prescribing

• CDC: Disinfection and Sterilization Guideline
• CDC: A Rational Approach to Disinfection and Sterilization
• CDC: Table 1. Methods of sterilization and disinfection

• MDH: Long-term Care: COVID-19
  Guidance and resources for long-term care facilities
• MDH: Health Care: COVID-19
  Guidance for reporting, evaluating and testing, and infection prevention and control specific to long-term care and health care facilities and systems
• CDC: Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic

• MDH: Long-Term Care: Influenza
  Includes weekly statistics, interim guidance for influenza outbreak management, and printed materials
• MDH: Influenza Information for Health Professionals
• CDC: Preventing Transmission of Viral Respiratory Pathogens in Healthcare Settings
  Infection control measures that should be implemented at the first point of contact with a potentially infected person

• MDH: Tuberculosis Information for Health Professionals
• MDH: Regulations for TB Control in Minnesota Health Care Settings
• OSHA: Tuberculosis Standards

• MDH: Clostridioides (Clostridium) difficile Guidelines and References
  C. diff guidelines and references, long-term care algorithms, and list of disinfectant products with sporicidal activity against C. diffi

• MDH: 2023-2024 Norovirus Information for long-term care facilities (PDF)

• MDH: Hepatitis B Information for Health Professionals

• MDH: Group A Streptococcus (GAS)
• CDC: Increase in Invasive Group A Strep Infections, 2022-2023

• CDC: Preventing MDROs
• CDC: Infection Control Guidance: Candida auris
• CDC: COVID-19 Reverses Progress in Fight Against Antimicrobial Resistance in U.S.
  This report highlights the lost progress combating antimicrobial resistance following the COVID-19 pandemic
• CDC: 2019 Antibiotic Resistance Threats Report
  Provides information on antimicrobial resistance and highlights the emerging areas of concern and additional action needed
• CDC: Carbapenem-resistant Enterobacterales (CRE) Infection Control

• MDH: Long-Term Care (LTC) Emergency Preparedness
• MDH: Health Care Coalitions
• CDC/NIOSH: Personal Protective Equipment (PPE) Burn Rate Calculator
  Review PPE supply to ensure adequate supply available, consider frequent review of inventory (e.g., daily) when supply demand is high (e.g., outbreak)

• MDH: Engineering Services
  Provides review and inspection of construction activity in licensed and certified health care facilities
• MDH: Guidelines for Temporary Negative Pressure Isolation Rooms (PDF)
• MDH: Airborne Infectious Disease Management: Methods for Temporary Negative Pressure Isolation (PDF)
• CDC: Environmental Infection Control Guidelines
• CDC: Toolkit: Developing a Legionella Water Management Program
• CDC: Considerations for Reducing Risk: Water in Healthcare Facilities
  Water management program
• CDC: Emergency Water Supply Planning Guide for Hospitals and Healthcare Facilities (PDF)
• ASHE: Using the health care physical environment to prevent and control infection (PDF)
• ASHE: ASHE ICRA 2.0™ Toolkit
• ICRA: ICRA Training
  Consider Infection Control Risk Assessment training for containment of construction/maintenance projects

• CDC: CDC’s Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings
• CDC: Infection Control in Healthcare Personnel: Infrastructure and Routine Practices
  Infection control in health care personnel: Infrastructure and routine practices for occupational infection prevention and control services

Refer to health care worker safety resources in Standard and transmission-based precautions dropdown.

• MDH: Cover Your Cough
  Stop the spread of germs that make you and others sick: Cover Your Cough
  Frequently Asked Questions about Respiratory Etiquette | About Using Materials
• CDC: Preventing Transmission of Viral Respiratory Pathogens in Healthcare Settings
  Infection control measures that should be implemented at the first point of contact with a potentially infected person

• MDH: Vaccine Storage Guide
  Check the recommendations for medication refrigerators. Non-medication items should be stored in a different area. Ensure temperature stays within limits. Have a plan to mitigate temperature excursions.
• MDH: Vaccine Protocols
• Health care worker vaccination
  • MDH: Recommended Vaccines for Health Care Personnel
    Continue to work on improving rate of staff vaccinated with influenza vaccine
  • CDC: Influenza Vaccination Information for Health Professionals
  • Immunize.org: Immunization Action Coalition Resources
• CDC: Pinkbook Course Book: Epidemiology of Vaccine Preventable Diseases

Bed bugs

• MDH: Bed Bugs
• CDC: About Bed Bugs

Lice

• MDH: Head Lice Information for Health Professionals
• CDC: Lice

Scabies

• MDH: Scabies
• CDC: About Scabies
• LA County Department of Public Health: Acute Communicable Disease Control Scabies Toolkit

Food service

• MDH: Food Safety
• CDC: Food Service Guidelines
• WHO: Promoting Safe Food Handling