Infection Control And Prevention, POLICY

Size: px
Start display at page:

Download "Infection Control And Prevention, POLICY"

Transcription

1 Current Status: Active PolicyStat ID: Implementation: 06/1977 Effective: 12/2007 Last Reviewed: 12/2007 Last Revised: 12/2007 Next Review: 11/2010 Owner: Policy Area: References: Applicability: Yvonne Strader: VP CNO St Mary Med Center Patient Care Services WA - Providence St. Mary MC Infection Control And Prevention, POLICY Nursing Service staffs are responsible to practice prevention measures that decrease the risk of health care associated infection among patients, visitors, and staff. PURPOSE To provide an overview of policies and procedures relating to the patient care aspects of infection prevention and control risk reduction measures. To provide written guidelines to minimize the risk of cross infection among patients, health care workers and visitors. PROCEDURE GENERAL INFECTION PREVENTION and CONTROL PRACTICES 1. Infection Prevention and Control policies are unit-specific and available on line or in the Infection Prevention and Control office. The Infection Control Practitioner is available for consultation using Meditec or by telephone. 2. Patient Services staffs are requested to observe for signs/symptoms of infections and inform Infection Prevention and control and Primary physician when identified. Elevated temperature Development of a productive cough Dysuria or odorous urine Wound induration or purulence (surgical or IV access site) Readmission with an infection suspected to be associated with health care. 3. Admission assessments are to include signs/symptoms of infections, infections that may be associated with prior health care or communicable conditions. Infection Control Meditech referrals should be made for these findings. 4. Patient Services staffs are to perform hand hygiene between patients and after glove removal to prevent Page 1 of 6

2 cross infection. Reference Policy # Standard Precautions, including Respiratory Hygiene/cough Etiquette are to be practiced by all staff for all patients regardless of diagnosis or presumed infection. In addition, transmission based precautions may be necessary when Standard Precautions do not prevent transmission: Contact Precautions Used when drainage/secretions are not contained by dressings. Airborne Infection Isolation Precautions Droplet Precautions See policy # Isolation 6. Patient Services staffs are to handle sharps in a manner which prevents accidental sharps exposure. Needles are not to be recapped. (Reference Policy # ) Sharps safety devices are to be used. Requests for new sharps safety devices or sharps safety concerns should be reported to Infection Prevention and Control or the unit manager. 7. Patient Services staffs are to maintain aseptic technique during: Dressing changes No Touch clean technique Vascular access procedures. Policy # , 8720/5423, Scrupulous hand hygiene 2. Aseptic technique 3. Vigorous friction to hubs prior to access 4. Ensure patency. Bladder catheterization. 1. Appropriate indications for use considered 2. Aseptic technique for placement 3. Hand hygiene before/after emptying 4. Keep system closed 5. Maintain the collection bag lower than patients bladder Airway suctioning-respiratory Policy # , Obtaining specimens. Policy # The Lippincott Manual for Nursing Procedures is the reference used for procedures. 8. Regulated medical wastes are handled in accordance with Federal, State and County requirements and as approved by the Infection Control Committee. Reference Policy # Patient Services staffs are provided an annual Infection Prevention and Control, pulmonary tuberculosis and bloodborne pathogens training. 10. Unit-specific Infection Control policies are available and elaborate on increased risks of infections that may be encountered in those patients groups: Page 2 of 6

