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Fairview Hospital 29 Lewis Avenue Great Barrington, MA 01230 PowerPoint Presentation
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Fairview Hospital 29 Lewis Avenue Great Barrington, MA 01230

Fairview Hospital 29 Lewis Avenue Great Barrington, MA 01230

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Fairview Hospital 29 Lewis Avenue Great Barrington, MA 01230

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  1. Fairview Hospital29 Lewis AvenueGreat Barrington, MA 01230 Geraldine A. McQuoid RN, MA, MSN Director of Education and Infection Control Protocols for MRSA management in a 25-bed Federally designated Critical Access Hospital

  2. Collaboration with our local Long Term Care Facilities • Higher susceptibility & communicability of infections • Impact on Hospital census • Industry trends in the diagnosis & treatment of MRSA • Rapid MRSA PCR test • bilateral swab of the anterior nares • 24-hour turn around time • VIP Screen {EMR} • Point of admission, institute precautions • Bed availability • Private room

  3. LTC Testing of Residents / FVH Admission • Communication to residents & families • 153 patients tested by ICP for reliability • 33 patients tested positive for a total rate of 22% • Treatment options in LTC • Do not treat • Decolonization with Mupirocin • Institute precautions • Cohorting of patients • FVH Emergency Room protocol • MRSA PCR Swab on all residents not in our database • Onsite Education to LTC facility staff • Environmental recommendations • Extensive hand hygiene • Increased personal protective equipment • Ongoing communication

  4. On the Rise • Community Acquired and Hospital Acquired MRSA continue to rise • LTC positive patients were asymptomatic for infection • Colonization often precedes clinical infection with MRSA • Often times deadly to geriatric patients • Decisive Action • CMS recent regulations on reimbursement • Outside influences: CDC – SHEA – NIH Cost of Universal Testing of admissions vs loss of revenue for Hospital Acquired MRSA infection Who will be tested?