CDC’s first full FluView report of the 2022-2023 flu season shows that while flu activity is relatively low overall, there are early increases happening in most of the country. Flu activity is highest and increasing the most in the southeast and south-central parts of the United States. This increased activity could signal an early start to flu season. CDC recommends that everyone 6 months and older get vaccinated each year, ideally by the end of October, but vaccination should continue as long as flu viruses may circulate. For people who live in a community where flu activity has already begun, there’s still time to be vaccinated. Most of the time flu activity peaks between December and February, although significant activity can last as late as May.

This week’s FluView report shows that the percentage of respiratory specimens testing positive for flu nationally has reach 3.3%. The percent positive ranges from about 10% in HHS Region 4 (the southeast of the country) to 0.2% in the northwestern part of the country. In Region 6 (the south-central part of the country) 5% of specimens tested positive for flu, followed by Region 9 (the south-west of the country and Hawaii and Guam) at 4%.

The report also shows data from the U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) which tracks the percentage of people visiting outpatient health care providers or emergency departments for respiratory illness. Respiratory illness, also referred to as influenza-like illness (ILI), is defined as fever or couth or sore throat. ILI is already slightly above the national baseline of 2.5%. National and regional baselines indicate a statistically significant increase above the average percent of patient visits for ILI during weeks of low flu activity in previous seasons. This is a high level of ILI for this time of year and the first time that ILI has been above baseline at this time of year since the 2009 H1N1 flu pandemic.

It’s important to note that ILINet monitors symptoms of respiratory disease, not laboratory-confirmed flu, and will therefore capture respiratory illness visits due to infection with pathogens that can present with similar symptoms, including flu, the virus that causes COVID-19, and RSV. Other respiratory viruses are circulating at elevated levels in the United States at this time; therefore, it is important to evaluate data from ILINet and other symptom-based data in the context of other sources of surveillance data to obtain a complete and accurate picture of flu and other respiratory virus activity.

While the timing and severity of the upcoming flu season cannot be predicted, the United States has experienced little flu for the past two seasons. Reduced population immunity, particularly among young children who may never have had flu exposure or been vaccinated, could bring about a robust return of flu. CDC is particularly concerned about drops in flu vaccine coverage in the past two years among higher risk groups, including children and pregnant people. ILI visits at this time are highest among children 0-4 years, followed by people 5-24 years. Often flu activity first increases in children and then spreads to older age groups.

This week, CDC also reported three new pediatric deaths for the prior (2021-2022) flu season, bringing the season total to 43 pediatric deaths. This report further underscores the importance of vaccination among children. During most years, about 80% of pediatric flu deaths happen in children who have not been fully vaccinated.

More than 105 million doses of flu vaccine have been distributed in the United States at this time. You can find a flu vaccine by visiting vaccines.gov and entering your zip code.

To learn more, please visit https://www.cdc.gov/flu/spotlights/2022-2023/early-flu-activity.htm

Greenville Nursing and Rehabilitation is so excited to share resident Clara Quisinberry’s Success Story!

Ms. Quisinberry admitted to Greenville Nursing and Rehabilitation on June 23rd due to an infection after a recent back surgery. Upon admission, Clara was unable to transfer from her bed, take any steps, complete independent activities of daily living, and couldn’t walk without extensive assistance. Clara was incredibly determined to heal and was motivated to participate in physical and occupational therapy. With a lot of commitment and hard work, Clara was able to regain the ability to transfer, walk with a walker, become independent with self care, and manage stairs and standing again with only minimal assistance!

Clara stated that she really enjoyed participating in her daily therapy, otherwise she knew she would not be strong enough to go home and perform her daily tasks without “a lot” of help. Clara also stated that she enjoyed attending activities, especially BINGO and socializing with her fellow residents. Congratulations to Clara and her Care Team on their success!

Greenville Nursing and Rehabilitation is excited to share resident Don Harper’s Success Story!

Don Harper was admitted to Greenville Nursing and Rehabilitation on April 28th, 2022 after a fall left him with a fracture on his right leg with severe muscle weakness. When Mr. Harper started therapy, he required a lot of assistance. He needed help transferring in and out of bed, help transfer from sitting to standing, and he was not able to walk. Even completing regular daily tasks independently were difficult. With extreme motivation and participation, Mr. Harper was able to complete the sitting to standing transfer with minimal assistances, walk again with a rolling walker and with help from family, he could transfer in and out of bed again! He has become much more independent with daily tasks and continues to improve each day on his healing journey as he returns home. Mr. Harper said he enjoyed the “comradery” being at Greenville Nursing and Rehabilitation and enjoyed going to therapy and socializing. Congratulations to Mr. Harper and his Care Team on their success!

Greenville Nursing and Rehabilitation is proud to recognize resident Dorothy DeArmond’s Success Story!