3 Clinic Settings Pediatrics TCU OR Women's Services Home Health ICU Emergency Department Imaging Cancer Center Infusion Services Electronic thermometers are to be maintained in a manner which decreases potential for cross contamination. Reference Policy # Sheaths are to be used that cover the probes. Electric thermometers are not be used for patients with diarrhea. Read out unit is to be cleaned/disinfected at least daily using environmental wipes or alcohol. Patients in additional isolation are to have dedicated thermometers. 12. Multidose vials are dated when opened and discarded after 28 days or until the manufacturer's expiration date. If the sterility is questioned, the vial is to be discarded. Vial access ports are to be scrubbed with alcohol before accessing and the integrity of the stopper evaluated prior to use. Reference Policy # PHYSICAL ENVIRONMENT 1. Patient rooms are private with the exception of sixteen double rooms on 4 South with a shared bathroom. In the semi-private rooms, individual shelves are provided to separate equipment and personal belongings. 2. Handwashing facilities are in each room with a hospital approved handwashing agent provided. Alcohol based agents are placed outside of each patient room. Patients and visitors are encouraged to practice hand hygiene as part of patient safety. 3. Nurse Servers - Most rooms have an individualized storage area accessed from both the inside and the outside of the room. The upper portion of the nurse server is for clean items only. Care is to be taken to avoid contaminating this section and clean supplies. Access with clean hands only. The lower portion of the nurse server is for soiled items only. Soiled linen. A bin for small soiled items to be reprocessed by CP&D. No sharps are to be placed in this bin. Reprocessable sharps are to be taken to the soiled hold. Items contaminated with body fluids are to be bagged for transport. 4. Washers and dryers located on 4 South are to be maintained per Policy # Refrigerators on the nursing unit are maintained according to Policy # The medication Page 3 of 6

4 refrigerator is checked by Pharmacy. Facility prepared nourishments are to be discarded on the discard date. Manufactured foods are to be discarded on the expiration date. Foods prepared outside the facility and brought in for patients are not placed in the nourishment refrigerators and are to be eaten as soon as possible. TRAFFIC CONTROL 1. Reference Visiting Policy # Visitors are to be allowed into clean or contaminated work areas and should confine visiting to patient's rooms or waiting rooms. Visitors observed to be ill should be asked to not visit patients. Visitors who are coughing may be asked to wear a mask. 3. Pet visitation may be allowed per policy # PATIENT PLACEMENT 1. Reference Infection Prevention and Control Policy # for Isolation. Patients with suspected or confirmed airborne transmitted illnesses are to be admitted to the negative airflow rooms 315, 316, or 436 (measles, mumps, tuberculosis, chicken pox) and placed into Airborne Illness Isolation. 2. Patients with Foley catheter should not share a room with another patient with a bladder catheter. 3. Patients infected or colonized with multidrug resistant organisms are to have a private room or may be cohorted with patients with the same organism. 4. Patients with droplet spread conditions are to be admitted to a private room (RSV, Influenza, pneumonia, Group A beta strep, meningitis). Cohorting of patients with the same condition may be done with consultation with Infection Prevention and Control. 5. Patients with uncontrolled diarrhea or poor personal hygiene should be admitted to private rooms. 6. Patients at increased risk for infections are to be admitted to private rooms (i.e., immunosuppressed patients). Immunocompromised patients should not be admitted to negative airflow rooms. 7. Infants with suspected communicable conditions will be admitted to Pediatrics or ICU. Admission to Newborn Nursery is to be avoided. LINEN See Policy # Linen is delivered to units in covered carts by Environmental Services and stored in the Nurse servers for each room. Extra linen is kept in clean storage areas in a manner which prevents contamination. 2. Soiled linen is to be carefully handled away from the body and not placed on the floor. All soiled linen is considered contaminated and placed in a clear plastic bag. Soiled linen is to be placed in the lower section of nurse server in clear plastic bags and filled only 2/ Page 4 of 6

