Long Term Care Manual

Purpose of the WRHA Infection Prevention & Control Manual, After Hour Coverage

Document Development, Review & Stakeholders Consultation Record

Cleaning and Disinfection of Resident Equipment/Items

• Appendix A: IP&C Approved Cleaners and 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

Medical Device Reprocessing:

• Transportation, Distribution and Storage of Contaminated, Clean and Sterile Medical Devices (on and off-site)

• Single Use Medical Devices

• Pre-Purchase Assessment of Multi-Use Medical Devices (Instruments and Equipment)

• Dress Code Medical Device Reprocessing Area (MDRA)

Outbreak Management for Infection Prevention & Control

Pets & Pet Therapy in Personal Care Homes & Long Term Care Facilities

Reporting of a Communicable Disease to Manitoba Health by Infection Prevention & Control in PCHs/LTCFs

Spill Management

Tuberculin Skin Test (TST) OD

Urinary Catheter Management

Routine Practices

Routine Practices Preamble

1. Point of Care Risk Assessment PCRA
2. Hand Hygiene
3. The 4 Moments of Hand Hygiene
4. Source Control
5. Accommodation and Placement
6. Flow
7. Aseptic Technique
8. Personal Protective Equipment PPE
9. Specimen Collection
10. Sharps Safety and Prevention of Bloodborne Transmission
11. Management of the Patient Care Environment
12. Visitor Management and Education
13. Appendix A: Surgical Hand Asepsis

References

Airborne Precautions

Contact Precautions

Airborne/Contact Precautions

Droplet Precautions

Droplet/Contact Precautions

Signage:

• Additional Precautions Poster 11×17 (English)
• Additional Precautions Poster 11×17 (French)

Transmission of Microorganisms

Microorganism Infectious Disease Table

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)

Bed Bugs (Cimex Lectularius)

Carbapenemase-Producing Enterobacteriaceae (CPE)

Creutzfeldt-Jakob Disease (CJD)

Enteritis

Group A Streptococcus

Human Papilloma Virus (HPV)

Lice (Pediculosis)

Measles/Rubeola

Measles Afterhours Checklist

Meningitis

Mumps

Scabies, Management of

• Scabies Fact Sheet

Tuberculosis (TB)

• TB Contact Screening Parameters Tool

Varicella (Chickenpox)/Herpes Zoster (Shingles)

Whopping Cough (Pertussis)

Immunization Administration for Residents in Long Term Care; Influenza and Pneumococcal Vaccines

Cleaning and Disinfection of Jetted Tubs

Management of Aerochambers

Pull Cords and Call Bells

Reuse of Razors

Sharing of Personal Items

Topping up Bottles, Reusing Trigger Spray Nozzles and ElephantEarWash™System

Urinary Catheter Change Frequency

Upper Extremity Supportive Devices

Definitions

Best Practices for Environmental Cleaning for Prevention and Control of Infections in All Health Care Settings

• 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

Evidence Review and Recommendations for LTC: Appropriate Assessment and Treatment of UTI – October 2016

Post-exposure Prophylaxis for HIV, HBV and HCV

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 B: Information for Families/Visitors During an Outbreak
  • Appendix C: IPC Outbreak Management Evaluation Questionnaire

HAI LTC Surveillance – Quick Reference Guide

• Nursing/clinical staff: PAPER Line Lists for Data Collection
  • PAPER Respiratory Surveillance of HAIs Line List
    • Education resource
  • PAPER UTI, Wound & Skin, and Scabies Surveillance of HAIs Line List
    • Education resource
• LTC HAI Surveillance Case Definitions
  • Appendix A: CDC National HSN Master Organism List for a List of Common Commensals
• ICSA/IPC: Electronic Line List HAI Surveillance (outbreaks)
  • Respiratory Surveillance of HAIs Line List
  • UTI, Wound & Skin, and Scabies Surveillance of HAIs Line List
• Data base

Infection Prevention and Control (IP&C) Manuals – Policy #90.00.005

Routine Practices – Policy # 90.00.060

Sterilizer Quality Assurance Monitoring – Policy #90.00.050

Pandemic Influenza Plan (PIP) – WRHA

Pandemic Influenza Plan – Shared Health

Respiratory Season Checklist

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:

• 30 mg Daily
• 30 mg Every Other Day
• 75 mg Daily

Collection of Nasopharyngeal Specimens

• Watch video

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