Course 14: Antibiotic Stewardship

Welcome to Antibiotic Stewardship.

In this course, participants will review why antibiotic use in nursing homes matters and what antibiotic stewardship is. We will also review and discuss  the key activities that need to be performed in order to establish a functional Antibiotic Stewardship Program that meets existing Centers for Medicare and Medicaid Services regulations. Finally, we will discuss more advanced stewardship practices that nursing homes with more established Antibiotic Stewardship Programs should consider implementing as well as resources that facilities can use to help improve the quality of antibiotic prescribing.

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 14 - Antibiotic Stewardship in Nursing Homes
  • Module 15 - Infection Prevention and Antibiotic Stewardship Considerations During Care Transitions

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:

  1. 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
  2. Perform a variety of infection-related risk assessments, interpret risk assessment results and develop a plan to respond to identified risks
  3. 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
  4. Employ approaches for controlling the spread of pathogens in outbreak and non-outbreak situations

COURSE 14 LEARNING OBJECTIVES

As a result of participation in this course members of the healthcare team will be able to:

  1. Describe why improving antibiotic prescribing in nursing homes is important.
  2. Describe what is meant by “Antibiotic Stewardship”.
  3. Start implementing key components of a nursing home Antibiotic Stewardship Program (ASP).
  4. Explain two advanced Antibiotic Stewardship practices.
  5. Access existing resources to support implementation of nursing home antibiotic prescribing improvement interventions.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC Contact Hours
  • 1.00 University of Wisconsin–Madison Continuing Education Hours
    • 1.00 Approved for AMA PRA Category 1 Credit™
Registration opens: 
10/01/2022
Course expires: 
09/07/2025
Cost:
$0.00
Part of: 
Training the Next Generation of Wisconsin Nursing Home Infection Preventionists
Rating: 
0

CONTENT DEVELOPER

Chris Crnich

Christopher Crnich, MD, PhD

Dr. Chris Crnich is a faculty member in the Division of Infectious Disease within the Department of Medicine at the University of Wisconsin School of Medicine and Public Health. He is also the chief of medicine and the hospital epidemiologist at the William S. Middleton Memorial Veterans Hospital, and the assistant director of infection control at UW Hospital and Clinics. He chairs the Society for Healthcare Epidemiology of America’s Long-Term Care Special Interest group, and its Nursing Home Antibiotic Stewardship Toolkit Development Taskforce (carried out in partnership with the American Medical Directors Association). Dr. Crnich's research interests include healthcare-associated infections among vulnerable elderly patients, with specific focuses on improving antibiotic use in skilled nursing facilities and developing and implementing effective interventions to reduce the cross-transmission of antibiotic-resistant bacteria between nursing home residents.

CONTENT REVIEWER

Victoria Griffin, BSN, RN, IP, SMQ, ESRD

PLANNING COMMITTEE

Christopher J. Crnich, MD, PhD, Course DirectorDeb Burdsall, PhD, RN-BC, IP, CIC, FAPICDiane Dohm, BS, MT, IP, CIC, CPHQ
Ashlie DowdellAnna Eslinger, RN, WCC, IPTola Ewers, MS, PhD, Coordinator
Victoria Griffin, BSN, RN, IP, SMQ, ESRDLinda McKinley, RN, BSN, MPH, CIC, FAPICMarilyn 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.

Disclosure link: 
Disclosures: Planning Committee, Author, Speaker, and Content Reviewers
Discloser List CME Internal Report

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 1.00 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 1.00 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 .10 continuing education units (CEUs) or 1.00 hours. 

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC Contact Hours
  • 1.00 University of Wisconsin–Madison Continuing Education Hours
    • 1.00 Approved for AMA PRA Category 1 Credit™

Cost:
$0.00
Please login or register to take this course.

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.