5 3 full. Environmental Services is to collect soiled linen twice daily and as needed. EMPLOYEE HEALTH PARTICIPATION 1. Employees are not allowed to work until they have met the health requirement for new hires. Reference Policy # and # Tuberculin Skin testing Immunization history 2. Employee injuries and/or exposures are to be reported immediately to Employee Health or the Emergency Department after business hours. 3. Employees are encouraged to take advantage of wellness benefits including vaccinations offered through the Employee Health Services. 4. Health care workers who are febrile, have draining lesions or are otherwise ill, are not to work and are asked to inform Nursing Scheduling and/or Employee Health. a. Infection Prevention and Control assists Employee Health with post exposure investigations of communicable conditions. b. Employee illnesses are monitored for clusters of common symptoms. PRACTICES OF STERILIZATION, DISINFECTION & ENVIRONMENTAL CONTROL 1. The reprocessing of equipment and supplies is done by the CP&D department. Soiled items are taken to the soiled hold area for pick up by CP&D and Environmental Services. Items contaminated with body fluids are contained for transport to soiled holds. Contaminated reprocessable sharps are to be placed into an instrument container and covered with enzyme spray. 2. Prior to use, sterile packaged items (in house or commercial) are to be inspected for indications of moisture or integrity of packaging. All outdated or compromised packaged items are to be returned to CP&D. Event related sterility is to be practiced. 3. Clean equipment/supply areas are separate from the soiled hold areas. Soiled items are taken only to the soiled hold. 4. Multiple use items are to be reprocessed following the manufacturer recommendations: Items that enter sterile tissue or vascular system are to be sterile. CP & D reprocesses these items. Objects which come into contact with mucous membranes or non-intact skin are to be free of microorganisms through high level disinfection procedures in CP&D. Items which come into contact with intact skin but not mucous membranes (stethoscopes, table tops, B/P cuffs) are cleaned using soap and water or a ready to use hospital approved germicides. 5. Disposable, single use items are used once discarded and are not to be reprocessed. 6. Wheel chairs are be wiped down using the hospital germicide on a routine basis and when ever visibly soiled. Grossly soiled wheelchairs will be cleaned by SP&D. Wheelchairs will be left in discharged Page 5 of 6

6 patient's room for cleaning by Environmental Services. 7. Equipment used between patients, such as bladder scanner, is to be wiped off with approved cleaner/ disinfectant after each use by the user. Environmental Services cleans B/P cuff after every patient discharge. IV pumps are cleaned upon patient discharge by Environmental services. 1. Patient Service staff clean the pumps when in use and when visibly soiled using the disinfectant recommended by the manufacturer. Multiple use shower area, bathtubs and equipment are to be used in a manner which prevents cross infection: Bath benches and tubs are to be cleaned and disinfected by patient care staff after each patient use using the hospital approved germicide. 8. Room and discharge cleaning is done by Environmental Services. Reference Environmental Services Policy # Patient services staffs may wipe high tough surfaces in patient rooms is there is frequent soiling of the environment by excretions and or drainage. The hospital approved disinfectants and/or disinfectant cloths may be used REFERENCES WAC Bloodborne Pathogens WAC Infection Control Joint Commission Infection Control Standards APIC, Text of Infection Control Epidemiology CDC Guideline for Isolation Precautions 2007 CDC Guideline for the Prevention of Intravascular Catheter-related Infections 2002 Attachments: No Attachments Page 6 of 6

ISOLATION TABLE OF CONTENTS STANDARD PRECAUTIONS... 2 CONTACT PRECAUTIONS... 4 DROPLET PRECAUTIONS... 6 ISOLATION PROCEDURES... 7

ISOLATION TABLE OF CONTENTS STANDARD PRECAUTIONS... 2 CONTACT PRECAUTIONS... 4 DROPLET PRECAUTIONS... 6 ISOLATION PROCEDURES... 7 ISOLATION TABLE OF CONTENTS STANDARD PRECAUTIONS... 2 BARRIERS INDICATED IN STANDARD PRECAUTIONS... 2 PERSONAL PROTECTIVE EQUIPMENT... 3 CONTACT PRECAUTIONS... 4 RESIDENT PLACEMENT... 4 RESIDENT TRANSPORT...

