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LeadingAge Ohio All Member Q & A Webinar - Shared screen with speaker view
Pamela Charlton
29:29
Is there an exception to patient/resident vaccine administration for hospital based skilled nursing facilities? Our LOS is 16 days and our hospital's recommendation is no vaccine for at least 14 days after any acute illness. All staff have had the opportunity to get vaccinated.
Keri Lease
32:44
all my nurses are trained
Kimberly Thorp-Sweitzer
32:57
Administrator, activities director, admissions director, diet tech, floor nurses
Kathryn Brod
33:14
Yes, Scott — unfortunately, we’re still waiting for more information. The FAQ that’s been promised is critical for self-insured organizations to submit. We keep asking!
Lauren Coyle
33:37
testing- director of therapy, director of dining, unit secretaries, MDS nurses
LeadingAge Ohio Webinar
34:33
We use a QR code to get to Google Forms that populates a spreadsheet where we use look up tables to populate the fields that ODH/CDC needs. -Pam Richmond (Otterbein SeniorLife)
Janine Stackhouse
37:08
24/7 monitored need to look at the low temperature
Jennifer Chitwood
37:18
We have a kiosk that automates the process and out of range responses are emailed and txt to the DON
Kathryn Brod
37:28
Rats … seems to be only to panelists :(
Lauren Coyle
37:32
24/7 we have someone manned at the entrance we allow employees in. During the day, we have a second entrance that is staffed monitoring all staff are following appropriately.
JANET JULIAN
39:15
Testing - LNHA, Marketing Assist, Education Dir., Risk Manager, Director of AL,
Lorelei Heineman
40:15
The new direction is to use N95 masks are to be only disinfected 4 times, rather than 5
Michael McKinniss
41:13
Our staff screens themself as they come into the facility. We have a kiosk they use for ansering screening questions and it takes their temperature. If a question is answered yes or if they have an invlaid body temeperature it alerts the Administrator's, Director of Nursing, and the Assitant Director's phone.
Shanna Hendren
41:21
No
Lorelei Heineman
41:31
No, still seeing a big shortage in size small N95 masks.
barbara barnette
41:43
We do not have enough N95 supplies
Keri Lease
41:50
we do have enough N95's, our health dept has helped our supply and they have ample supply.
Janine Stackhouse
42:00
no we would not have enough to don a new N95 each day
Elaine Roynon
42:09
do the N-95's need to be fit tested for daily use or can we use non fit tested ones
Karli McDonald
42:12
We are providing a new N95 daily
Kimberly Thorp-Sweitzer
42:20
We do not have enough N95s to give one to staff every day
JANET JULIAN
42:20
Where can we find the N95 guidance?
Patti Klingel
42:27
No, not enough N95 small. Rationing them and the majority of the staff wear small.
Traci Mills
42:31
our financials are taking a hit with the frequency of N95s we need to order. We do have enough currently but expensive!
barbara barnette
42:31
what about KN95??
Michael Kerr
42:33
We are doing the lunch bag and recording the use
Regina Prosser
42:36
Does wearing a face shield over the N95 protect the N95 from contamination? Or do we need to wear a surgical mask over the N95 under the face shield?
Karen Rowin
42:57
We do not have enough N95s to give staff a new one daily.
Melissa Weber
43:23
We do not have enough N95s for our staff to have a new one each day either.
Lisa Burkhart
43:30
Can we get these slides with the links?
Brenda Moosman
44:10
No, we do not have enough N95's to replace after 5 donnings and doffings. Our surveyors were telling us that if you take it off for lunch, a drink, ... these are included in the doffing count. We cannot replace a staff members mask 5-6x's a day for that type of doffing.
Karen Lowe
44:27
Yes, we will load the slides to our COVID hub on our website after the webinar this afternoon.
Rachele Rosa
44:48
can you poll if anyone is allowing indoor visits outside of the compassionate care visits
Stephanie Finkenthal
45:14
so you do fit testing even if not utilizing in an isolation area?
Keri Lease
45:34
does fit test need done for a "one size fits all" local health dept said we did not need to do.
Brenda Moosman
45:37
The N95s we receive are not the type that you can truly fit test. We do not receive small, med or lg. Our county OSHA said 'do the best you can' when I called.
Sondra Norton
45:56
Not enough supply of N95 with doffing 5x then discard and get new one. We have heavily relied on reprocessing, but the types of N95 that can be reprocessed is changing due to supply availability - causing us to burn through N95s quicker with ones that cannot be reprocessed.
Kathryn Brod
45:58
Rachel, I know that my mother’s facility has re-started indoor visitation (monitored, socially distanced, etc.)
Rachele Rosa
46:24
thank you so much
LeadingAge Ohio Webinar
47:11
Poll is ready whenever you want it.
Lauren Coyle
48:54
We do not do self swabbing
Lisa Burkhart
48:54
We have some self swabbing. As more do it others get more comfortable.
Alexandra Homan
48:56
We self-swab at Otterbein Perrysburg, it is much easier!
Rachele Rosa
48:57
we were able to get the lab themselves to come in and do the testing, requisitions reporting
Kim Leek
48:59
We have implemented self swabing
Patti Klingel
49:04
No self swabbing
Sondra Norton
49:05
Have not used self-swabbing yet
Keri Lease
49:10
the nurses do self swabbing as they were trained.
Ashley Mills
49:13
We are not doing self swabbing at this time
Sarah Barger
49:32
not self swabbing
Anita Bailey
49:57
We allow staff that have been trained to do self swabbing.
Traci Mills
50:02
we have been cited on face shield over N95 and not applying surgical mask
Tammy Mejia
50:04
Otterbein New Albany is self swabbing
Kimberly Thorp-Sweitzer
50:35
we allow staff that have been trained on how to swab to do self-swabbing.
