Wednesday LTC Provider Call - DPHS - Shared screen with speaker view
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If a new resident is unvaccinated and on a 14 day quarantine, are they allowed to have visitors if they wear PPE? Thank you.
Thank-you to Kelley and Michael from Heath Direct for the OUTSTANDING support on the vaccine clinics.
Do we test even the vaccinated employees?
CMS guidance requiring testing for unvaccinated staff only?
So does this mean that NH is not requiring testing for vfaccinated staff?
AHRQ Project ECHO Nursing Home COVID-19 ECHO Continuation Phase May 13-Aug 26 1:00-2:30 pm For info: Jeanne Ryer Jeanne.firstname.lastname@example.org
Will we still be required to utilize masks with outdoor visitation? There has been talk that this requirement is going away.
will non-medical trips out from the community now be allowed for residents (such as a trip home with a vaccinated family member)?
Lani Theroux Greenbriar Nashua NH
So no longer active screening for covid for vaccinated residents in LTC?
many families are asking if they can take their resident out for a car ride or home for a visit. All resident/family are vaccinated. When will this be allowed?
And specifically CMS requirements for test screening asymptomatic vaccinated employees?
What if in an outbreak. Do we only test residents and staff that are symptomatic and unvaccinated? Or continue with 100% residents and staff
If a fully vaccinated resident wanted to play cards with a fully vaccinated staff member...would this be considered acceptable?
Slides will be posted at www.nhhca.org/covid-19/ shortly after the call
Can you speak more about Dining
what if there are unvaccinated staff near the 2 vaccinated residents sharing a meal
Can people eat with different tablemates now?
Can fully vaccinated resident go for a ride or walk outside with fully vaccinated family member?
is that same in LTC? relating to the PPRE and nebs?
will the state be releasing updated guidance to the guidance for LTCF released on April 26th, or is the universal best practices the state resource to refer to starting May 7th?
I believe CMS is expecting conventional use of PPE at this point, not conservation strategy?
@Kristie, perhaps you can comment?
We are in Rockingham County. Under 5% positivity rate in the county. 100% of our residents have been vaccinated in our ALF, but we are still under CMS guidelines. Residents are asking (begging) to be allowed to go out with their families for short periods of time, can this be allowed?
Recommendations for Responding to COVID-19 are still relevant: https://www.covid19.nh.gov/sites/g/files/ehbemt481/files/inline-documents/long-term-care/covid-ltfc-recommendations.pdf
When you go the to Universal Guidance, it states "In addition to the best practices outlined here, businesses, organizations, and individual business operators should review the following: Long-Term Care Facilities (LTCFs) and Assisted Living Facilities (ALFs): U.S. Centers for Medicare and Medicaid Services (CMS) guidance AND NH DHHS guidance and resources for Long Term Care Facilities"
The CDC guidance states that residents can participate in group activities without masks if they have all been vaccinated...what if the staff member that is present has not been vaccinated? (They would still be masking at all times)
Can you please confirm that Cms does not have any restrictions on vaccinated residents going out w/ family members (i.e. restaurant, home, etc)
The CDC clearly contemplates "social excursions" as it states: "Patients/residents taking social excursions outside the facility should be educated about potential risks of public settings, particularly if they have not been fully vaccinated, and reminded to avoid crowds and poorly ventilated spaces. They should be encouraged and assisted with adherence to all recommended infection prevention and control measures, including source control, physical distancing, and hand hygiene. If they are visiting friends or family in their homes, they should follow the source control and physical distancing recommendations for visiting with others in private settings as described in the Interim Public Health Recommendations for Fully Vaccinated People."
Please answer the questions from family members about taking residents out. It’s unfair to ask us to wait another two weeks for the next call. We joined this call to have our questions answered. A response would be greatly appreciated before ending today’s call.
Lani Theroux Greenbriar Nashua NH
Could someone please clarify the screening discussion from earlier? Do fully vaccinated residents still require daily covid screening? If so, can it be reduced to temp and POX to help reduce work load?
but the staff will still wear mask and eye protection, correct?
I assume facilities have unvaccinated staff and would be unable to staff according to vaccine status.
How would this effect the contact tracing and tracking for positive staff with the state as the questions are around PPE and contact even with PPE. Will that be changing as well?
Good idea on activities meeting
If the unvaccinated staff is masked at all times, why can they not work in dining room or help assist with activities but are providing personal care for the resident at other times?
I would welcome the opportunity to discuss this with the Activities Professionals as well
Patients/residents taking social excursions outside the facility should be educated about potential risks of public settings, particularly if they have not been fully vaccinated, and reminded to avoid crowds and poorly ventilated spaces. They should be encouraged and assisted with adherence to all recommended infection prevention and control measures, including source control, physical distancing, and hand hygiene. If they are visiting friends or family in their homes, they should follow the source control and physical distancing recommendations for visiting with others in private settings as described in the Interim Public Health Recommendations for Fully Vaccinated People.