More information

THE INFECTION CONTROL STAFF

THE INFECTION CONTROL STAFF INFECTION CONTROL THE INFECTION CONTROL STAFF INTEGRIS BAPTIST V. Ramgopal, M.D., Hospital Epidemiologist Gwen Harington, RN, BSN, CIC, Infection Control Specialist Kathy Knecht, RN, Surveillance Coordinator

More information

Infection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases

Infection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases Infection Prevention Infection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases to yourself, family members,

More information

NEW EMPLOYEE ORIENTATION INFECTION PREVENTION AND CONTROL

NEW EMPLOYEE ORIENTATION INFECTION PREVENTION AND CONTROL NEW EMPLOYEE ORIENTATION INFECTION PREVENTION AND CONTROL Infection Control Rev. 3/2018 Hand Hygiene Standard Precautions TOPICS Transmission-Based Precautions Personal Protective Equipment (PPE) Multiple

More information

Infection Control Policy and Procedure Manual. Post-Anesthesia Care Unit (Recovery Room) Page 1 of 6

Infection Control Policy and Procedure Manual. Post-Anesthesia Care Unit (Recovery Room) Page 1 of 6 (Recovery Room) Page 1 of 6 Purpose: The purpose of this policy is to establish infection prevention guidelines to prevent or minimize transmission of infections in the. Policy: All personnel will adhere

More information

Burn Intensive Care Unit

Burn Intensive Care Unit Purpose The burn wound is especially susceptible to microbial invasion because of loss of the protective integument and the presence of devitalized tissue. Reduction of the risk of infection is of utmost

More information

STANDARD PRECAUTIONS POLICY Page 1 of 8 Reviewed: May 2017

STANDARD PRECAUTIONS POLICY Page 1 of 8 Reviewed: May 2017 Page 1 of 8 Policy Applies to: All Mercy Staff, Credentialed Specialists, Allied Health Professionals, students, patients, visitors and contractors will be supported to meet policy requirements Related

More information

Infection Prevention and Control and Isolation Authored by: Infection Prevention and Control Department

Infection Prevention and Control and Isolation Authored by: Infection Prevention and Control Department Infection Prevention and Control and Isolation 2015 Authored by: Infection Prevention and Control Department Objectives After you complete this Computer-Based Learning (CBL) module, you should be able

More information

PRECAUTIONS IN INFECTION CONTROL

PRECAUTIONS IN INFECTION CONTROL PRECAUTIONS IN INFECTION CONTROL Standard precautions Transmission-based precautions Contact precautions Airborne precautions Droplet precautions 1 2/25/2015 WHO HAVE TO PROTECT IN HOSPITALS? Patients

More information

& ADDITIONAL PRECAUTIONS:

& ADDITIONAL PRECAUTIONS: INFECTION CONTROL GUIDELINES: STANDARD PRECAUTIONS & ADDITIONAL PRECAUTIONS: LESSON PLAN Lesson overview Time: One hour This lesson covers the guidelines developed by the U.S. Centers for Disease Control

More information

ISOLATION PRECAUTIONS INTRODUCTION. Standard Precautions are used for all patient care situations, but they

ISOLATION PRECAUTIONS INTRODUCTION. Standard Precautions are used for all patient care situations, but they ISOLATION PRECAUTIONS INTRODUCTION Standard Precautions are used for all patient care situations, but they may not always be sufficient. If a patient is known or suspected to be infected with certain pathogens

More information

Chapter 10. medical and Surgical Asepsis. safe, effective Care environment. Practices that Promote Medical Asepsis

Chapter 10. medical and Surgical Asepsis. safe, effective Care environment. Practices that Promote Medical Asepsis chapter 10 Unit 1 Section Chapter 10 safe, effective Care environment safety and Infection Control medical and Surgical Asepsis Overview Asepsis The absence of illness-producing micro-organisms. Asepsis

More information

Infection Prevention and Control for Phlebotomy

Infection Prevention and Control for Phlebotomy Page 1 of 10 POLICY STATEMENT: It is Sunnybrook s Policy to prevent the spread of infection within the health care institution from patient to patient, patient to staff, staff to patient by: a) providing

