2017 AHC/NCAL Annual Convention & Expo
Antibiotic stewardship refers to a committed and coordinated program to “optimize the treatment of infections while reducing the adverse events associated with antibiotic use.” According to the CDC, up to 70% of residents in a nursing home will receive one or more courses of antibiotics over a 1 year period. Additionally, studies have shown that up to 40-75% of all antibiotics given in nursing homes may be inappropriate or unnecessary. These alarming statistics have resulted in regulatory mandates to improve antibiotic use. The CMS “mega rule” requires all nursing homes to implement an antibiotic stewardship program by Nov 2017. CDC has identified seven core elements of an antibiotic stewardship program: Leadership commitment, Accountability, Drug expertise, Action, Tracking, Reporting, and Education.
The majority of diagnosis and treatment plans occur based on communication of signs and symptoms from the nursing department. Relying upon algorithms, reference materials and policy and procedures don't facilitate accurate assessment and treatment of our resident population. The nursing department must establish goals to enhance antibiotic stewardship efforts including thorough and accurate assessment, communication of assessment to medical practitioners, empower nurses, reduce inappropriate antibiotics, reinforce education of nursing staff and efficiency in documentation.
In this session, you will hear from two unique perspectives – nursing and pharmacy – and how their collaboration resulted in a successful transition from Infection Control to Antibiotic Stewardship. Practical application and implementation of the core elements of antibiotic stewardship will be a major focus point. First-hand experiences with implementing an antibiotic stewardship program in facilities and will be shared including the successes and failures from these case studies.
At the completion of the presentation the audience will be able to recognize the importance of antibiotic stewardship, identify the components of a stewardship program, and apply antibiotic stewardship principles in their own facilities. This will result in reduction of inappropriate antibiotic usage, enhance quality of life, increase efficient surveillance and job satisfaction.
William Davids, R.Ph., Pharm.D. is a Consultant Pharmacist for Consonus Pharmacy. During a geriatric rotation in pharmacy school, Will first caught a vision for the rewards of working with the elderly in long-term care. Over the course of his career, he’s been a passionate advocate for the patients and facilities he serves. His role includes thorough chart reviews to ensure regulatory compliance, and to identify drug interactions and side effects, duplications of therapy and proper medication administration. Will is a skilled presenter on topics including diabetes, hypertension, infectious disease, anticoagulation and establishing a patient-centered culture.
Wednesday, October 18
1:30 PM – 3:00 PM
Vicki Nordby is a Nurse Consultant for Marquis Companies. Vicki began her career in long term care at the age of 15 as a punishment for rebellious teenage activities. Punishment turned into passion for the residents she served and she went on to receive her Bachelor’s degree in Nursing from Linfield-Good Samaritan School of Nursing. Over the past 42 years working in long term care she has served as a C.N.A., Restorative Aide, C.M.A., Activity Director, Charge Nurse, Director of Nursing, Director of Clinical Services and Nurse Consultant.
Vicki is currently a Nurse Consultant for Marquis Companies with her focus on skilled nursing. She is responsible for assisting facilities with regulatory compliance; evidence based clinical program development, implementation of electronic health record, coordinating infection prevention and antibiotic stewardship programs and providing education on various topics. She enjoys collaborating with other clinicians to develop efficient documentation systems.
Vicki has served on various committees for Oregon Health Care Association, is a member of the Oregon Patient Safety Advisory Committee, American Medical Directors Association, member of American Association of Nurse Assessment Coordinators, member of American Geriatrics Society and a member of Association for Professionals in Infection Control and Epidemiology.
Wednesday, October 18
1:30 PM – 3:00 PM