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ForwardCourse 13: Managing the Environment of Care
Welcome to Managing the Environment of Care.
This module discusses two categories of environmental hazards in nursing homes: surfaces and water. It provides guidance on maintaining the environment and managing water. To assist with creating a safe environment, risk mitigation measures are provided.
Training the Next Generation of Wisconsin Nursing Home Infection Preventionists complements the Centers for Disease Control and Prevention's (CDC) foundational training to enhance the Infection Preventionist's (IP) knowledge, competence, and confidence. This course builds on the following CDC's Modules:
- Module 10D - Point-of-Care Blood Testing
- Module 11A - Reprocessing Reusable Resident Care Equipment
- Module 11B - Environmental Cleaning and Disinfection
- Module 11C - Water Management Program
- Module 11D – Linen Management.
Infection has been a long-standing problem in Wisconsin nursing homes and nationally. The U.S. Department of Health and Human Services requires each nursing home to have one or more IP with specialized training in infection prevention and control (IPC).
The CDC developed the Nursing Home Infection Preventionist Training Course in 2019 for IPs to develop and implement IPC programs. In 2020 the American Nurses Association and the CDC partnered to provide Project Firstline, a free online series and tools for IPC programs. Even with these resources, there continues to be a desperate need for IP training. The COVID-19 pandemic has generated an even larger spotlight for addressing this need.
PREREQUISITE
We expect learners to complete the CDC's Nursing Home Infection Preventionist Training Course before beginning this course.
If you have not completed the CDC's training, please stop this course now and complete it before beginning.
TARGET AUDIENCE
This continuing education activity is intended for physicians, nurse practitioners, registered nurses, and other healthcare professionals serving as Infection Preventionists (IPs) in nursing home settings.
GLOBAL LEARNING OBJECTIVES
As a result of participation in this course members of the healthcare team will be able to:
- Utilize an interdisciplinary approach in the development of a nursing home Infection Prevention and Control Program which includes accessing external resources such as those provided by local, state and national public health systems
- Perform a variety of infection-related risk assessments, interpret risk assessment results and develop a plan to respond to identified risks
- Develop an infection tracking system, interpret and report data generated from this surveillance system, and use the results to demonstrate achievement of identified goals or strategize for improving outcomes
- Employ approaches for controlling the spread of pathogens in outbreak and non-outbreak situations
COURSE 13 LEARNING OBJECTIVES
As a result of participation in this course members of the healthcare team will be able to:
- Identify the Hierarchy of Controls in preventing transmission of pathogens in your nursing home’s environment
- Develop a comprehensive approach to cleaning and disinfection
- List the steps involved in designing a nursing home-specific Water Management Plan
CONTENT DEVELOPER
 | Mary Alice Lavin, RN, MJ, CIC, FAPICMary Alice Lavin graduated from Marquette University with a Bachelor of Science in Nursing and Loyola University Chicago School of Law with a Master of Jurisprudence in Health Law. With 35 years of experience in infection prevention and control, she has worked in a variety of settings and worked as a consultant including performing nursing home infection prevention and control assessments. A member of the Association for Professionals in Infection Control and Epidemiology (APIC) since 1983, Mary Alice has been Certified in Infection Control since 1984, and became a Fellow of the Association for Professionals in Infection Control and Epidemiology in 2016. She has served as the Nominating Chair, Chapter Legislative Representative, and President of the Chicago Chapter of APIC. Mary Alice served on the APIC National Public Policy Committee from March 2013 until December 2019. She is a current member of the Regulatory Review Panel. She has presented on topics including infection control aspects of construction/renovation, ambulatory care, long term care, methicillin resistant Staphylococcus aureus, carbapenem resistant Enterobacteriaceae, Candida auris, influenza, and regulatory issues. Mary Alice has worked collaboratively for 17 years with the local and state health departments in the prevention and control of communicable diseases in healthcare organizations. |
CONTENT REVIEWER
Amanda Westlake, MSN, RN
PLANNING COMMITTEE
| Christopher J. Crnich, MD, PhD, Course Director | Deb Burdsall, PhD, RN-BC, IP, CIC, FAPIC | Diane Dohm, BS, MT, IP, CIC, CPHQ |
| Ashlie Dowdell | Anna Eslinger, RN, WCC, IP | Tola Ewers, MS, PhD, Coordinator |
| Victoria Griffin, BSN, RN, IP, SMQ, ESRD | Linda McKinley, RN, BSN, MPH, CIC, FAPIC | Marilyn Michels, RN, MSN, CRRN, CIC, FAPIC |
POLICY ON DISCLOSURE
It is the policy of the University of Wisconsin–Madison Interprofessional Continuing Education Partnership (ICEP) to identify, mitigate and disclose all relevant financial relationships with ineligible companies* held by the speakers/presenters, authors, planners, and other persons who may influence content of this accredited continuing education (CE). In addition, speakers, presenters and authors must disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation.
For this accredited continuing education activity all relevant financial relationships have been mitigated and detailed disclosures are listed below.
*Ineligible companies are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on, patients.
The ACCME does not consider providers of clinical services directly to patients to be ineligible companies.
The University of Wisconsin provides equal opportunities in employment and programming, including Title IX requirements. The University of Wisconsin fully complies with the legal requirements of the ADA and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please contact info@icep.wisc.edu.
Accreditation Statement
 | In support of improving patient care, the University of Wisconsin–Madison Interprofessional Continuing Education Partnership (ICEP) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team. |
Credit Designation Statements
American Medical Association (AMA)
The University of Wisconsin–Madison ICEP designates this internet enduring material for a maximum of 2.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Nurses Credentialing Center (ANCC)
The University of Wisconsin–Madison ICEP designates this internet enduring material for a maximum of 2.00 ANCC contact hours.
Continuing Education Units
The University of Wisconsin–Madison ICEP, as a member of the University Professional & Continuing Education Association (UPCEA), authorizes this program for .20 continuing education units (CEUs) or 2.00 hours.
Available Credit
- 2.00 AMA PRA Category 1 Credit™
- 2.00 ANCC Contact Hours
- 2.00 University of Wisconsin–Madison Continuing Education Hours
- 2.00 Approved for AMA PRA Category 1 Credit™
Accessibility
The University of Wisconsin provides equal opportunities in employment and programming, including Title IX requirements. The University of Wisconsin fully complies with the legal requirements of the ADA and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please notify us at help@icep.wisc.edu.
Registration for this activity can only be completed through the ICEP Learning Portal. Attendee registrations made through any other sites cannot be honored. UW-Madison ICEP is not able to refund fees paid through unaffiliated registration sites, such as eMedEvents.com, MedConfWorld.com, EventEgg.com, and 10times.com. Please report any unauthorized websites or solicitations for registrations to info@icep.wisc.edu.
Required Hardware/software
Free, current version of Chrome (preferred), Firefox, Safari, Edge and Adobe Acrobat Reader or other .pdf reader. Some older browsers and Internet Explorer could produce error messages or not display the content correctly.