More information

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Office of Prospective Health Infection Control Plan Date Originated: August 26, 2003 Date Reviewed: 10/22/03; 9/04/07; 03/09/10; 9/01/15; Date Approved:

More information

Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings

Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings : Program Goal Improve personnel safety in the healthcare environment through appropriate use of PPE. :

More information

Infection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care

Infection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care Infection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care Melissa Schaefer, MD Division of Healthcare Quality Promotion Centers for Disease Control and Prevention

More information

Routine Practices. Infection Prevention and Control

Routine Practices. Infection Prevention and Control Routine Practices Infection Prevention and Control Routine Practices Elements of Routine Practices: Risk assessment + hand hygiene + personal protective equipment Environmental controls (patient placement,

More information

DISEASE TRANSMISSION PRECAUTIONS AND PERSONAL PROTECTIVE EQUIPMENT (PPE)

DISEASE TRANSMISSION PRECAUTIONS AND PERSONAL PROTECTIVE EQUIPMENT (PPE) DISEASE TRANSMISSION PRECAUTIONS AND PERSONAL PROTECTIVE EQUIPMENT (PPE) Course Health Science Unit VII Infection Control Essential Question What must health care workers do to protect themselves and others

More information

Personal Hygiene & Protective Equipment. NEO111 M. Jorgenson, RN BSN

Personal Hygiene & Protective Equipment. NEO111 M. Jorgenson, RN BSN Personal Hygiene & Protective Equipment NEO111 M. Jorgenson, RN BSN Hand Hygiene the single most effective way to help prevent the spread of infections agents. (CDC, 2002.) Consistency & Compliancy 50%

More information

INFECTION C ONTROL CONTROL CONTROL EDUCATION PROGRAM

INFECTION C ONTROL CONTROL CONTROL EDUCATION PROGRAM INFECTION CONTROL EDUCATION PROGRAM Isolation Precautions Isolating the disease not the patient The Purpose is To protect compromised patient from environment To prevent the spread of communicable diseases.

More information

Pulmonary Care Services

Pulmonary Care Services Purpose Audience To provide infection control guidelines for pulmonary care personnel at UTMB. All Therapists/Technicians are required to adhere to the following guidelines to prevent exposure of patients

More information

Infection Prevention and Control Annual Education Authored by: Infection Prevention and Control Department

Infection Prevention and Control Annual Education Authored by: Infection Prevention and Control Department Infection Prevention and Control Annual Education 2013 Authored by: Infection Prevention and Control Department Objectives After you complete this Computer-Based Learning (CBL) module, you should be able

More information

Infection Control Prevention Strategies. For Clinical Personnel

Infection Control Prevention Strategies. For Clinical Personnel Infection Control Prevention Strategies For Clinical Personnel What is Infection Control? Infection Control is EVERYONE s responsibility It protects patients, employees and visitors by preventing and controlling

More information

Lightning Overview: Infection Control

Lightning Overview: Infection Control Lightning Overview: Infection Control Gary Preston, PhD, CIC, FSHEA Terry Caton, CIC Carla Ward, CIC 2012 Healthcare Management Alternatives, Inc. Objectives At the end of this module you will know: How

More information

Self-Instructional Packet (SIP)

Self-Instructional Packet (SIP) Self-Instructional Packet (SIP) Advanced Infection Prevention and Control Training Module 4 Transmission Based Precautions February 11, 2013 Page 1 Learning Objectives Module One Introduction to Infection

More information

Single room with negative pressure ventilation in relation to surrounding areas

Single room with negative pressure ventilation in relation to surrounding areas 7. Airborne/Contact Precautions 7.1 Introduction Airborne/Contact Precautions are required for patients diagnosed with, or suspected of having an infectious microorganism transmitted by the airborne and

More information

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Department: Pediatrics-Hem/Onc-Module F Date Originated: 03/6/2012 Date Reviewed: 6/14, 9/12/17 Date Approved: 6/5/12 Page 1 of 8 Approved by: Department