Mrs. DeArmond admitted to Greenville Nursing and Rehabilitation Center on May 20, 2022 with a complaint of generalized weakness after a recent hospital stay. She worked hard with our occupational and physical therapy team, strengthening her endurance, walking, and regaining the ability to be independent in caring for herself again. Dorothy was determined to return home independently with only minimal assistance from her family members. Mrs. DeArmond loved talking to everyone and enjoyed participating in her therapy. After only a short couple of weeks, she was able to complete her goals and return home with her family! Dorothy says, “I will miss everyone here at Greenville Nursing and Rehab”. Congratulations to Dorothy and her Care Team on their success!

“I entered skilled nursing as a Certified Nursing Assistant (CNA). During this role, I developed love and compassion for the elderly. It gave me an opportunity to learn who each of these people were, hear their stories, and listen to the words of wisdom they often imparted to me. They encouraged me to continue to grow and make a difference in long-term care. As I continued in my healthcare journey, there were various leaders who believed in me and continued to provide opportunities and experiences. I continued to grow from one role to the next all while expanding my education of the field. I am thankful for each role that I’ve held through the years. Each member of the nursing team is important and needed, but the role of a CNA is invaluable. They are the backbone of the long-term care industry. They are often the unsung heroes that become more like family to a Resident than a caregiver. We honor and give gratitude to those CNA’s that answer the call every single day and make unmeasurable impact.”

CEO, Bernie McGuinness

Greenville Nursing and Rehabilitation is excited to share resident Penny Anderson’s Success Story!

Ms. Penny Anderson was admitted to Greenville Nursing and Rehabilitation after a fracture of her left leg, which left her unable to return home. Upon admission, she was dependent with her transferring and needed a lot of assistances with completing her daily care task. Ms. Anderson enjoyed taking part in therapy and enjoyed being around other rehabilitation residents. Her husband and daughters were incredibly supportive with her therapy and participated in caregiver training to be able to help her with tasks and transferring once she returned home. Ms. Anderson, after a lot of hard work and determination, was recently able to discharge back to her home with her husband. We gave her a “Red Carpet” farewell. Congratulations to Ms. Anderson and her Care Team on their success!

During National Nurses Week, take time to celebrate the founder of modern nursing, Florence Nightingale! Her endeavors to improve the aspect of healthcare has greatly shaped the quality of care by nurses in the 19th and 20th centuries. 

Currently, there are nurses all around the world putting their lives on the line to help stop the spread of COVID-19. It’s clear that Florence Nightingale’s impact on healthcare also helped pave the way for modern-day nurses and healthcare professionals to follow suit.

“With nurses around the world on the front lines of a global pandemic, it’s a poignant time to reflect on how Nightingale’s legacy laid the groundwork for their heroic work in hospitals today.” Says Greta Westwood, CEO of the Florence Nightingale Foundation. “She never took no for an answer – anything was possible.”

Also known as “The Lady with the Lamp”, Florence Nightingale started her nursing career in London, and later became appointed as the head nurse of the 1854 Crimean War. Nightingale’s passion and determination set her apart from others and got her the famous nickname “Lady with the Lamp” for checking on her patients via lamplight during the war. Not only did she care for her patients’ health, but she also often wrote letters to soldiers’ loved ones on their behalf.

The “Angel of the Crimea” made it her goal to lower death rates by improving hygiene practices in hospitals. She created numerous patient services that improved each patient’s quality of care while admitted in the hospital. She oversaw “invalid’s kitchen” where she set out food plans for patients that had dietary requirements. She also secured a laundry area so patients could have clean bed sheets and towels.

After the Crimean War, Nightingale wrote a book called Matters Affecting the Health, Efficiency and Hospital Administration of the British Army to share her observations and experiences while tending wounded soldiers. In 1857, the War Office’s administrative department was completely reconstruction due to Nightingale’s book and her experiences during the Crimean War, reforming several military hospitals that were under very poor conditions. (History.com Editors 2009)

In August of 1910, Nightingale became ill and was battling with heart failure. She died a week later at her home in London, bringing her life to an end at 90 years old. (History.com Editors 2009) Two years after her death, the Florence Nightingale Medal was created by the International Committee of the Red Cross, dedicated to be given to exceptional nurses every 2 years. In 1965, International Nurses Day was also created, residing on Nightingale’s birthday to continue celebrating her accomplishments. (Alexander 2018)

Despite her unexpected death, her legacy continues to live on at the Florence Nightingale Museum, which is located at the exact same spot of the original Nightingale Training School for Nurses. The museum holds over 2,000 artifacts to memorialize the mother of modern nursing. (History.com Editors 2009)

Florence Nightingale’s legacy is important to note during significant time for nurses courageously fighting on the frontlines during the pandemic. Notes Westwood, “Florence would be so proud of what nurses have managed to achieve during the pandemic.” (Haynes 2020)

References:

https://time.com/5835150/florence-nightingale-legacy-nurses/

http://history.com/topics/womens-history/florence-nightingale-1https://www.womenshistory.org/education-resources/biographies/florence-nightingale

We are preparing for an amazing celebration of National Nurses Week this year! Many companies are showing their gratitude for nurses and healthcare workers by offering awesome deals and freebies during Nurses Week and throughout the year. Whether you are a healthcare worker looking for a good deal or you’re shopping for a healthcare hero in your life, check out these great deals valid for the entire month of May for Nurses Week 2022!

