Antibiotic Stewardship

Concurrent Education Session - 60 minutes

3600 - Carbapenem-Resistant Enterobacteriaceae: A Regional Response

Friday, June 16
2:45 PM - 3:45 PM
Location: Oregon Convention Center, E 141-144

This presentation will highlight Avera Health’s success with a regional approach with the South Dakota State Department of Health and regional long-term care (LTC) facilities to reduce the incidence of carbapenem-resistant Enterobacteriaceae (CRE). Presenters will describe the initiative that identified an increase in cases originating in community LTC facilities and include a discussion of the data resources, communication strategies, and collaborative relationships established to combat this community health emergency. The state noted a 50 percent reduction in the number of isolates in the first year the intervention was implemented. This regional approach was highlighted in CDC Vital Signs publication, March 2014 (http://www.cdc.gov/hai/state-based/pdfs/success_story-SDakota_stewardship.pdf). Lessons learned for engaging in collaborative partnerships with the South Dakota State Department of Health will also be included. The target audience is acute care and LTC facilities.

Learning Objectives:


Angela Jackley

Healthcare-Associated Infections and Antimicrobial Resistance Program Manager
South Dakota Department of Health
Pierre, South Dakota

Angela Jackley is healthcare-associated infections and antimicrobial resistance program coordinator for the Office of Disease Prevention at the South Dakota Department of Health. Angela has been in public health since 2009 after moving to Pierre, South Dakota, with her husband and two children. She has been an integral part in halting the spread of multidrug-resistant organisms like CRE in South Dakota. As the state’s subject matter expert on CRE, Angela has worked collaboratively with healthcare partners to apply evidence-based guidance across the continuum of care to slow the spread of multidrug resistance. Through her efforts with antimicrobial stewardship, Angela has served as an example to other states implementing statewide stewardship initiatives. Angela works with healthcare facilities across South Dakota to reduce healthcare-associated infections and improve patient safety. In her free time, Angela enjoys reading, paddleboarding, and spending time with family.

Presentation(s):

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Brenda Pulfrey

Infection Prevention Coordinator
Avera St. Luke’s Hospital
Aberdeen, South Dakota

Brenda Pulfrey is the infection prevention coordinator for a 109-bed hospital, surgical center, and two long-term care facilities in Aberdeen, South Dakota. She has been primary infection prevention program coordinator since 2013. She worked as an assistant infection prevention analyst from 2006 to 2013. Previously, she was a surgical care staff nurse. She has been a member of APIC since 2011 and is a member of the South Dakota CRE Task Force. She has been a board member of the South Dakota Infection Control Council since 2013 and is a past chair of this group.

Presentation(s):

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Dawn Tomac

Director of Quality and Safety Initiatives
Avera Health
Sioux Falls, South Dakota

Dawn Tomac is director of quality and safety initiatives for Avera Health. She’s a registered nurse with 29 years of experience, practicing in infection prevention since 1996 and certified since 1998. Her clinical nursing background includes 10 years’ experience in critical care. She earned her BS with a major in nursing from South Dakota State University. Dawn is a member of the South Dakota Antibiotic Stewardship Workgroup and CRE Task Force, and the Minnesota Hospital Association LEAPT Seeing Sepsis project. Dawn has spoken nationally on sepsis care and CRE. Under Dawn’s direction, the Avera antibiotic stewardship program with the South Dakota Department of Health was acknowledged nationally by the CDC. In her current role, she supports programing with infection prevention staff from 33 hospitals, 21 long-term care facilities, 200 clinics, DME, and multiple home care departments in five states. She was appointed to the APIC Guidelines Committee in 2016.

Presentation(s):

Send Email for Dawn Tomac

Susan M. McGann

Infection Preventionist
Lawrence Memorial Hospital
Lawrence, Kansas

Susan McGann is currently the sole Infection Prevention practitioner at Lawrence Memorial Hospital in Lawrence, Kansas. Lawrence Memorial is a 173-bed community hospital with 17 clinics in the region. She partners with providers and staff across the organization to continuously focus infection prevention goals to improve patient, employee and visitor safety. She received her BSN from Bradley University in Peoria, Illinois and MBA from Baker College in Flint, Michigan. She is Board Certified in Infection Prevention and Control. She has been a nurse for 39 years and has over 7 years of experience as an infection preventionist. She was awarded APIC’s Chapter Leadership Award in June of 2016.

Presentation(s):

Send Email for Susan McGann


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