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FHI, after being contacted by the municipal chief, inspected the Villa Skaar nursing home in Eidsvoll, which is highly affected by covid-19.
– I have not seen lack of competition or failure in routines, but we are not prouder than asking for help from people who know even more about this. FHI will be involved in ending this outbreak in the most effective way possible, City Chief Medical Officer Carl Magnus Jensen told Romerikes Blad on Wednesday.
Nine residents have died from covid-19 and all residents have been infected, in addition to several employees.
In the FHI report, which is now ready, several points of improvement for Villa Skaar are presented. Some of them focus on experience and training in infection control.
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Lack of zone marking
In its report, FHI lists the following points for improvement:
- The infection control program is not designed for this nursing home. Procedures for, for example, insulation are not adapted to the premises of the residence.
- No employees with dedicated work hours and specific job duties within infection control in general and COVID-19 in particular (infection control contact).
- There is no systematic survey on whether and where employees (including students in practice) have other workplaces during the pandemic.
- Organization of work cohorts that follow defined residents in only one of the two districts.
- There is no systematic examination of employee compliance with infection control routines, with feedback to the individual.
- Lack of clean and dirty zone marking, and insufficient routines for undressing and putting on protective equipment inside and outside the zones.
- Insufficient measures to ensure compliance with isolation and quarantine for residents who cannot stay in their own room.
- Lack of feedback to the municipality about the difficulties in isolating residents in their rooms.
- Potential for improvement with respect to gaining experience in infection control and training in the correct use of personal protective equipment
Challenge with premises
The report also emphasizes that challenges have been observed with facilities in terms of adhering to routines and recommended measures for infection control.
“The facilities are narrow and not suitable for keeping a minimum distance of 1 meter. The living rooms are small and do not have a private bathroom with a toilet, so they are not suitable for quarantine and isolation. It is also difficult to reunite residents with covid-19 in a secluded part of the nursing home because of. its design, ”the report says.
In a press release, Villa Skaar writes about the report:
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– We thank FHI for a complete report. According to the Eidsvoll municipal chief, we are pleased that the report does not reveal serious flaws. Nor have any discrepancies been identified that could have prevented the infection from entering the home.
Villa Skaar emphasizes the FHI disclosure that the challenge with many people infected at an early stage made isolation or relocation measures difficult, and the wording that “residents who may have been relocated were likely already infected.”
– FHI has pointed out several points for improvement, which we will see in depth. They will be included in our improvement work based on developing and improving our routines and procedures, writes home.
Without extraordinary measures
Neither the employees nor the management of Villa Skaar Valstad or the Eidsvoll Municipality have tracked how the employees who brought COVID-19 to the institution became infected.
– The most serious thing I can remember
– Tests show that the first of the employees was infected on Saturday, October 31. Three employees were evaluated immediately after that weekend. The first test results came in on November 4 and two of the three employees were confirmed to be infected. Immediately afterwards, 20 at the institution were diagnosed with the infection without any signs the previous days. We did not find out how employees were infected outside of Villa Skaar Valstad, says municipal chief physician Carl Magnus Jensen in Eidsvoll to Dagbladet township on Friday evening.
The National Institute of Public Health already stated during the inspection last Wednesday that there is no need for extraordinary measures in the private institution for the elderly despite nine deaths among the 23 residents during three weeks in November.
