Legionella Management Plan for Nursing Homes and Senior Living Facilities
Matthew R. Freije

September 2005 62 pages ISBN 1-930488-22-X (print version) ISBN 1-930488-19-X (electronic version) US$149 spiral bound US$149 PDF on CD US$119 PDF download   “Freije offers practical advice that can be used to successfully prevent Legionella outbreaks in the assisted living and residential care community.  Information in the book is useful, easy to understand and applicable to today's issues and challenges.  I would highly recommend the text to anyone responsible for infection control or facilities management.” Josh Allen, RN, Director of Clinical Services, Senior Resource Group

Protect your residents. Reduce your legal risk.

Outlines what to do -- and how to do it -- in a clear and concise format.

Based on several guidelines and scientific papers, as well as the author's experience.

Includes how-to information to save you time, money, and missteps.

Satisfies EC 1.7 for JCAHO-accredited facilities, with respect to waterborne pathogens.

Reads like an in-house policy manual.

Contents  •  About the author  •  Price, ordering

Contents   Top

Getting started

• The team

• Objectives

• Overview of other waterborne pathogens

• High-risk areas

• Environmental risk assessment

Preventive measures for the domestic water system

• Water temperatures

• Regular maintenance

• Policies for construction, normal operation, and special situations

• Future changes to consider

• Water quality checks

• Potable water disruptions and boil-water advisories

Preventive measures for cooling towers

• Physical cleaning

• Water treatment

• Maintenance

• Disinfection

• Conditions to avoid

• Inspection checklist

• Water quality testing

• Preventing legionellae transmission from the tower to people

Preventive measures for air handling equipment

• Humidifiers

• Ductwork

• Air handling units

• Filters

Preventive measures for other equipment (partial list)

• Decorative fountains

• Whirlpool bathtubs, whirlpool spas, swimming pools

• Portable humidifiers

Environmental sampling for Legionella

• Equipment to sample

• Number of samples per screening

• Frequency of screenings

• Qualifying a laboratory for Legionella culture

• Supplies

• Scheduling each screening

• Checklist to review before sampling

• Instructions for collecting samples and recording data

• Checklist for shipping samples to the laboratory

• Interpreting results

• Communication and documentation

Investigating Legionella problems

• Definition of Legionella “problem”

• Preliminary response to Legionnaires’ cases

• Steps for epidemiologic and environmental investigations

Exhibits; figures; tables

Source directory

• Additional reading

• Suppliers

• Laboratories

About the author   Top

Matt Freije is a consultant and course instructor specializing in Legionella and other waterborne pathogens. He investigates Legionella problems, evaluates buildings for conditions that promote Legionella growth, recommends plumbing system disinfection strategies, serves as an expert in litigation, provides training, and teaches seminars. His book, Legionellae Control in Health Care Facilities: A Guide for Minimizing Risk, a 1997 award finalist, has been highlighted in professional journals worldwide and has sold in more than 30 countries. Freije is the author of several reports and articles, has served as a guest speaker for professional societies, and is the editor of Legionella E-news, an international newsletter that covers outbreaks and new technology. Freije is a Purdue University mechanical engineering graduate and a member of the American Society of Plumbing Engineers (ASPE), the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE), the Water Quality Association (WQA), the American Society of Safety Engineers, and the International Water Association (IWA). He is a Certified Water Specialist, with additional certification in disinfection. Freije can be reached at 760-494-3063 or mf@hcinfo.com.

Price and ordering information  Top

We will refund your money if you are not completely satisfied.

Electronic version in PDF, ISBN 1-930488-19-X: