LeadingAge Ohio All Member Q & A Webinar - Shared screen with speaker view
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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.
all my nurses are trained
Administrator, activities director, admissions director, diet tech, floor nurses
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!
testing- director of therapy, director of dining, unit secretaries, MDS nurses
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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)
24/7 monitored need to look at the low temperature
We have a kiosk that automates the process and out of range responses are emailed and txt to the DON
Rats … seems to be only to panelists :(
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.
Testing - LNHA, Marketing Assist, Education Dir., Risk Manager, Director of AL,
The new direction is to use N95 masks are to be only disinfected 4 times, rather than 5
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.
No, still seeing a big shortage in size small N95 masks.
We do not have enough N95 supplies
we do have enough N95's, our health dept has helped our supply and they have ample supply.
no we would not have enough to don a new N95 each day
do the N-95's need to be fit tested for daily use or can we use non fit tested ones
We are providing a new N95 daily
We do not have enough N95s to give one to staff every day
Where can we find the N95 guidance?
No, not enough N95 small. Rationing them and the majority of the staff wear small.
our financials are taking a hit with the frequency of N95s we need to order. We do have enough currently but expensive!
what about KN95??
We are doing the lunch bag and recording the use
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?
We do not have enough N95s to give staff a new one daily.
We do not have enough N95s for our staff to have a new one each day either.
Can we get these slides with the links?
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.
Yes, we will load the slides to our COVID hub on our website after the webinar this afternoon.
can you poll if anyone is allowing indoor visits outside of the compassionate care visits
so you do fit testing even if not utilizing in an isolation area?
does fit test need done for a "one size fits all" local health dept said we did not need to do.
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.
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.
Rachel, I know that my mother’s facility has re-started indoor visitation (monitored, socially distanced, etc.)
thank you so much
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Poll is ready whenever you want it.
We do not do self swabbing
We have some self swabbing. As more do it others get more comfortable.
We self-swab at Otterbein Perrysburg, it is much easier!
we were able to get the lab themselves to come in and do the testing, requisitions reporting
We have implemented self swabing
No self swabbing
Have not used self-swabbing yet
the nurses do self swabbing as they were trained.
We are not doing self swabbing at this time
not self swabbing
We allow staff that have been trained to do self swabbing.
we have been cited on face shield over N95 and not applying surgical mask
Otterbein New Albany is self swabbing
we allow staff that have been trained on how to swab to do self-swabbing.
Working on a procedure for once a month temporary visits....
agency - yes
We are not using agency staff
We are not self swabbing but we have trained many of our nurses to test
yes, using limited agency if needed
Not yet. having the discussions though.
Yes, using agency as needed
no agency use here
Yes, we use agency.
no agency use for us
not if we dont have too
No agency used for us
Yes, using agency as needed.
We do not us agency at Good Shepherd Home
No agency through the pandemic...some very tight moments of course
We do self-swab
Yes, heavy agency usage when we had COVID in the building but since January 1 only used them for two days
We are using some agency but not a lot.
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.
We are using heavy agency. Its if very difficult because it is a price gouging war to get staff.
Is full PPE required when there is a new identified resident case, but the resident is not currently in the building?
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
Yes, have had conversation with Pharmacy, they don't have a plan for continuation as of yet
How long should the "covid recovered" care plans stay active in their charts?
Our pharmacy partner says after the last clinic, we are on our own.
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
If a staff member test positive, how long will they state they are positive on the daily screening once they return to work?
We are working with our local health department to vaccinate new residents (especially Long Term Care).
our pharmacy has requested numbers and needs from us - they are requesting vaccines to hopefully have available for us in the future.
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.
Today's slides (with the links) will be added to the COVID hub on our website this afternoon.
That information was from our long-term care pharmacy partner.... They are telling us to schedule at local health departments, Krogers, Wallgreens, etc.
Who is your long-term care pharmacy?
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.
Not pharmacy partner — but long-term care pharmacy?
We were told by walgreens that they could contact walgreens and they would help.
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?
Thanks Stephanie and the whole team!! Awesome job :)
I understand that we should not mix them. What to know how we can help them get the right one?
what was the specific dialysis changes you referenced
She mentioned moving your dialysis patient to an exit door so transportation’s access to the site is limited.
for any community allowing visits, are they still in a red county?
yes I am, thank you so much. I am sorry to bother
CMS says we can't due to being above 10% positivity rate.
How often and how long should the comp care visit be?