Yale New Haven Health System Center for Healthcare Solutions

Table of Contents Yale New Haven Health System Center for Healthcare Solutions 2012 Winter/Spring Course Guide TOPICS center@ynhh.org www.ynhhs.org/chs Pages www.ynhhs.org/chs Page 0 Solutions for Healthcare by Healthcare

Table of Contents Yale New Haven Health System Center for Healthcare Solutions Courses Patient Safety... 4 Infectious Diseases... 8 Bioterrorism... 10 Protection of the Healthcare Workforce/Personal Protective Equipment... 12 About YNHHS-CHS For additional information, please contact us at one of the offices below. center@ynhh.org www.ynhhs.org/chs Headquarters and Eastern Region Office 1 Church Street, 5th Floor New Haven, CT 06510 Tel. 203.688.5000 Fax 203.688.4618 National Capital Region Office 1101 Pennsylvania Ave., NW 6th Floor Washington, DC 20004 Tel. 703.791.2362 Fax 703.852.3520 Central Region Office Trinity Mills Road, #701161 Dallas, TX 75370-1161 Tel. 469.243.1403 Fax 214.872.8805 Western Region Office 4562 School Street Yorba Linda, CA 92886 Tel. 714.321.0433 Fax 203.688.4618 www.ynhhs.org/chs Page 1

YNHHS-CHS meets requirements as described in the Patient Protection and Affordable Care Act. YNHHS-CHS offers the following programs and services: Education and Training YNHHS-CHS has provided training to personnel in a variety of healthcare organizations including hospitals, urgent care centers, skilled nursing facilities, community health centers and public health agencies, and emergency medical services as well as personnel in private industries. YNHHS-CHS courses allow organizations to comply with standards and regulations set by The Joint Commission, the Occupational Safety and Health Administration (OSHA), the Centers for Medicare and Medicaid Services (CMS), the Office of the Assistant Secretary for Preparedness and Response (ASPR) for the Department of Health and Human Services (HHS) and the Department of Homeland Security (DHS). Background Check Program This program assists state agencies and others in developing integrated background check systems that can improve efficiencies and reduce abuse, neglect and exploitation in long-term care and in-home settings. Infection Control Manual - This web-based manual meets federal and accrediting agency guidelines and is adaptable to your organization s unique needs and local and state regulatory environments. Assessments YNHHS-CHS assessments can assist your organization to identify opportunities to enhance patient safety readiness for state and accrediting surveys. YNHHS-CHS courses are: Competency-based Time-efficient Cost-effective Healthcare-focused Delivered via multiple modalities, including the YNHHS-CHS Learning Management System Scalable and customizable for regional variations Supportive of ongoing compliance with standard-setting organizations and regulatory agencies such as The Joint Commission, OSHA, CMS and the National Incident Management System (NIMS) www.ynhhs.org/chs Page 2

Continuing Medical Education Credits (CMEs) The YNHHS-CHS Learning Management System offers Continuing Medical Education credits (CMEs). According to the Accreditation Council for Continuing Medical Education (a national organization that sets the standards for the accreditation of all providers of Continuing Medical Education), CME is defined as educational activities that serve to maintain, develop, or increase the knowledge, skills, and professional performance and relationships that a physician uses to provide services for patients, the public, or the profession. CMEs can be converted to Continuing Education Units (CEUs) if the program meets the licensing board s regulations (244 CMR 5.04 (2)(b)) or if the content contributes directly to the professional competence of the licensed nurse. There is no automatic conversion of CME credits to nursing contact hours, nor does the licensing board possess a formula for converting CMEs to CEUs. However, general guidelines state that every 50 minutes of continuous learning in a CME program is equal to approximately one contact hour of continuing education for nursing license renewal. The Center for Continuing Medical Education, through Yale University School of Medicine, is an approved Accreditation Council for Continuing Medical Education provider of CME credits. YNHHS-CHS is registered through this provider to provide CME credits for all of its online courses. For additional information about CMEs from YNHHS-CHS, please contact us at (203) 688-3224 or center@ynnh.org. www.ynhhs.org/chs Page 3

