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California skilled nursing facilities

C K Cahill1

  • 1California Department of Health Services, Licensing and Certification Program, Sacramento 94234-7322, USA.

Journal of Gerontological Nursing
|January 7, 1998
PubMed
Summary
This summary is machine-generated.

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Skilled nursing facilities (SNFs) now care for sicker patients, increasing the need for robust infection prevention and control (IPC) programs. Hospital-based IPC professionals should collaborate with SNF staff to enhance patient safety across healthcare settings.

Area of Science:

  • Healthcare Management
  • Infection Control
  • Geriatric Care

Background:

  • Skilled nursing facilities (SNFs) are increasingly admitting patients with complex medical and surgical needs.
  • This shift is driven by cost-reduction efforts in acute care hospitalization.
  • Historically, SNFs focused on activities of daily living, but now manage complex care like ventilators and post-surgical recovery.

Purpose of the Study:

  • To highlight the growing importance of infection prevention and control (IPC) programs in SNFs.
  • To address the educational needs and resource limitations faced by SNF IPC professionals.
  • To advocate for collaboration between hospital-based IPC practitioners and SNF personnel.

Main Methods:

  • The study confirms previous findings on the educational needs of IPC professionals in SNFs.

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  • It analyzes the evolving role of SNFs in the healthcare continuum.
  • It emphasizes the shared principles of IPC across different healthcare settings.

    • Main Results:

    • SNFs are now expected to manage patients requiring complex medical and surgical care, including those on ventilators and recovering from major surgeries.
    • There is a demonstrated need for enhanced IPC programs in SNFs, as indicated by educational needs assessments.
    • Infection prevention and control (IPC) principles are universal but implementation challenges exist, particularly in Freestanding SNFs (FS-SNFs).

    Conclusions:

    • The increasing complexity of care in SNFs necessitates a renewed emphasis on infection prevention and control.
    • Freestanding SNF IPC professionals often work in isolation with limited resources.
    • Collaboration between experienced hospital-based IPC professionals and FS-SNF personnel is crucial for developing effective IPC programs.