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This document provides guidelines developed for long-term care facilities in California to assist in infection control programs focused on reducing the transmission of pathogens among residents.
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How to fill out Enhanced Standard Precautions (ESP) for California Long-Term Care Facilities, 2010

01
Identify the specific facility and resident population.
02
Determine the infection control risk factors present in the facility.
03
Review the existing policies and protocols related to infection control.
04
Gather necessary forms and documentation required for Enhanced Standard Precautions.
05
Ensure staff is trained in Enhanced Standard Precautions procedures.
06
Implement hand hygiene protocols and ensure availability of hand sanitizers.
07
Establish proper use of personal protective equipment (PPE) for staff.
08
Set guidelines for environmental cleaning and disinfection.
09
Monitor adherence to Enhanced Standard Precautions and conduct regular staff training.
10
Document any incidents or breaches in protocol for continuous improvement.

Who needs Enhanced Standard Precautions (ESP) for California Long-Term Care Facilities, 2010?

01
All staff members working in California Long-Term Care Facilities.
02
Residents who are at risk for infectious diseases.
03
Visitors who may come into contact with residents.
04
Healthcare professionals providing services within the facility.
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No matter the germ, there are six points at which the chain can be broken and a germ can be stopped from infecting another person. The six links include: the infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host.
Standard Precautions Hand hygiene. Use of personal protective equipment (e.g., gloves, masks, eyewear). Respiratory hygiene/cough etiquette. Sharps safety (engineering and work practice controls). Safe injection practices (i.e., aseptic technique for parenteral medications). Sterile instruments and devices.
ENHANCED. BARRIER. PRECAUTIONS. Clean their hands, including before entering and when leaving the room. Wear gloves and a gown for the following High-Contact Resident Care Activities. Do not wear the same gown and gloves for the care of more than one person. Dressing. Bathing/Showering. Transferring. Changing Linens.
Standard precautions consist of the following practices: hand hygiene before and after all patient contact. the use of personal protective equipment, which may include gloves, impermeable gowns, plastic aprons, masks, face shields and eye protection. the safe use and disposal of sharps.

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Enhanced Standard Precautions (ESP) is a set of infection control practices established for California long-term care facilities in 2010 to reduce the risk of healthcare-associated infections among residents.
All licensed long-term care facilities in California are required to implement and file Enhanced Standard Precautions as part of their infection control programs.
To fill out the Enhanced Standard Precautions (ESP) document, facilities must complete all required sections detailing their infection control measures, policies, and compliance activities, and submit it to the appropriate regulatory body.
The purpose of ESP is to enhance the safety of residents and staff by preventing the transmission of infections within long-term care settings.
Facilities must report information such as the implementing policies, procedures for infection control, staff training, and any incidents of infection outbreaks as part of the Enhanced Standard Precautions.
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