PATIENT SAFETY TRAINING Patient safety courses provide training for individuals who directly or indirectly care for patients about ways to prevent or minimize situations that increase the risk of infections associated with patient care. Prevention of Healthcare Associated Infections (PS 101) Non-clinical healthcare workers (environmental services, dietary, transportation) Introductory level PS 101 information topics include: Definition of healthcare-associated infections (HAIs) and an explanation of how they are spread Discussion of the significance of multidrugresistant organisms (MDROs) Instructions on how to perform proper hand hygiene to reduce the risk of contamination and the spread of organisms Information on how to prevent the spread of HAIs Assists individuals and organizations in meeting the Joint Commission National Patient Safety Goal 07.03.01 training requirement for healthcare workers in the area of HAIs, including MDROs Aligns with recommendations of the Centers for Disease Control and Prevention (CDC), the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA) and the Association of Professionals in Infection Control and Epidemiology (APIC) AMA PRA Category 1 CME credit (online) www.ynhhs.org/chs Page 4

Preventing the Transmission of Multidrug-Resistant Organisms (PS 201) Clinical (physicians, nurses, patient care assistants, clinical laboratory professionals, midlevel practitioners and radiology technicians) Intermediate level PS 201 information topics include: Definition of healthcare-associated infections (HAIs) and an assessment of their impact in the healthcare setting Discussion of the significance of multidrugresistant organisms (MDROs) and their failure to respond to treatment Identification of evidence-based practices used to prevent MDROs in acute care facilities Fostering an enhanced atmosphere of patient safety to encourage the elimination of preventable MDROs Performing proper hand hygiene to reduce the risk of contamination and the spread of organisms Encouraging patients active involvement in their own care as a patient safety strategy The Joint Commission National Patient Safety Goal 07.03.01 training requirement for healthcare workers in the area of HAIs, including MDROs Aligned with recommendations/requirements of the CDC, the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA) and the Association of Professionals in Infection Control and Epidemiology (APIC) AMA PRA Category 1 CME credit (online) www.ynhhs.org/chs Page 5

Preventing Surgical Site Infections (PS 203) Clinicians specializing in surgical procedures (surgeons, anesthesiologists, operating room nurses, recovery room nurses) and allied health professionals (surgical technicians) Intermediate level PS 203 information topics include: Definition of a surgical site infection (SSI) and identification of the associated risk factors Description of the two methods in place to establish surveillance of the surgical site Identification of evidence-based practices suggested to prevent the development of SSIs Recognition of the importance of clinical guidelines set forth to reduce SSIs postoperatively The Joint Commission National Patient Safety Goal 07.05.01 training requirements for healthcare workers involved in surgical procedures to minimize the occurrences of surgical site infections AMA PRA Category Preventing Central Line- Associated Bloodstream Infections (PS 204) Clinical practitioners (physician, nurse practitioner, physician assistant, nurse) in acute care hospitals, infusion centers and skilled nursing facilities who insert, remove and otherwise monitor central lines Intermediate level PS 204 information topics include: Definition of a central line-associated bloodstream infection (CLABSI) and identification of the associated risk factors Identification of evidence-based practices suggested to prevent the development of CLABSIs List of guidelines for the insertion and removal of central venous catheters (CVCs) Recognition of the importance of clinical staff adherence to guidelines set forth to reduce CLABSIs The Joint Commission National Patient Safety Goal 07.05.01 training requirements for healthcare workers involved in the placement of central lines in order to minimize central lineassociated bloodstream infections AMA PRA Category www.ynhhs.org/chs Page 6

All healthcare employees DVD Introductory level It s In Our Hands topics include: How to reduce the spread of infections through hand contact Protocols for hand washing Effective communication approaches for a safe work environment This 12-minute DVD provides healthcare workers with an explanation of the need for consistent hand hygiene protection and how easily infections can spread from one person to another. It also includes recommendations for reminding coworkers of their responsibility in maintaining a safe working environment. It s In Our Hands: Preventing Hospital Acquired Infections www.ynhhs.org/chs Page 7

INFECTIOUS DISEASES TRAINING Infectious disease courses provide training to healthcare workers on safely caring for patients who have illnesses that can be transmitted by contact with infected blood or body fluids. The Tuberculosis (TB) Training Program (ID 202) Healthcare workers who may come in contact with tuberculosis (TB) patients Intermediate level ID 202 information topics include: Healthcare community s concerns regarding tuberculosis (TB) Use of the Mantoux skin test (TST), acid-fast bacilli (AFB) smears and chest X-ray for screening purposes Groups of persons that should be screened for TB Measures healthcare workers should follow when working with TB patients Appropriate methods of isolating patients with suspected or active TB Pertinent information that should be provided to patients with active TB and their visitors Requirements for notification regarding patients with known cases of active TB Steps to be taken if a staff member is potentially exposed to TB Recommendations and requirements of the Centers for Disease Control and Prevention (CDC), the National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention: Division of Tuberculosis Elimination and the Occupational Safety and Health Administration (OSHA) AMA PRA Category www.ynhhs.org/chs Page 8