Food & Drinks

• Mrs. Fields – Take a look online at this sweet selection of cookies in the Heroes Collection of cookie tins, which honors healthcare workers.
• Outback Steakhouse – Grab a hot meal and a big thank you! Show your industry identification to get 10% off your bill. The discount is not available via ordering online.
• Texas de Brazil – Enjoy a night or lunch out with a delicious selection of steaks (salads too!) and save 15% with a valid badge or ID.

Retail

• Amazon – Curl up with a selection of four free medical drama books, specially curated to celebrate nurses.
• Adidas – Receive 30% off in-store and on the Adidas website, and 20% off at factory outlet stores, when you verify your status as a nurse with ID.me.
• All Seasons Uniforms – Spruce up your closet with 20% off all medical apparel, such as scrubs, lab coats, and cleanroom clothing. Use discount code NURSE20.
• ASICS – Medical professionals and first responders, including nurses, physicians, police officers, and firefighters, can enjoy 40% off ASICS products. When you verify your healthcare worker status using SheerID, you will receive a on-time-use promo code.
• Brooklyn Bedding – Don’t snooze on this offer. Get 25% off and free shipping on your entire order of mattresses, pillows, sheets, and/or foundations. Verify your eligibility via ID.me during checkout.
• Lenovo – Need to upgrade your technology? Take an extra 5% off products sitewide, excluding doorbuster deals and select clearance products. Verify your healthcare worker status with ID.me during checkout.
• L.L. Bean – Enjoy 15% off one purchase after verifying your employment status through SheerID. This discount is valid on merchandise purchases are llbean.com, retail stores, or by phone.
• Lululemon – Receive 15% off in-store or online purchases.
• Nike – All medical professionals and first responders in the US are eligible for a 10% discount. Verify your profession as a nurse with SheerID to get a one-time-use promo code.
• Purple – Take 10% off any order purchased at purple.com or Purple retail showrooms, after verifying employment status through SheerID. Click on the “Verify Eligibility” button to start the process. Once approved, you will receive a single-use promotional code to use at checkout.
• Ring – Stay safe with a 20% discount savings on select Ring Doorbell products.
• Rothy’s – Enjoy some cool comfort with 20% off a pair of washable shoes. Verify your nurse status and claim the savings at online checkout.
• Under Armour – Take advantage of 20% off at UA.com and in UA Brand House stores. Choose the Military and First Responder Discount at checkout, and then verify your status as a nurse with ID.me.
• Verizon – You and your loved ones can get a Start Unlimited plan (with unlimited talk, text, and data) from $30 per line with four lines. That’s an offer the whole family can enjoy!
• Vineyard Vines – Save 15% on all apparel with a verified medical ID.

Travel

• Budget – Available through the ID.me shop, Budget is offering a discount of up to 25% for nurses. Create an ID.me account or sign in to enjoy this offer.
• Enterprise Rent-a-Car – Similar to the Budget discount, nurses, military members, and teachers can take up to 25% off their rental car costs with Enterprise. An ID.me account is required to access this discount.
• National – Rounding out the trio of rental car companies’ offers for nurses through ID.me, National “lets you choose any car in the aisle and go” with up to 25% off.

In addition to this month’s discounts and freebies, Majestic Care is proud to partner with Panda Perks to give our Care Team members 24/7 access to discounts and perks on the brands you love! Give us a call to learn more

Greenville Nursing and Rehabilitation is proud to shine the spotlight on resident Sandra Guy’s Success Story!

Mrs. Sandra Guy was admitted to Greenville Nursing and Rehabilitation after a fracture to her right leg, which left her unable to return home. Upon admission, she was unable to bear any weight on her leg or complete her daily care tasks independently. She needed maximum assistances with transferring and walking. During her stay, Mrs. Guy and her husband, Charlie, celebrated their 55th wedding anniversary. On March 9th, our community provided a second wedding ceremony with a preacher, decorations, and a wedding cake for the couple. Employees and fellow residents attended Ms. and Mr. Guy’s beautiful renewal ceremony that was later featured in the local newspaper and in McKnight’s Long-Term Care Newsletter!

