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healthcare-associated infections (hai) program

Resources for Ventilator-Equipped Skilled Nursing Facilities (vSNF) to Prevent Transmission of Multidrug-Resistant Organisms (MDROs)

This webpage is a resource guide for vSNFs or SNFs with subacute units. On this page you will find resources for training your staff in infection prevention and control (IPC) topics. Resources found on this page were specifically developed for the vSNF audience. Let’s work together to strengthen infection prevention practices and limit the spread of MDRO in our vSNF settings!

For additional support, contact HAIProgram@cdph.ca.gov. 

IPC Training Topics

	Hand Hygiene Use the following introductory material to train and educate staff on the core infection prevention practice of hand hygiene. Note the pre-/post-test questions and training slides also include personal protective equipment and environmental cleaning and disinfection content. Use individually or all three in one training. Pre-/Post-test questions with answer key Use the pre-/post-tests to evaluate staff knowledge before and after staff education. Available in English (PDF) and Spanish (PDF). Training slides in English (PDF) and Spanish (PDF) Flipchart: The flipchart provides hand hygiene content for on the go training. We recommend printing on ledger sized (11” x 17”) paper, double-sided. Available in English (PDF) and Spanish (PDF). Reminders in the Workplace: Print and post or use as teaching tools and reminders at key spots in your facility. 5 Moments for Hand Hygiene poster (PDF) How to Handrub poster (PDF) How to Handwash poster (PDF) Handwashing Video (Opens in YouTube)
	Environmental Cleaning and Disinfection Use the following introductory material to train and educate staff on the core infection prevention practice of environmental cleaning and disinfection. Note the pre-/post-test questions and training slides also include hand hygiene and personal protective equipment content. Use individually or all three in one training. Pre-/Post-test questions with answer key Use the pre-/post-tests to evaluate staff knowledge before and after staff education. Available in English (PDF) and Spanish (PDF). Training slides in English (PDF) and Spanish (PDF) Flipchart: The flipchart corresponds with the above training slides and is a resource for on the go training. We recommend printing on ledger sized (11” x 17”) paper, double-sided. Available in English (PDF) and Spanish (PDF). Reminders in the Workplace: Print and post or use as teaching tools and reminders at key spots in your facility. Clean to Dirty poster (PDF) C. auris Cleaning and Management Training Video (Opens in Vimeo)
	Personal Protective Equipment Use the following introductory material to train and educate staff on the core infection prevention practice of personal protective equipment. Note the pre-/post-test questions and training slides also include hand hygiene and environmental cleaning and disinfection content. Use individually or all three in one training. Pre-/Post-test questions with answer key Use the pre-/post-tests to evaluate staff knowledge before and after staff education. Available in English (PDF) and Spanish (PDF). Training slides in English (PDF) and Spanish (PDF) Flipchart: The flipchart corresponds with the above training slides and is a resource for on the go training. We recommend printing on ledger sized (11” x 17”) paper, double-sided. Available in English (PDF) and Spanish (PDF). Reminders in the Workplace (posters, flyers): Print and post or use as teaching tools and reminders at key spots in your facility. Sequence for Donning PPE (PDF) Sequence for Removing PPE (PDF)

Evaluation and Feedback (Adherence Monitoring)

Regular monitoring with feedback of results to staff can maintain or improve adherence to hand hygiene, environmental cleaning and education, and contact precautions practices. Use the following tools to identify gaps and opportunities for improvement.

Adherence Monitoring Tools: Use the adherence monitoring tools to track progress over time. Monitoring may be performed in any type of patient care location.

Hand hygiene (PDF)
Hand Hygiene for EVS Staff (PDF)
Environmental Cleaning and Disinfection (PDF)
Fluorescent Marker Assessment Tool (PDF): Use in conjunction with the Environmental Cleaning and Disinfection adherence monitoring tool.
Environmental Cleaning and Disinfection Responsibility Assessment Tool (PDF)
Who Cleans What Reminder Template (Word): Use in conjunction with Environmental Cleaning and Disinfection Responsibility Assessment Tool. Customize the template to correspond to your facility policy.
Contact Precautions (PDF)
Ventilator Associated Pneumonia (PDF)

Adherence Monitoring Feedback Tool and Instructions: Use the feedback tools to share adherence monitoring data with staff and leadership. Use in conjunction with the corresponding adherence monitoring tools above.

