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October 2017 Excerpt

Office Hour call this Wednesday!
Busy month of Collaborative events
Be sure to register for these sessions if you haven’t already!
Office Hours
The Office Hours provide an informal means to ask questions of experts and your peers.
This week!  Wednesday, October 11
10:00 - 11:00am PT
11:00am - 12:00pm MT
October 17
11:00am - 12:00pm PT
12:00 - 1:00pm MT
November 1
10:00 - 11:00am PT
11:00am - 12:00pm MT
In-person Learning Sessions
These brief, interactive workshops will help you complete your antibiotic stewardship planning in time for the November 28th deadline.
Please bring your completed Core Elements of Antibiotic Stewardship in Nursing Homes Checklist, your in-progress antibiotic stewardship plan, and any other resources you would like to share.
Pocatello: October 24
1:00pm - 4:00pm MT
Seattle: October 26
10:00am - 1:00pm PT
Spokane: October 27
10:00am - 1:00pm PT
11:00am - 2:00pm MT
Tip: You can always find details about upcoming Collaborative events on our website!
Clostridium difficile
Should we be testing for cure?
Occasionally, nursing homes will require one or more negative stool tests for C. diff infection (CDI) prior to admitting a patient to the facility.
The Washington Department of Health does not recommend this practice, called “testing for cure,” for the following reasons:
  • Patients who have recovered from CDI will often remain colonized for a prolonged period.
  • Infectivity is driven by the presence of symptoms which include watery diarrhea, abdominal pain/tenderness, fever, nausea, loss of appetite.
  • Contamination of a resident’s skin and environment is greatest when a resident has diarrhea from CDI but has not started on appropriate treatment.
  • Initiating therapy for CDI colonization can prevent the reestablishment of normal bacterial flora in the intestines.
Do colonized residents have to be placed on contact precautions?
C. diff-infected residents may continue to shed the organism for a number of days following cessation of diarrhea. Institutions routinely continue contact precautions until the following conditions have been met:
  • The patient/resident has completed a course of treatment.
  • A minimum of 48 hours have elapsed following resolution of diarrhea.
  • Patient environment has been terminally cleaned.
See more best practices related to C. diff.
CMS Requirements of Participation
Will your QAPI plan be ready by November 28?
All nursing homes are required to provide surveyors access to their annual QAPI self-assessment and written QAPI plan starting November 28.
In addition, we are asking NHQCC participants to share results of your annual QAPI self-assessment with Qualis Health so that we can better tailor our Collaborative consulting to meet your needs.
Check out the QAPI tips and tools we have compiled.