With a lot of hard work in therapy, Mrs. Guy was recently able to discharge back home with her husband. Congratulations to Sandra and her Care Team on their success!

Diagnostic Testing

Diagnostic testing is intended to identify current infection in individuals and should be performed on anyone that has signs and symptoms consistent with COVID-19 and/or following recent known or suspected exposure to SARS-CoV-2.

Examples of diagnostic testing include:

• Testing anyone with symptoms consistent with COVID-19
• Testing vaccinated and unvaccinated people who were exposed to someone with a confirmed or suspected case of COVID-19

Screening Testing

Screening tests are intended to identify people with COVID-19 who are asymptomatic and do not have known, suspected, or reported exposure to SARS-CoV-2. Screening helps to identify unknown cases so that measures can be taken to prevent further transmission.

Examples of screening include testing:

• Employees in a workplace setting
• Students, faculty, and staff in a school setting
• A person before or after travel
• Someone at home who does not have symptoms associated with COVID-19 and no known exposures to someone with COVID-19

Public Health Surveillance Testing

Public health surveillance is the ongoing, systematic collection, analysis, and interpretation of health-related data essential to the planning, implementation, and evaluation of public health practice. See CDC’s Introduction to Public Health Surveillance.

Public health surveillance testing is intended to monitor community- or population-level outbreaks of disease, or to characterize the incidence and prevalence of disease. Surveillance testing is performed on de-identified specimens, and thus, results are not linked to individual people. Public health surveillance testing results cannot be used for individual decision-making.

Public health surveillance testing may sample a certain percentage of a specific population to monitor for increasing or decreasing prevalence, or to determine the population effect from community interventions such as social distancing. An example of public health surveillance testing is when a state public health department develops a plan to randomly select and sample a percentage of all people in a city on a rolling basis to assess local infection rates and trends.

Regulatory Requirements for Diagnostic, Screening, and Public Health Surveillance Testing

Any laboratory or testing site that performs diagnostic or screening testing must have a Clinical Laboratory Improvement Amendments (CLIA) certificate and meet all applicable CLIA requirements. For more information, see the Centers for Medicare & Medicaid Services CLIA websiteexternal icon. Tests used for SARS-CoV-2 diagnostic or screening testing must have received an Emergency Use Authorization from the U.S. Food and Drug Administration (FDA) or be offered under the policies in FDA’s Policy for COVID-19 Testsexternal icon.

Tests used for SARS-CoV-2 public health surveillance on de-identified human specimens do not need to meet FDA and CLIA requirements for diagnostic and screening testing.

Reporting Diagnostic, Screening, and Public Health Surveillance Testing Results

Both diagnostic and screening testing results should be reported to the people whose specimens were tested and/or to their healthcare providers.

In addition, laboratories that perform diagnostic and screening testing must report positive diagnostic and screening test results to the local, state, tribal, or territory health department in accordance with Public Law 116-136, § 18115(a), the Coronavirus Aid, Relief, and Economic Security (CARES) Act. As of April 4, 2022, laboratories are no longer required to report negative results for non-NAAT tests (rapid or antigen test results). The Department of Health and Human Services published guidance on COVID-19 Pandemic Response, Laboratory Data Reporting: CARES Act Section 18115pdf iconexternal icon that specifies what data, in addition to test results, laboratories and testing sites should collect and electronically report.

Public health surveillance testing results cannot be reported directly to the people whose specimens have been tested and are not reported to their healthcare providers. Public health surveillance testing results (test results that are de-identified) can be reported in aggregate to local, state, tribal, or territory health departments upon request. Results from testing that is performed outside of a CLIA-certified facility or without an FDA-authorized test can only be reported to a health department if those results are used strictly for public health surveillance purposes, and not used for individual decision making.

Summary of Testing for COVID-19

	Diagnostic	Screening	Public Health Surveillance
Symptomatic	Yes	No	N/A
Unvaccinated or vaccinated with known or suspected exposure	Yes	No	N/A
Unvaccinated and Asymptomatic without Known or Reported Suspected Exposure	No	Yes	N/A
Characterize Incidence and Prevalence in the Community	N/A	N/A	Yes
Testing of Personally Identifiable Specimens	Yes	Yes	No
Results may be Returned to Individuals	Yes	Yes	No
Results Returned in Aggregate to Requesting Institution	No	No	Yes
Results Reported to State Public Health Departments	Yes	Yes	If requested
Testing can be Performed in CLIA-Certified Laboratory	Yes	Yes	Yes
Testing can be Performed in a Non-CLIA-Certified Laboratory	No	No	Yes
Test System Must be FDA Authorized or be Offered under the Policies in FDA’s Guidance	Yes	Yes	No

To learn more, please visit https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/sars-cov2-testing-strategies.html