Infection Prevention and Control: Long-Term Care
Remind all staff to follow Standard Precautions in the care of all residents all of the time. See Standard Precautions
- Wear gloves if hand contact with blood and/or bodily fluids including respiratory secretions or potentially contaminated surfaces is anticipated.
- Wear a gown if soiling of clothes or contamination of skin with a resident’s respiratory secretions is anticipated.
- Change gloves and gowns after each resident encounter and perform hand hygiene.
- Clean hands before and after touching the resident, after touching the resident’s environment, or after touching the resident’s blood and/or bodily fluids including respiratory secretions, whether or not gloves are worn.
- When hands are visibly soiled or contaminated, wash hands with soap and water. If hands are not visibly soiled, an alcohol-based hand rub can be used.
When caring for residents with influenza-like illness:
- Follow Standard Precautions AND Droplet Precautions (surgical mask and eye protection as indicated by Standard Precautions)
- Droplet Precautions should be followed for seven days after the onset of the resident’s influenza-like illness.
- Place resident into a private room. If a private room is not available, place (cohort) residents with influenza-like illness with other residents having the same symptoms.
- Wear a surgical mask when entering the resident’s room or when having close contact with the resident.
- Remove the mask when leaving the resident’s room, dispose of the mask in a waste container, and perform hand hygiene.
- If resident movement or transport is necessary, have the resident wear a surgical mask, if possible.
- When residents are transferred to another facility, notify the receiving facility of a suspected/confirmed influenza outbreak in your facility.
- Prior to residents being transferred into your facility, notify the transferring facility that you have a suspected/confirmed influenza outbreak.
- Assure that all new residents have received influenza vaccination prior to transfer
Respiratory Protection should be used while performing aerosol-generating procedures (e.g. Bronchoscopy, open suctioning of airway secretions, sputum induction, resuscitation involving emergency intubation or cardiac pulmonary resuscitation, endotracheal intubation and extubation and autopsy.)
Respiratory protection includes:
- Fit-tested disposable N95 respirator
- Prior fit-testing that must be repeated annually and fit-check / seal-check prior to each use
- OR Powered air purifying respirator (PAPR)
- Follow facility protocols and procedures for decontamination of PAPR
- PLUS Standard Precautions
- PLUS eye protection (goggles/face shield)
- Droplet Precautions should be used by the healthcare workers obtaining a clinical specimen (includes nasopharyngeal swab, nasal wash, throat swab); if splashes are anticipated, then eye protection should be considered.
Environmental Cleaning and Disinfection
- Routine cleaning and disinfection strategies should be used.
- Increase the frequency of cleaning in common areas throughout the facility.
- Immediately clean/disinfect areas that become visibly soiled.
- Follow regular laundering procedures and polices for patients with influenza-like illness.
- As usual, follow Standard Precautions (e.g. gown, gloves) when handling soiled linen.