Aged Care Infection Control Toolbox


This toolbox is a set of themed links accessible from a single site which aims to help the aged care worker access relevant infection prevention and control information quickly.

The information is compartmentalised for easy access.




Aged Care

Aged Care Quality Standards: Standard 3 requirement (3) (g)

Minimisation of infection-related risks through implementing: standard and transmission-based precautions to prevent and control infection, practices to promote appropriate antibiotic prescribing and use to support optimal care and reduce the risk of increasing resistance to antibiotics.

Aged Care Quality Standards

Organisations providing Commonwealth subsidised aged care services are required to comply with the Aged Care Quality Standards (Quality Standards). The Quality Standards focus on outcomes for consumers and reflect the level of care and services the community can expect from organisations that provide Commonwealth subsidised aged care services. 
Guidance and resources for providers to support the Aged Care Quality standards
The Multi-Purpose Services Aged Care Module describes, in six actions, the requirements of the Aged Care Quality Standards not covered by the National Safety and Quality Health Service (NSQHS) Standards. 
Subscribe to the Aged Care Quality Bulletin newsletter here


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Infection prevention and control leads

All residential aged care facilities must have an ongoing dedicated infection prevention and control (IPC) lead on site. Facilities are required to have an IPC lead to ensure they are prepared to prevent and respond to infectious diseases.
More information is available here.



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COVID-19 management

VICTORIA

Victorian Department of Health 

Information on a variety of tools for ACF, donning and doffing of PPE, zoning, visitors and much, much more.

Safer Care Victoria

COVID-19 Screening tool for RACS
Use this screening tool to identify typical and atypical signs of COVID-19 in the residents.  Ideally each resident should be screened every day.

VICNISS

VICNISS has developed an electronic reporting platform for the COVID-19 Residential Aged Care Services. As a registered Aged Care user this platform and associated support materials are found here.
For further questions or to become a registered user Aged Care user contact VICNISS on 9342 9333
Currently this is available for public residential aged care services (RACS).  Private and Not for profit RACS who wish to use the platform should contact VICNISS.

AUSTRALIA

Commonwealth Government:

The Aged Care Quality and Safety Commission have developed the following guides:

Advice for the Aged care sector during COVID – Find up to date information and advice on COVID-19 for aged care providers, aged care workers and people who receive residential or home care.

Outbreak management planning in aged care: a practical guide – guidance to assist RACS to support their workers, care recipients, families and visitors to prevent, prepare for and manage outbreaks of COVID-19.

Lessons learned by aged care providers  Lessons learned by aged care providers experiencing outbreaks of COVID-19 in Victoria, Australia

 

Infection Control Expert Group  

Guidance on infection prevention and control for residential care facilities in the context of COVID-19  This document has been endorsed by the Australian Health Protection Principal Committee. It provides guidance on infection prevention and control (IPC) and the use of personal protective equipment (PPE), in residential care facilities (RCFs) during the COVID-19 pandemic.

Cleaning/disinfection

These guidelines address the cleaning and disinfection of protective eyewear, the advantages and limitations of face shields and more

Coronavirus (COVID-19) Environmental cleaning and disinfection principles for health and residential care facilities  this document has been endorsed by the Australian Health Protection Principal Committee.

Industry Code

Industry Code for Visiting Residential Aged Care Homes during COVID-19. A collaboration between national government agencies, consumers and peak aged care groups to support aged care providers make informed decisions regarding visitation during the ongoing pandemic.

INTERNATIONAL

Centers for Disease Prevention and Control (CDC)

Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes  This guidance summarises the core infection prevention and control practices for nursing homes during the SARS-CoV-2 pandemic.  

World Health Organisation (WHO)

Infection prevention and control guidance for long-term care facilities in the context of COVID-19: interim guidance, 21 March 2020



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COVID vaccinations in Aged Care

Resident Vaccination

Australian Technical Advisory Group on Immunisation (ATAGI)

Commonwealth

Workforce vaccination

AHPPC

Commonwealth



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Management of outbreaks and epidemiologically significant organisms in aged care

Gastroenteritis

Victorian Guidelines

A guide for the management and control of gastroenteritis outbreaks in aged care, special care, health care and residential care facilities  This guide has been produced to assist in the management and control of outbreaks of gastroenteritis (gastro) in aged care, special accommodation, hospitals and other residential care facilities such as supported residential services (SRS) and disability group homes.
If you suspect you have a gastro outbreak, the first step is to notify the department on 1300 651 160 and then follow the cleaning and control measures in this industry guide.

Commonwealth

Gastro-Info – Gastroenteritis Kit for Aged Care –Resources to assist residential aged care homes in preventing, identifying and managing outbreaks of gastroenteritis.

