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  1. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T1-Sample_Letter_of_Agreement_Phase_2.doc
    May 01, 2014 - 2 Sample Letter of Agreement Date Name Address of Laboratory RE: Developing an Antibiogram for [NURSING … antibiogram reports have been used in hospitals to address the issue of appropriate antibiotic use; nursing … The [NURSING HOME NAME] is planning to implement an antibiogram program as a quality-improvement initiative … report for [NURSING HOME NAME] based on the past 12 months of bacteriological laboratory results that … Sincerely, [Name] Executive Director [NURSING HOME NAME] [NURSING HOME ADDRESS] [NURSING HOME PHONE
  2. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Help Clinicians Choose the Right Antibiotic Toolkit … Contact the nursing home’s lab to inquire about creating an antibiogram Identify the correct contact … In rare circumstances, nursing homes may use more than one lab. … lab to do this or whether this could be done by staff at the nursing home. … Contact the nursing home’s lab to inquire about creating an antibiogram 2.
  3. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.docx
    October 01, 2016 - Contact the nursing home’s lab to inquire about creating an antibiogram Identify the correct contact … In rare circumstances, nursing homes may use more than one lab. … These discussions should cover the lab’s capacity to produce antibiograms that meet the nursing home’ … standing agreement or contract that the nursing home has with the laboratory and modify the contract … lab to do this or whether this could be done by staff at the nursing home.
  4. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather_a_Team-updated.pdf
    October 01, 2016 - Start an Antimicrobial Stewardship Program Nursing Home Antimicrobial Stewardship Guide Implement … home, such as charge nurses, the director of nursing, the assistant director of nursing, the medical … CDC’s Core Elements of Antibiotic Stewardship in Nursing Homes b. … An interest in playing a leadership role in the nursing home c. … Antibiotic use in nursing homes. 2014 Oct. Publication P-00886.
  5. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T3-Sample_Letter_of_Agreement_final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Help Clinicians Choose the Right Antibiotic Toolkit … [DATE] [NAME OF LABORATORY] [ADDRESS OF LABORATORY] RE: Preparing an Annual Antibiogram for [NURSING … HOME NAME] Dear [INSERT NAME]: The [NURSING HOME NAME] is planning to use an annual antibiogram … Sincerely, [Name] Executive Director [NURSING HOME NAME] [NURSING HOME ADDRESS] [NURSING HOME PHONE … No. 17-0006-6-EF October 2016 Nursing Home Antimicrobial Stewardship Guide Help Clinicians Choose
  6. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T3-Sample_Letter_of_Agreement_final.docx
    October 01, 2016 - Laboratory [DATE] [NAME OF LABORATORY] [ADDRESS OF LABORATORY] RE: Preparing an Annual Antibiogram for [NURSING … HOME NAME] Dear [INSERT NAME]: The [NURSING HOME NAME] is planning to use an annual antibiogram report … As the administrator of the [NURSING HOME NAME], I am writing to request that you generate an antibiogram … report for [NURSING HOME NAME] based on at least the past 12 months of bacteriological laboratory results … Sincerely, [Name] Executive Director [NURSING HOME NAME] [NURSING HOME ADDRESS] [NURSING HOME PHONE NUMBER
  7. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T6-Sample_Distribution_Plan_for_an_Antibiogram_final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Help Clinicians Choose the Right Antibiotic Toolkit … If clinicians visit the nursing home regularly, post a copy in a central location. … If the nursing home has a Web site, consider posting a copy there. 3. … Make sure the procedures fit into the workflow of the nursing home. … Make sure the procedures fit into the workflow of the nursing home. 4.
  8. www.ahrq.gov/hai/cusp/modules/nursing/alt-text.html
    April 01, 2013 - Nurse managers embody a nurse and executive roles Typically report to a superior in nursing: director … , chief nursing officer, or vice president of nursing Responsible for functions of the unit: … Represent and support their staff (staff) Mentor and coach nursing staff Listen to concerns … Recovering from medical errors: the critical care nursing safety net. … From Novice to Expert: Excellence and Power in Clinical Nursing Practice.
  9. www.ahrq.gov/hai/cusp/modules/nursing/sl-nursing.html
    December 01, 2012 - Typically report to a superior in nursing: director, chief nursing officer, or vice president of nursing … Nurse managers support nursing staff in preventing patient harm. … Represent and support their staff (staff): Mentor and coach nursing staff. … Recovering from medical errors: the critical care nursing safety net. … From Novice to Expert: Excellence and Power in Clinical Nursing Practice.
