Skilled Nursing Facility Antimicrobial Stewardship Collaborative

By completing the program participants may be eligible for a certificate of excellence in antimicrobial stewardship in long-term care.

Enhance your antimicrobial stewardship expertise and skills by joining the WA DOH’s Skilled Nursing Facility AMS Collaborative. The collaborative is a free educational resource designed for infection preventionists and additional staff working in skilled nursing facilities.

Once you register, you will receive invitations for each session. You do not need to re-register.

Registration Form

Schedule

2026

September 16, 2026 - Core Elements and AMS Regulations

October 21, 2026 - Basic Bugs and Drugs

November 18, 2026 - Respiratory Viruses and Community Acquired Pneumonia

December 16, 2026 - Asymptomatic Bacteriuria vs. Urinary Tract Infections

2027

January 20, 2027 - Appropriateness Criteria for Urinary Tract Infections

February 17, 2027 - Interpreting an Antibiotic Sensitivity Testing Report (AST)

March 17, 2027 - Antibiotic Use Tracking and Reporting

April 21, 2027 - Skin and Soft Tissue Infections

May 19, 2027 - Transitions of Care

Certificate Requirements

Quality Improvement (QI) Project Examples

Below are examples of stewardship QI projects that can be completed in the skilled nursing facility environment. Facilities interested in the certificate program are welcome to design their own QI project based on their individual needs and resources. If you have technical questions related project or need help identifying resources, email us at ams@doh.wa.gov.  

  • Implementation of Antibiotic Time Outs conducted once a week by onsite providers.
  • Update policies to include a written statement of leadership support for AMS.
  • Updated staff orientation paperwork to include AMS policy and requirement to document dose, duration and indication for every antibiotic prescribed.
  • All nurses and nurses' assistants took the Resident and Family Communicating about antibiotics course as a part of their annual training requirements.
  • Implement an antibiotic tracking system for the most commonly used antibiotics at your facility.
  • Implement educational resources and commitment posters to decrease antibiotics for viral respiratory infections.

Additional Resources

Antimicrobial Stewardship Toolkit for Nursing Homes