Clostridioides difficile (previously ‘Clostridium difficile’)

Residents of aged care homes are at increased risk of Clostridioides difficile infection. These guidelines assist in preventing and controlling the spread of infection.

Scabies

Scabies is found worldwide, and may affect people of all races and social classes.  Facilities such as aged care homes are often sites of scabies outbreaks

Carbapenamase Producing Enterobacteriaceae

Victorian guideline on CPE for long-term residential care facilities, version 1.1

Influenza

Victorian Guidelines:

Respiratory illness in management in residential and aged care facilities.    These guidelines apply to both public and private Victorian aged care, disability services and other congruent accommodation settings where residents are provided with personal care or health care by facility staff.
Respiratory illnesses are commonly caused by influenza particularly in winter; however other viruses such as parainfluenza, respiratory syncytial virus (RSV), adenoviruses, and rhinoviruses can also cause outbreaks of respiratory illness.
Commonwealth
Guidelines for the Prevention, Control and Public Health Management of Influenza Outbreaks in Residential Care Facilities in Australia –The purpose of this document is to provide national best practice guidelines for, preparing for, preventing, identifying and managing outbreaks of influenza in residential care facilities (RCFs) in Australia. 


VICNISS Fact Sheets for Aged Care Homes

Herpes Zoster:
 
Influenza:

Pneumococcal disease:
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Clinical guidelines
 

Royal Australian College of GPs (RACGP)

This one of the flagship clinical resources for General Practitioners in caring for older people.  The care of older people, whether living in the community or residential aged care facilities (RACFs), is often complex. The challenge is to provide appropriate care of the highest quality to these patients regardless of where they live. GPs are often required to collaborate with the patient’s broader multidisciplinary healthcare team, including RACF staff, carers, nurses, other specialist medical practitioners, and allied health professionals, in a way that focuses on the patient’s individual needs.
This updated version is released online only to ensure regular updates can be undertaken and the information can remain up to date and relevant.

Infection Prevention and Control in Aged Care

Society for Healthcare Epidemiology America (SHEA)

Guidelines:  A broad collection of guidelines relating to Infection Control, Animals in Healthcare facilities, antimicrobial resistance in Long Term Care Facilities  (LTCF), urinary tract infections in LTCF and more

VICNISS Clinical Care Fact Sheets for Aged Care Homes

Incontinence/Dermatitis and Urinary tract infections

Australian Medicines Handbook

Aged Care companion

The AMH Aged Care Companion contains the latest evidence-based information on the management of more than 70 conditions common in older people, including dementia and its behavioural symptoms, delirium, cardiovascular diseases, fall prevention, osteoporosis, COPD, insomnia, depression and wound management. It also contains general principles on the use of medicines in older people, including deprescribing. 



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Antimicrobial stewardship (AMS)

AMS in aged care is required to address the growing problem of antimicrobial resistance in aged care settings. It requires a collaborative effort across health and aged care professionals and consumers.
Effective AMS strategies both reduce the risk of infections occurring, whilst simultaneously identifying and managing infections appropriately.
AMS balances the need to:
    • Detect serious infections and institute appropriate management in a timely manner (in the context of the person’s goals and wishes); and
    • Avoid unnecessary antimicrobial use.

Australian Commission on Safety and Quality in Healthcare (ACSQHC)

National residential medication chart  - developed for use in residential aged care facilities (RACF to improve medication safety for residents, and to minimise the administrative burden of prescribers, aged care staff, and pharmacists when ordering, administering and supplying medicines.

National Centre for Antimicrobial Stewardship (NCAS)

Guidance and Resources for Providers

This guidance material is intended to assist organisations to implement, and maintain their compliance with, the Aged Care Quality Standards 2018.
      • Urinary tract infections:
        • Frequently asked questions
      • Example of antimicrobial stewardship policies for aged care
      • Topical antifungal use for skin infections
        • Assessing and treating common fungal skin infections
        • Tips on antifungal use for skin infection
      • Microbiology fact sheets
        • Understanding and interpreting urine samples, wound swabs and sputum specimens
      • Clinician and patient information sheets.
      • Medication Shortage Fact Sheets
        • Providing general advice about possibilities for alternative therapy during interruptions in the supply of antimicrobials in Australia.

National Quality Forum (NQF)

The National Quality Forum (NQF) a voice in advancing quality measures and improvement strategies that lead to better outcomes and greater value.

Antibiotic Stewardship Post-Acute and Long-Term Care Playbook. (To purchase)

This book offers practical strategies and useful resources for implementing high-quality antibiotic stewardship programs in post-acute and long-term care facilities. 

Agency for Healthcare Research and Quality (AHRQ)

Nursing Home Antimicrobial Stewardship Guide  Providing help to nursing homes to optimise their use of antibiotics

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