Long Term Care Manual
Introduction
WRHA Infection Prevention and Control Operational Directives
Cleaning and Disinfection of Resident Equipment/Items
- Appendix A: Facility Approved Disinfectants
- Appendix B: Cleaning Table for Non Critical Reusable Resident Equipment/Items
Cleaning and Disinfection of Reusable Instruments that Contact the Surface of the Eye
Outbreak Management for Infection Prevention & Control
Pets & Pet Therapy in Personal Care Homes & Long Term Care Facilities
Pre-Purchase Assessment of Multi-Use Medical Devices (Instruments and Equipment)
Routine Practices
- Point of Care Risk Assessment PCRA
- Hand Hygiene
- The 4 Moments of Hand Hygiene
- Source Control
- Accommodation and Placement
- Flow
- Aseptic Technique
- Personal Protective Equipment PPE
- Specimen Collection
- Sharps Safety and Prevention of Bloodborne Transmission
- Management of the Patient Care Environment
- Visitor Management and Education
- Appendix A: Surgical Hand Asepsis
Additional Precautions
Microorganism Infectious Disease Table
Specific Disease Protocols
All WRHA policies are accessible via WHRA Policy Insite Page only. For those without insite access refer to the electronic copy that was distributed to your site Infection Control Professional.
AMR-GNB (Antimicrobial Resistant Gram Negative Bacilli)
Carbapenemase-Producing Enterobacteriaceae (CPE)
Creutzfeldt-Jakob Disease (CJD)
Varicella (Chickenpox)/Herpes Zoster (Shingles)
Immunization Administration for Residents in Long Term Care; Influenza and Pneumococcal Vaccines
IP&C Communication Forms
Environmental Services
- 3.1 Regular Occupied Patient Room Cleaning & Disinfecting
- 3.2 Regular Discharge Patient Room Cleaning & Disinfecting
- 3.3 Isolation Occupied Patient Room Cleaning & Disinfecting
- 3.4 Isolation Discharge Patient Room Cleaning & Disinfecting
- 4.1 Generic Bed Cleaning & Disinfecting
- 4.2 Generic Bed Making
- 4.6 Stretcher Cleaning & Disinfecting
- 5.1 Washroom Cleaning & Disinfecting
- 10.2 Environmental Services Cart Cleaning & Disinfecting
IP&C Recommended Guidelines
Outbreak Management
GI Outbreak Management Quick Reference Guide
- Infection Prevention and Control Outbreak Management Guidelines Respiratory (including Influenza and COVID-19) and Gastrointestinal
- Gastrointestinal Illness Highlights sheet
- Gastrointestinal Illness Outbreak Specimen Collection
- Respiratory Illness and Gastrointestinal Illness Outbreak Management
- Appendix A: Outbreak Signage
- Appendix C: IPC Outbreak Management Evaluation Questionnaire
Surveillance
HAI LTC Surveillance – Quick Reference Guide
- Nursing/clinical staff: PAPER Line Lists for Data Collection
- LTC HAI Surveillance Case Definitions
- ICSA/IPC: Electronic Line List HAI Surveillance (outbreaks)
- Data base
Regional Health Authorities Infection Prevention and Control Policies
Pandemic Plan
Pandemic Influenza Plan (PIP) – WRHA
Pandemic Influenza Plan – Shared Health
Respiratory Season
Seasonal Influenza and Pneumococcal Vaccine Consent Form – Letter size | Legal size
Entrance posters for visitors, visitor restrictions
2024-2025 LTC Oseltamivir Dosing Vaccination Tracking
Oseltamivir Prophylaxis MAR Labels:
Collection of Nasopharyngeal Specimens
Cadham Provincial Laboratory Sample Requisition
Influenza Outbreak Quick Reference Guide
Guidelines for Admissions, Transfers, and Respite during Influenza Outbreaks
Instructions for Ordering Supplies
Cadham Lab Supply Request Form
Resident and Family Outbreak Information Handout
Respiratory Outbreak signage (bilingual)
Guidelines for the use of Oseltamivir in Long Term Care Facilities