  10. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program Toolkit 1 … As needed, the antimicrobial stewardship program team should request the nursing home’s management or … A statement of the nursing home’s commitment to quality care 2. … Required documentation signed by nursing home management authorized to approve the intervention 7. … A description of how and when training for nursing staff and, if applicable, prescribing clinicians,
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
    March 01, 2004 - care processes or the delivery of nursing care. … that are affected by nursing practice. … Needleman et al. use the phrase “outcomes potentially sensitive to nursing” to recognize nursing contributions … care and the practice of nursing. … American Nursing Association.
  12. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T4-Quarterly_or_Monthly_Prescribing_Profile_Final.docx
    October 01, 2016 - Quarterly or Monthly Prescribing Profile [Date] From: [Nursing Home Name] Dear Dr./Mr./Ms. … quarterly / monthly] report is provided for your reference as we continue to monitor antibiotic use in our nursing … Between 25 percent and 75 percent of antibiotics are prescribed unnecessarily for nursing home residents … As a result, [nursing home name] has implemented an antimicrobial stewardship program. [1: Nicolle … Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev. 1996 Jan;9(1):1-17.
  13. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T4-Quarterly_or_Monthly_Prescribing_Profile_Final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program Toolkit 2 … Quarterly or Monthly Prescribing Profile [Date] From: [Nursing Home Name] Dear Dr./Mr./Ms. … Between 25 percent and 75 percent of antibiotics are prescribed unnecessarily for nursing home residents … As a result, [nursing home name] has implemented an antimicrobial stewardship program. … Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev. 1996 Jan;9(1):1-17.
  14. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T2-Prescribing_clinician_survey_Phase_1_final.pdf
    May 01, 2014 - Nursing Home Readiness and Resource Assessment Advancing Excellence in Health Care www.ahrq.gov … The use of antibiograms is common in the hospital setting but not in nursing homes. … How long have you been providing care for residents at this facility, [NURSING HOME NAME]? … What percentage of your week is spent caring for nursing home residents? … q Yes q No Have you used antibiograms in the nursing home setting?
  15. www.ahrq.gov/ncepcr/communities/pbrn/registry/index.html?page=0
    PBRN Network Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing … ACCESS Network Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing … ACCHS Network Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing … ACRN Network Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing … AANPNR Network Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing
  16. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
    October 01, 2016 - As needed, the antimicrobial stewardship program team should request the nursing home’s management or … following information and should be provided to staff prior to a new intervention: A statement of the nursing … Start an Antimicrobial Stewardship Program A description of how and when training for nursing staff … This program includes tools, policies, and procedures that aim to guide nursing home staff toward more … The purpose of this policy is optimize antibiotic use in nursing homes and reduce unnecessary use of
  17. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T6-Sample_Distribution_Plan_for_an_Antibiogram_final.docx
    October 01, 2016 - Distribution Planning for an Antibiogram A written plan for how the nursing home will distribute the … Nursing home prescribing clinicians: If a resident is suspected of having an infection, the nurse should … If clinicians visit the nursing home regularly, post a copy in a central location. … If the nursing home has a Web site, consider posting a copy there. 3. … Make sure the procedures fit into the workflow of the nursing home.
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
    October 01, 2014 - In most nursing centers, this involves completing an incident report. 3. … prevention across the nursing center. … Falls: Nursing Standard of Practice Protocol: Fall Prevention. … New York, NY: New York University College of Nursing, Hartford Institute for Geriatric Nursing; 2008. … Model quality improvement program for the management of falls in nursing homes.
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess2.html
    October 01, 2014 - Nursing assistant communication tasks. Licensed nurse communication tasks. … Return to Contents   Communication Action Steps for Nursing Assistants In the case of nursing assistants … Any communication among nursing assistants about the resident's changing condition. … assistants, licensed nurses can summarize communication between nursing assistants, keep nursing assistants … up-to-date on the nursing assessment of the situation, and respond to a nursing assistant's concerns
  20. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
    October 01, 2016 - Target Audience Nursing directors, nursing care team, registered nurses, licensed practical nurses … one of the most commonly prescribed medications in nursing homes … • UTIs are a leading cause of misuse of antibiotics in nursing homes. … FOR EXAMPLE, WILL NURSING ASSISTANTS REFER CONCERNS TO RN?] … case from the nursing home to review how to use the SBAR form.

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