Hand Hygiene (Word)
Environmental Cleaning and Disinfection (Word)
Fluorescent Marker Assessment (Word)
Contact Precautions (Word)
Ventilator Associated Pneumonia (Word)

Learning Resources for vSNF Leadership and Educators

The following webinars were developed and shared as part of the vSNF Workgroup to Prevent MDRO. We list a suggested ‘start time’ for each recording to skip over vSNF Workgroup-specific items.

Infection Prevention Fundamentals – Part 1

The fundamentals course gives educators a comprehensive background on hand hygiene and environmental cleaning and disinfection.

Webinar Recording (Opens in YouTube, start at 5:36, 78 minutes, from 05/04/2022)
Slideset (PDF)

Infection Prevention Fundamentals – Part 2, Introduction to Multidrug-Resistant Organisms (MDROs)

The fundamentals course gives educators a comprehensive background on personal protective equipment. The second half of presentation includes an Introduction to MDROs.

Webinar Recording (Opens in YouTube, start at 2:26, 80 minutes, from 05/11/2022)
Slideset (PDF)

Environmental Cleaning and Disinfection Strategies – Part 1: The Role of EVS Managers in Infection Prevention

Webinar Recording (Opens in YouTube, start at 3:04, 26 minutes, from 02/08/2023)
Slideset (PDF)

Environmental Cleaning and Disinfection Strategies – Part 2: Training and Evaluating EVS Staff

Webinar Recording (Opens in YouTube, start at 03:11, 78 minutes, from 03/08/2023)
Slideset (PDF)

Creating a Risk Assessment or Infection Control Plan

Webinar Recording (Opens in YouTube, start at 15:31, 51 minutes, from 06/15/2022)
Slideset (PDF)

MDRO Case Studies in vSNF During the COVID-19 Pandemic

Webinar Recording (Opens in YouTube, start at 18:34, 45 minutes, from 07/13/2022)
Slideset (PDF)

Enhanced Standard Precautions

Webinar Recording (Opens in YouTube, start at 3:55, 56 minutes, from 05/18/2022)
Slideset (PDF)

Interfacility Transfer Communication

Webinar Recording (Opens in YouTube, start at 7:04, 34 minutes, from 11/09/2022)
Slideset (PDF)

Preventing Respiratory Infections in Ventilated Residents

Webinar Recording (Opens in YouTube, start at 3:25, 59 minutes, from 08/10/2022)
Slideset (PDF)

Infection Surveillance

Webinar Recording (Opens in YouTube, start at 1:42, 74 minutes, from 09/14/2022)
Slideset (PDF)

Sustaining IPC Practices

Webinar Recording (Opens in YouTube, start at 8:03, 25 minutes, from 10/11/2023)
Slides (PDF)

Antimicrobial Prescribing and Transitions of Care Communication

Webinar Recording (Opens in YouTube, start at 1:57, 84 minutes, from 06/14/2023)
Slideset (PDF)

Additional Resources

The CDPH HAI Program has a number of additional resources that may be adapted for your IPC training needs.

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healthcare-associated infections (hai) program

Resources for Ventilator-Equipped Skilled Nursing Facilities (vSNF) to Prevent Transmission of Multidrug-Resistant Organisms (MDROs)​

​​IPC Training Topics ​

Evaluation and Feedback (Adherence Monitoring)

Learning Resources for vSNF Leadership and Educators​

Resources for Ventilator-Equipped Skilled Nursing Facilities (vSNF) to Prevent Transmission of Multidrug-Resistant Organisms (MDROs)

IPC Training Topics

Learning Resources for vSNF Leadership and Educators