Building a Strong Foundation
Bland Nursing and Rehab, a ventilator-capable skilled nursing facility in Southwest Virginia, recently achieved a major milestone: its carbapenem-resistant Acinetobacter baumanii (CRAB) outbreak has officially closed, with no new cases identified. This success came from a team effort focused on strengthening infection prevention practices across the facility.
Leadership secured a full-time infection preventionist and built strong support from key leaders, including the administrator, director of nursing, assistant director of nursing, wound care nurse, and respiratory therapy manager. Together, they created a culture focused on safety, accountability, and continuous improvement.
Turning Plans into Action
The facility redesigned its environmental services program by updating cleaning policies, introducing an automated disinfectant dispensing system, and switching to single-use microfiber mops for each resident room. Staff received retraining and competency validation to ensure consistent practices.
The team also strengthened personal protective equipment (PPE), hand hygiene, and isolation precaution monitoring through regular audits, observations, and staff education. Respiratory therapy practices were enhanced through direct observation, competency validation, simulation-based training, and routine audits of ventilator and tracheostomy care.
