als—residents, staff, and service providers alike—who may have the virus as quickly as possible. “It’s really incumbent on all of those who run communities as well as those of us who provide care and services in communities that we get it right,” says Ammon. “With that in mind, best practices for

controlling access can be an effective way to mitigate risks,” Ammon says. DispatchHealth shares the following

recommended practices: Appoint an IPC champion. Identifying

someone in your community who can “wear that hat,” train, and keep up with the changing recommendations gives staff someone to go to with questions who either knows the answers or knows where to find them. Some communities name a COVID monitor who can circulate the community and check that processes and practices are being implemented correctly—instead of or in addition to the champion. Ammon notes that this person should be a good commu- nicator, to get good buy-in from staff and let

families know what’s being done and why. Control your points of entry. Clearly mark

entrances. Establish entry checks as close to the doors as possible, so that no one needs to walk into the building to be screened. Track who is coming in and out so you can track any issues that may arise later. Some providers are establishing entries outside or at entry to grounds. Make sure your entry points are clear of other risks than that of infection—vehicle and human traffic, equipment, or furnishings can present fall hazards in temporarily assembled spaces. Align protocols when possible. Check that

the service provider has both been trained in processes and knows your community prac- tices. For instance, have they been trained in gown donning and doffing, and do they also know the hows, whens, and wheres for donning and doffing particular to your community? Review what residents want in terms of

care. Review care plans, advance directives, what measures residents and their families do or do not want taken at different points

in their health trajectory. What they want may have changed with the pandemic. Reminders work. Signs on handwashing, social distancing, mask wearing, reminders about PPE policies, short training videos, encouraging messages on email or text, oc- casional announcements—these reinforce expectations and the understanding that all who enter or live in the community are looking out for each other. Encourage vaccination. “Vaccination is

part of a larger strategy, combined with be- havioral infection prevention measures, that will help to end this pandemic," Ammon says. "These are highly effective vaccines.”

For more information • For members: Argentum’s IPC guidance is free; log in as a member and download at

• The CDC offers free IPC training mod- ules for long-term care at termcare/training/html.



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