Stephanie Finkenthal
51:04
Working on a procedure for once a month temporary visits....
Lorelei Heineman
53:10
agency - yes
Lauren Coyle
53:13
We are not using agency staff
Michael McKinniss
53:19
We are not self swabbing but we have trained many of our nurses to test
Sondra Norton
53:21
yes, using limited agency if needed
Lisa Burkhart
53:23
Not yet. having the discussions though.
Patti Klingel
53:26
Yes, using agency as needed
Rachele Rosa
53:31
no agency use here
JANET JULIAN
53:34
Yes, we use agency.
Melissa Weber
53:38
no agency use for us
cara schuster
53:40
not if we dont have too
Lisa Zimmers
53:44
No agency
Kim Leek
53:48
No agency used for us
Anita Bailey
53:49
Yes, using agency as needed.
Chris Widman
53:53
We do not us agency at Good Shepherd Home
Lisa Zimmers
53:57
No agency
Stacy Terrell
53:59
No agency through the pandemic...some very tight moments of course
Stacy Terrell
54:07
We do self-swab
Michael McKinniss
54:13
Yes, heavy agency usage when we had COVID in the building but since January 1 only used them for two days
Kimberly Thorp-Sweitzer
54:59
We are using some agency but not a lot.
Michael Kerr
55:58
We have used agency for a while. Having trouble with agency raising their prices by over 25%. Lost employees to agency due to a high hourly rate.
Brenda Moosman
56:05
We are using heavy agency. Its if very difficult because it is a price gouging war to get staff.
Regina Prosser
56:40
Is full PPE required when there is a new identified resident case, but the resident is not currently in the building?
Jennifer Taylor
56:52
The next LeadingAge Ohio Zoom Fellowship Meeting for Activity Professionals will beThursday, February 18 from 12:00 PM – 1:00 PM. Additional information is available on the LeadingAge Ohio website https://associationdatabase.com/aws/LAO/pt/show_detail/208927?layout_name=layout_details&model_name=calendar
Heidi Reed
59:34
Yes, have had conversation with Pharmacy, they don't have a plan for continuation as of yet
Jamie Haskell
59:35
How long should the "covid recovered" care plans stay active in their charts?
Patti Klingel
01:01:17
Our pharmacy partner says after the last clinic, we are on our own.
Kathryn Brod
01:02:30
The pharmacy partner is done after the 3rd clinic … but your ongoing long-term care pharmacy is the org with whom to have a discussion
Sarah Barger
01:02:36
If a staff member test positive, how long will they state they are positive on the daily screening once they return to work?
Kendra German
01:05:19
We are working with our local health department to vaccinate new residents (especially Long Term Care).
Jenny Nijak
01:05:36
our pharmacy has requested numbers and needs from us - they are requesting vaccines to hopefully have available for us in the future.
Wendy Brown
01:05:56
YEs, Ursel McElroy and Stephanie McCloud sent out a notification that stated they were working on a plan to expect something further this month, but I have seen nothing further.
Karen Lowe
01:06:39
Today's slides (with the links) will be added to the COVID hub on our website this afternoon.
Patti Klingel
01:07:02
That information was from our long-term care pharmacy partner.... They are telling us to schedule at local health departments, Krogers, Wallgreens, etc.
Kathryn Brod
01:07:24
Who is your long-term care pharmacy?
Michael McKinniss
01:07:35
We have residents who recieved their first vaccine during our our second vaccination clinic and were disharged. We have contacted them to return to administer their second vaccine. If you recieve a new admission from the hospital who has received a first vaccine. Who is responsible to assure they recieve their second vaccine we will have our third and last clinic this week.
Kathryn Brod
01:07:47
Not pharmacy partner — but long-term care pharmacy?
Patti Klingel
01:08:03
Yes.....
Alexandra Homan
01:08:22
We were told by walgreens that they could contact walgreens and they would help.
Mike Montgomery
01:09:32
1. We have a new admission who is due for their 2nd dose on 2/12 (21 days since the 1st). We are scheduled for the final vaccine clinic on 12/19 (29 days since this person’s 1st dosage). Will it be OK to give this person the 2nd shot after the 29 days (on the scheduled CVS vaccine clinic)?2. We also have a new admission who had the Moderna Vaccine. We have been getting the Pfizer Vaccine. Our upcoming 3rd and last clinic on 12/19, will be the Pfizer Vaccine. Since vaccines should not be mixed, how can we get this resident their 2nd dosage of the Moderna Vaccine? Is it our responsibility to3. After 2/19 (our last clinic), what will we do with all those admissions who had the 1st dosages and now that we have no more scheduled clinics, how will those residents get their 2nd dosage? What about new admissions or new staff that have not had any vaccinations when all scheduled vaccinations clinics is over?
Troy Snyder
01:10:23
Thanks Stephanie and the whole team!! Awesome job :)
Mike Montgomery
01:11:41
I understand that we should not mix them. What to know how we can help them get the right one?
cara schuster
01:11:43
what was the specific dialysis changes you referenced
Kathryn Brod
01:12:25
She mentioned moving your dialysis patient to an exit door so transportation’s access to the site is limited.
Rachele Rosa
01:14:48
for any community allowing visits, are they still in a red county?
Rachele Rosa
01:15:18
yes I am, thank you so much. I am sorry to bother
Kathryn Brod
01:15:40
NO BOTHER!!1
Michele Tarsitano-Amato
01:15:42
CMS says we can't due to being above 10% positivity rate.
Shanna Hendren
01:16:40
How often and how long should the comp care visit be?
Lorelei Heineman
01:16:54
thank you