Bloodborne Pathogens Training Program (ID 203) All RNs (clinical nurses, clinical nurse specialists, APRNs), MDs, PAs, direct care givers, clinical laboratory professionals and those individuals who come into contact with blood specimens Intermediate level ID 203 information topics include: Risks associated with Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) Potential routes of exposure from bloodborne pathogens Practices which help to limit the risk of transmission of bloodborne pathogens, including: Proper hand hygiene Proper use of personal protective equipment Safe handling of specimens Methods for the safe disposal of sharps and the cleaning of spills Steps to be taken in the event of an exposure to a potential bloodborne pathogen OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030). This standard was devised in 1991 to protect healthcare workers who are at risk for bloodborne pathogens, including Hepatitis B, Hepatitis C and HIV/AIDS exposure. The standard was updated in 2001 to reflect the requirements of the Needlestick Safety and Prevention Act. AMA PRA Category www.ynhhs.org/chs Page 9

BIOTERRORISM TRAINING These courses focus on recognizing and responding to biological disasters. Bioterrorism Preparedness for Clinicians (EM 201) Recommended for physicians and other clinicians, medical professionals and first responders Intermediate level EM 201 information topics include: Bioterrorism events and agents Recognizing clinical syndromes Preventing person-to-person transmission Communication methods Mental health issues Additional resources Designed to prepare physicians and other clinicians for a bioterrorist event or other potential public health emergency Columbia University School of Nursing and Association of Teachers of Preventive Medicine Clinician Competencies Texas Department of State Health Services requirement for education for renewal of nursing license 1 AMA PRA Category 1 CME Credit (online) Planning and Response to a Pandemic Influenza for Healthcare Workers (EM 180) Healthcare workers and volunteers in acute care hospitals, community health centers, home health agencies, urgent care centers, skilled nursing facilities, ambulatory surgery centers and public health agencies Instructor-led Webinar Introductory level EM 180 information topics include: Origin of pandemic influenza and the risk of an outbreak Difference between seasonal, epidemic and pandemic influenza Impact of an outbreak Ways to protect yourself and your family in the event of a pandemic influenza Correct use of personal protective equipment (PPE) to limit your exposure and protect yourself from infection Coping strategies to deal with the stress of a pandemic outbreak WHO Checklist for Influenza Pandemic Preparedness Planning HHS Pandemic Influenza Plan Supplement 3 Healthcare Planning CDC Guideline for Hand Hygiene in Health-Care Settings 1 AMA PRA Category 1 CME Credit (online) www.ynhhs.org/chs Page 10

Planning and Response to a Pandemic Influenza for Clinicians (EM 280) Physicians, APRNs, PAs, RNs, LPNs and first responders Intermediate level EM 280 information topics include: Describing the phases of a pandemic and your healthcare facility s ability to respond Identifying who will lead the community in the event of an outbreak and what type of community support is provided Recognizing the impact of an outbreak Listing ways to protect yourself and your family in the event of a pandemic influenza Limiting your exposure and protecting yourself from infection by correctly using PPE Assessing coping strategies to deal with the stress of a pandemic outbreak WHO Checklist for Influenza Pandemic Preparedness Planning HHS Pandemic Influenza Plan Supplement 3 Healthcare Planning CDC Guideline for Hand Hygiene in Healthcare Settings 1 AMA PRA Category 1 CME Credit (online) www.ynhhs.org/chs Page 11