More information

Continuing Care Health Service Standards Standard 11.0 Audit Readiness Checklist (ARC)

Continuing Care Health Service Standards Standard 11.0 Audit Readiness Checklist (ARC) This Audit Readiness Checklist (ARC) is an optional resource intended to provide an overview of the evidence required to ensure a site or program is compliant with Infection Control and Prevention Standard

More information

Background of Initiative

Background of Initiative Outline 2 Background of Initiative 3 Development of Recommendations 4 5 6 Development and Recommendations 7 Routine Practices Based on the premise that: All patients are potentially infectious (even if

More information

Fall HOLLY ALEXANDER Academic Coordinator of Clinical Education MS157

Fall HOLLY ALEXANDER Academic Coordinator of Clinical Education MS157 Fall 2010 HOLLY ALEXANDER Academic Coordinator of Clinical Education 609-570-3478 AlexandH@mccc.edu MS157 To reduce infection & prevent disease transmission Nosocomial Infection: an infection acquired

More information

Infection Prevention and Control Guidelines for Cystic Fibrosis Patients

Infection Prevention and Control Guidelines for Cystic Fibrosis Patients AU Medical Center Policy Library Infection Prevention and Control Guidelines for Cystic Fibrosis Patients Policy Owner: Epidemiology POLICY STATEMENT Based upon best practices for the care of cystic fibrosis

More information

INFECTION CONTROL ORIENTATION TRAINING 2006

INFECTION CONTROL ORIENTATION TRAINING 2006 INFECTION CONTROL ORIENTATION TRAINING 2006 INFECTION CONTROL OSHA BLOODBORNE PATHOGEN STANDARD STANDARD PRECAUTIONS RISK OF EXPOSURE TO CONTAMINATED MATERIALS USE OF PROTECTIVE EQUIPMENT FOLLOW-UP OF

More information

Infection Control Prevention Strategies. For Clinical Personnel

Infection Control Prevention Strategies. For Clinical Personnel Infection Control Prevention Strategies For Clinical Personnel What is Infection Control? Infection Control is EVERYONE s responsibility It protects patients, employees and visitors by preventing and controlling

More information

Department of Infection Control and Hospital Epidemiology. New Employee Orientation

Department of Infection Control and Hospital Epidemiology. New Employee Orientation Department of Infection Control and Hospital Epidemiology New Employee Orientation Infection Control Contact Information Office 350 Parnassus Ave, Suite 510 Main Office Phone: 353-4343 Practitioner On-Call:

More information

Isolation Categories of Transmission-Based Precautions

Isolation Categories of Transmission-Based Precautions Isolation Categories of Transmission-Based Highlights Policy Statement Standard shall be used when caring for residents at all times regardless of their suspected or confirmed infection status. Transmission-Based

More information

Infection Control in Healthcare. Facilities

Infection Control in Healthcare. Facilities Infection Control in Healthcare Basic Principles Facilities Hand Hygiene / Respiratory Etiquette Exclusion of ill staff and visitors Standard and droplet precautions Facility-specific measures Hospitals

More information

Department of Public Health Infection Control Survey

Department of Public Health Infection Control Survey Patient Care Services, uality and Safety Being Ready for Every Patient Every Day Department of Public Health Infection Control Survey Resource Guide for Patient Care ssociates Excellence Every Day The

More information

INFECTION CONTROL POLICY DATE: 03/01/01 REVISED: 7/15/09 STATEMENT

INFECTION CONTROL POLICY DATE: 03/01/01 REVISED: 7/15/09 STATEMENT Of, INFECTION CONTROL POLICY DEPARTMENT OF RADIOLOGY DATE: 03/01/01 REVISED: 7/15/09 STATEMENT GENERAL The Department of Radiology adheres to the Duke Infection Control policies and the DUMC Exposure Control

