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Ask an Expert: I Have Completed the Infection Prevention Training...Is There Anything Else I Need to do?

August 06, 2019
Healthcare Consulting By Terry Raser, Senior Consultant

Do you have questions only a healthcare consulting expert can answer? LW Consulting, Inc. gives healthcare professionals the opportunity to ask questions that are answered by specialized industry experts. This month we answer the question, “I have completed the infection prevention training on the Medicare website and printed all my certificates to put in my file. Is there anything else I need to do?”


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Q. I have completed the infection prevention training on the Medicare website and printed all my certificates to put in my file. Is there anything else I need to do?

It is important that you make sure to go through the Requirements of Participation or State Operations Manual to ensure that you have everything covered. Below is some of the information included in the regulations.

The facility:

  • Must establish a system for surveillance based upon national standards of practice and the facility assessment
  • Must establish routine, ongoing, and systematic collection, analysis, interpretation, and dissemination of surveillance data to identify infections
  • Should determine how it will track the extent to which staff are following the facility’s Infection Prevention and Control Program (IPCP) policies and procedures
  • Must include a data collection tool in the facility’s surveillance system
  • Must know when and to whom to report communicable diseases, infections and outbreaks
  • Must document follow-up activity
  • Must implement a system that includes who to notify and precautions
  • Must have a process for communication information for resident

For more details on the above regulations, read the State Operations Manual Appendix PP – Guidance to Surveyors for Long Term Care Facilities.

In addition to the above regulations, as part of the IPCP for surveillance, the facility should establish a process and outcome surveillance for implementation of transmission-based precautions. These precautions include:

  • Identify resident risk factors
  • Cohort residents with the same pathogen
  • Identify the type of precautions and the appropriate personal protective equipment (PPE) to be used
  • Place signage that identifies the Centers for Disease Control and Prevention (CDC) category of transmission-based precautions
  • Make PPE readily available
  • Use disposable or dedicated noncritical resident-care equipment
  • Clean and disinfect objects and surfaces that are touched frequently
  • Provide education to residents

The CDC has released more information and updates on isolation precautions.

Leave your questions in the comments about this or any other topic you would like answered by our experts. 



For information about infection prevention and control training and education, contact Terry Raser, at 484-365-2680 or email TRaser@LW-Consult.com
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