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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
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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.
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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.
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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.
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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
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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
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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.
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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.
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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.
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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,
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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.
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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.
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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.
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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?
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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
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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
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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.
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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.
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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
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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.