Full Course Description
Fall Prevention Challenges: Real Solutions to Reduce Falls, Prevent Injuries and Limit Liability
How to Prevent Falls Before They Occur
- Who is likely to fall?
- Which risk factors can we modify?
- Precipitating causes - what to watch for
- Institutional barriers - avoiding 1:1s
- Important implications of co-morbidities
- The benefits of vitamin D
Fall Risk Assessment
- Current guidelines
- Who should we screen?
- Multi-factorial causes of falls
- Recommended fall risk assessments
Fall Prevention Strategies
- What works and what does not
- Addressing alarm fatigue
- Avoiding 1:1s
- Effective evidence-based interventions
- Education & assistive devices
Putting Together a Successful Fall Prevention Program
- Patient-specific interventions
- Developing a multidisciplinary program: Roles & responsibilities
- Fall rounds
- Physical exam
- Evaluation tools (POMA tool, Get up and go test, Functional reach test, Berg balance test, Short physical performance battery)
- Diagnostic tests
- Review of Gait Disorders (video)
What to do When a Patient Falls: Hands-On Evaluation
- Assess need for immediate medical care
- Evaluate for acute illness/preceding factors
- Communication with caregivers
- Common injuries
- Goals of care
- Frequent fallers - when injury prevention is your goal!
- Anticoagulation risks
- Prolonged time on floor
- What to do when fractures occur
- Head trauma management
Preventing Risk and Limiting Liability
- Home safety evaluations
- Communication and documentation
- Quality improvement opportunities
- High-risk scenarios: Case studies
- Addressing family concerns with falls
- Managing poor outcomes
Fall Prevention Plan Development
- Apply what we have learned
- Solutions for your biggest challenges!
- Evaluate precipitating causes for falls so that preventative measures can be in place.
- Formulate a comprehensive evaluation for high fall risk patients.
- Analyze medications that are known to contribute in various ways to fall risks.
- Assess the risk for adverse patient outcome and need for urgent intervention.
- Determine the tools necessary for a multidisciplinary fall prevention program.
- Select patient-specific fall prevention interventions for a successful fall prevention plan.
- Evaluate the impact of common gait disorders on fall risk.
Infection Control Challenges: Real Risks for Patients and Staff
A summary of current recommendations from the CDC, SHEA, IDSA, APIC and the Joint Commission
Health-Care Associated Infections: Strategies to Control-Reduce-Eliminate
National Healthcare Safety Network
- New requirements from CMS
- Health-care Associated Infections what to report to the CDC
Compendium Strategies: Critical Updates
- Catheter-Associated Urinary Tract Infections
- Surgical Site Infections
- Ventilator Associated Pneumonias
- Central-Line Associated Bloodstream Infections
- Influenza Outbreaks in Healthcare
CDC, APIC, SHEA, IDSA Guidelines to Control Multi-Drug Resistant Organisms
- CRE: Carbapenem-Resistant Enterobacteriaceae
- The Nightmare Bug
- “Very” Resistant-Dangerous Klebisella and E. Coli
- Death rate of 50-60%
- C Diff: Clostridium Difficule
- New Treatments-cure 90%
- MRSA: Methicillin-Resistant Staphlococcus Aureus
- Community or Healthcare Associated
- Decolonization of MRSA
- VRE: Vancomycin Resistant Enterococcus
- Daptomycin Resistant Enterococcus
- ESBL: Extended Spectrum Beta-Lactamase Organisms
- Resistant Klebisella and E. Coli
EBOLA: What’s New, What’s True & What’s Next
- Probable Reservoir & Epizootic Cycle
- Non-Human Primates
- Prior Outbreaks of Ebola in Africa
- Sudan (1976 & 1979 & 2005)
- Kikwit, Congo (1995)
- Gabon (1994-1996)
- Uganda (2000-2001 & 2007-2008)
- DRC (2007)
- Symptoms of Ebola
- Abdominal Pain
- Unexplained Hemorrhage
- Transmission of Ebola
- Bodily Fluids
- Cultural Rituals
- Possible Treatments for Ebola
- Mono-clonal Antibodies
- Appropriate Infection Control Protocols
- During Aerosol-Generating Procedures
- Hand-washing and Disinfectants
- Appropriate laboratory tests
- Protocol for Testing for Ebola
- Appropriate Risks
- CDC (Centers for Disease Control)
Emerging Infectious Diseases: Exotic to the Common
- Meningococcal Disease
- Bacterial, Fungal & Viral Meningitis
- New Vaccines for Serogroup B
- Could be a disease of the past
- Dengue Fever and Chikungunya
- Tickborne Diseases
- Rocky Mountain Spotted Fever
Managing Foodborne Illnesses
- E. Coli O157-H7
Vaccine Preventable Diseases are Back!
- Pertussis (Whooping cough)
- Controlling Outbreaks
- Current Vaccine
- Infection Control Protocols
- Seasonal vs Pandemics (H1N1)
- New Vaccine for Adults
- New Protocols
- PPSV-23 & PCV-13
Updates & New Protocols for Bloodborne Pathogens
- Hepatitis B:
- Protocols for Immunizations
- Healthcare Personnel
- Approved Treatments for Chronic Hepatitis B
- Outbreaks of Hepatitis B and C in Healthcare
- Hepatitis C:
- Risk Groups and Factors
- New Treatment
- One pill for 12 weeks
- 95-100% Cure Rate
- “Now a Confirmed Cured Patient”
- The Science Behind the Cure
- New Treatment: One Pill a Day
- Prophylaxis for High Risk Groups
- The Strategy to Eradicate HIV-AIDS
- Blood Test vs Skin Testing
- IGRA (Interferon Gamma Release Assays)
- New Treatment Protocols
- New Prophylaxis Regimen
- Three Months vs Nine Months
- Infection Control Protocols for TB
- Summarize the key components of an effective Infection control program.
- Interpret the Centers for Disease Control (CDC), Association of Preventionist in Infection Control (APIC), Society of Hospital Epidemiologist (SHEA) and the Infectious Disease Society Association (IDSA) guidelines to control-prevent Health-care Associated Infections such as Influenza, Norovirus, Ventilator-Associated Pneumonia, Catheter Associated Blood-stream infections, catheter associated urinary tract infections and Surgical site infections.
- Identify typical symptoms of Ebola.
- Explain transmission routes and the potential treatments for Ebola.
- Examine appropriate surveillance protocols to detect Health-care associated infections.
- Describe the extent and control of drug resistant microorganisms such as MRSA, VRE, ESBL, CRE, and C. difficule.
- Specify the latest vaccine available for healthcare personnel, children-adolescents, and adults.
- Summarize recent standards by OSHA regarding post exposure prophylaxis and the use of rapid HIV testing methodologies.
- Discuss appropriate management-control of Influenza for patients, and healthcare facilities.
- Differentiate between seasonal and pandemic influenza.
- Discuss and classify the treatment and symptoms of food-borne illness.
- Discuss to treatment protocols of bloodborne pathogens.