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NEWS | Nursing Ask The Nursing Expert Infection control guidance to Anne Marie Barnett, RN Former President, Maryland NADONA/LTC become ofﬁcial on Sept. 30 By James M. Berklan and training material. When it comes to the day-to-day The Centers for Medicare & The new guidance should workings in my facility, I do pretty Medicaid Services recently not create any dramatic nega- well, but once a “disaster” hits, I lose released ﬁnal changes regard- tive effects to typical workﬂow, ing certain guidance governing experts believe. Photo: iStockphoto my “cool and collected” demeanor. I know my staff looks to me when infection control in long-term “The guidance provides bet- a crisis develops. Can you give me care facilities. The formal ter clariﬁcation and a roadmap some advice on how to remain calm effective date for the revised for compliance,” explained during these situations? guidance is Sept. 30. Surveyors will be referring to uni- Patricia Boyer, president of The revision combines ﬁed infection control guidance Boyer & Associates and a pay- starting in October. Experience itself will help you prepare F-tags 441, 442, 443, 444 and ment and policy columnist for for an ongoing crisis in the director of 445 into one tag: F-441. McKnight’s. nursing role. As I have always said, be The changes will “bring for at least a year. The link to the CMS Sur- sure to develop a talented and com- everything that relates to infec- After working through a vey and Certiﬁcation Letter, mitted team around you that can tion control into one location “glitch” in July that stated an “Nursing Homes - Issuance provide assistance when you need it. to best utilize the surveyors’ incorrect effective date, CMS of Revisions to Interpretive Then be sure to use it. time and resources,” according ofﬁcials said they were expect- Guidance at F Tag 441, as Some crises can be anticipated and to CMS. ing to issue a formal announce- Part of Appendix PP, SOM” prepared for, such as a family that is The revised guidelines, in ment in the form of a Survey www.cms.hhs.gov/SurveyCer always complaining about care being some cases, reflect changes and Certiﬁcation letter, which tiﬁcationGenInfo/downloads/ provided. Instead of complaining back that have been in the works would include advance copy SCLetter09_54.pdf. ■ at them and spending time being Funds awarded to ease nursing shortage defensive, I suggest trying to develop a relationship with them that they feel they can trust. The more we act defensively or un- By
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