PROTECTION OF THE HEALTHCARE WORKFORCE / PERSONAL PROTECTIVE EQUIPMENT Provide information on hazardous substances and the risks associated with them as well as procedures needed to ensure the safety of health care workers and patients during an emergency or disaster. Best Practices for the Protection of Healthcare Facility-Based First Receivers (EM 120) Workers who are in a position to identify a contaminated victim that arrived at a healthcare facility unannounced. This group includes staff that would set up the decontamination system before victims arrive or track patients from a location outside of the decontamination zone Narrated CD-ROM Webinar Instructorled Introductory level EM 120 information topics include: Recognizing what hazardous substances are and the risks associated with them in an incident Identifying potential outcomes associated with an emergency created when hazardous substances are present Describing the methods and observations that may be used to recognize the presence of hazardous substances in the work area Reviewing their role in their facility's emergency response plan when responding to an incident Listing the ways employees can protect themselves during an incident OSHA, 29CFR 1910.120(q)(6)(i) Hazardous Waste Operations and Emergency Response (HAZWOPER) awareness-level standard related to hospital-based first responders 1 AMA PRA category N95 Respirator and Personal Protective Equipment (PPE) Training for Health Care Workers (EM 121) Civilian and military healthcare workers who need to don and doff N95 respirators and basic personal protective equipment (PPE) while caring for certain infectious patients, including those with pandemic influenza Instructorled CD-ROM Webinar Introductory level EM 121 information topics include: Identifying the need for respirator and personal protective equipment (PPE) use Identifying the types of infection transmission and discuss the importance of PPE Explaining the proper methods for inspecting, donning, and doffing a respirator and PPE Explaining the effective use of a respirator and PPE Explaining common errors made in PPE and N95 respirator use Discussing proper disposal methods for PPE OSHA Respirator Standard 1910.134(k), 1910.120 Armed Forces training requirements (USACHPPM, NHRC, AFRL) 1 AMA PRA category www.ynhhs.org/chs Page 12

N95 Respirator Fit Tester Training (EM 122) Prerequisite: EM 121 Civilian and military health care trainers who need to perform a fit test for health care workers who must wear an N95 respirator Instructor-led Webinar CD-ROM Intermediate level EM 122 information topics include: Identifying the need to conduct the N95 respirator fit test Discussing the use of the medical questionnaire prior to N95 respirator fit test Describing the process for conducting a qualitative fit test for N95 respirator use Conducting a fit test for N95 respirator use Performing proper inspection and disposal of respirators OSHA Respirator Standard 1910.134(k) Armed Forces training requirements (USACHPPM, NHRC, AFRL) 1 AMA PRA category Best Practices for the Protection of Health Care Facility-Based First Receivers, Operations Level (EM 220) Prerequisite: EM 120 MD/DO, PA, NP, RN, LPN, allied health, maintenance, environmental services, facility, engineering staff, hazmat, security and contractors who are part of decontamination teams and/or setting up and taking down decontamination facilities Two-part course: and Instructor-led practical Intermediate level EM 220 information topics include: Understanding the presence of hazardous substances in an emergency through signs and symptoms of exposure Preparing for appropriate hazard awareness and recognition by understanding and use of a hazard risk assessment Identifying the different types of personal protective equipment (PPE) used during the decontamination process Demonstrating proper donning and doffing of Level C PPE based on a given hazard Identification of special decontamination considerations Demonstrating ambulatory and non-ambulatory decontamination during a mass decontamination incident Four hours of online instruction must be followed by a four hour practical session during which participants demonstrate the skills learned in the didactic session Regulations outlined in Congressional Federal Register, CFR 1910.120, and the Best Practices for Hospital- Based First Receivers of Patients, which was a result of the Occupational Health Safety Act revisions of February 2005 to address the concerns of hospital responders 1 AMA PRA category www.ynhhs.org/chs Page 13

Best Practices for the Protection of Healthcare Facility-Based First Receivers, Operations Level Refresher (EM 220 R) *Online annual review MD/DO, PA, NP, RN, LPN, allied health, maintenance, environmental services, facility, engineering staff, security and contractors who are part of decontamination teams and/or setting up and taking down decontamination facilities Intermediate level EM 220R information topics include: Identifying hazardous substances Performing basic hazard and risk assessment techniques Taking steps to maintain safety Selecting the proper personal protective clothing and equipment (PPE) Donning and doffing Level C protection Explaining Level C protection using powered air purifying respirator (PAPR) Using PPE Preparing for a decontamination event Performing victim decontamination Explaining special decontamination considerations Regulations outlined in Congressional Federal Register, CFR 1910.120, and the Best Practices for Hospital- Based First Receivers of Patients, which was a result of the Occupational Health Safety Act revisions of February 2005 to address the concerns of hospital responders 1 AMA PRA category Prerequisite: EM 220 www.ynhhs.org/chs Page 14