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Long Term Care Facility HAI Toolkit

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Infection Control Resources

Organism Specific Resources

Infection Control Resources

Antimicrobial Stewardship

  • CDC's Core Elements of Antibiotic Stewardship for Nursing Homes
    Guidance: Nursing homes are encouraged to work in a step-wise fashion, implementing one or two activities to start and gradually adding new strategies from each element over time. Any action taken to improve antibiotic use is expected to reduce adverse events, prevent emergence of resistance, and lead to better outcomes for residents in this setting.

Hand Hygiene and Environmental Cleaning

Hand Hygiene

Environmental Cleaning


  • Interfacility transfer communication
    Information and resources: As part of best practice during patient transfers, information about a patient's medical status, including colonization or infection with a multidrug-resistant organism, should travel with a patient and be readily available to medical providers
  • Healthcare Acquired Infection Reporting
    Information and resources: The Oregon Health Authority (OHA) provides oversight and support for mandatory HAI reporting activities in Oregon hospitals.


    Oregon hospitals report HAIs using the National Healthcare Safety Network (NHSN) reporting tool. This includes the reporting of CLABSIs, certain kinds of SSIs, and several healthcare facility process measures designed to ensure quality and to reduce HAIs.

General Training and Resources

  • Working together to prevent infections brochure (pdf)
    Family educational tool: This family brochure can be modified to include your nursing home's contact information. Show that you promote Community Immunity™ (CI): it takes everyone to prevent infections and promote good health for all. Community Immunity is a trademark of Kimberly-Clark

CME/CE opportunities

Organism Specific Resources

Multidrug Resistant Organisms

MDRO stands for multidrug-resistant organism. An MDRO causes human disease which has acquired antibiotic resistance, as listed and defined by the Centers for Disease Control and Prevention (CDC) in Antibiotic Resistance Threats in the United States, 2013 (pdf).

View a list of selected MDRO definitions (pdf).

Carbapenem-resistant Enterobacteriaceae (CRE)

Clostridium difficile

  • Clostridium difficile
    Recommendations and information: A brief overview of Clostridium difficile from OHA.

Methicillin Resistant Staphylococcus aureus (MRSA)

Vancomycin Resistant Enterococci (VRE)

  • VRE infection control guidelines
    Guidelines from New York State Department of Health: Care of patients colonized or infected with VRE in hospitals, long-term care facilities and home health care.


Respiratory Conditions

CDC resources

Outbreaks in long-term care facilities (LTCF)

Sample letters / Alerts

Urinary Tract Infections/Catheter Associated Urinary Tract Infections

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