More information

Welcome to Risk Management

Welcome to Risk Management Welcome to Risk Management Risk Management is the Safety Net Report, Report, Report! Keeping Your Back Safe Follow the guidelines Associates are responsible and will be held accountable Use proper lift

More information

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Department: Neurology (Hemby Lane) Date Originated: 2/20/14 Date Reviewed: 6.5.18 Date Approved: 6/3/14 Page 1 of 7 Approved by: Department Chairman Administrator/Manager

More information

Standard Precautions

Standard Precautions Standard Precautions Speciality: Infection Control 1. Indications 1.1 Background Standard Precautions This definition broadens the coverage of the previously known Universal Precautions by recognizing

More information

Newborn Nursery/Neonatal Intensive Care Unit

Newborn Nursery/Neonatal Intensive Care Unit Newborn Nursery/Neonatal Intensive Care Unit Ref:(a) The Association for Professionals in Infection Control and Epidemiology, Principles and Practice, 1996. (b) Hospital Epidemiology and Infection Control,

More information

Infection Prevention and Control

Infection Prevention and Control Infection Prevention and Control Infection Prevention and Control Program IPAC program consists of three healthcare professionals IPAC department is located on the 9 th floor and is available Monday to

More information

Infection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures

Infection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures Infection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures Facility name:... Completed by:... Date:... A. Written infection prevention policies and procedures specific

More information

Oregon Health & Science University Department of Surgery Standard Precautions Policy

Oregon Health & Science University Department of Surgery Standard Precautions Policy Standard Precautions Policy 1. Policy Standard Precautions are to be followed by all employees for all patients within and entering the OHSU system. Standard Precautions are designed to reduce the risk

More information

INTERIM INFECTION PREVENTION AND CONTROL GUIDELINES NOVEL A/H1N1 INFLUENZA

INTERIM INFECTION PREVENTION AND CONTROL GUIDELINES NOVEL A/H1N1 INFLUENZA EXECUTIVE SUMMARY: INTERIM INFECTION PREVENTION AND CONTROL GUIDELINES NOVEL A/H1N1 INFLUENZA This Infection Prevention and Control Guideline is intended for health care workers in the management of suspect

More information

CPNE CLINICAL PERFORMANCE IN NURSING EXAMINATION

CPNE CLINICAL PERFORMANCE IN NURSING EXAMINATION 22nd edition CPNE CLINICAL PERFORMANCE IN NURSING EXAMINATION Infection Control Module No part of this publication may be reproduced or distributed in any form or by any means, or stored in a database

More information

Standard Precautions & Managing High risk cases. Tuminah Binti Jantan (SRN)

Standard Precautions & Managing High risk cases. Tuminah Binti Jantan (SRN) Standard Precautions & Managing High risk cases Tuminah Binti Jantan (SRN) Outline 1. Infection risk 2. Infection control in dental practice 3. Standard precautions 4. The element of SP (sharps injury)

More information

Infection Prevention, Control & Immunizations

Infection Prevention, Control & Immunizations Infection Control: This facility task must be used to investigate compliance at F880, F881, and F883. For the purpose of this task, staff includes employees, consultants, contractors, volunteers, and others

More information

Infection Control and Prevention On-site Review Tool Hospitals

Infection Control and Prevention On-site Review Tool Hospitals Infection Control and Prevention On-site Review Tool Hospitals Section 1.C. Systems to Prevent Transmission of MDROs Ask these questions of the IP. 1.C.2 Systems are in place to designate patients known

More information

Department of Public Health Infection Control Survey

Department of Public Health Infection Control Survey Patient Care Services, uality and Safety Being Ready for Every Patient Every Day Department of Public Health Infection Control Survey Resource Guide for Licensed Staff Excellence Every Day The Department

More information

Standard Precautions must always be used in addition to Transmission Based Precautions.

Standard Precautions must always be used in addition to Transmission Based Precautions. 4. Airborne Precautions Airborne Precautions are recommended in addition to Standard Precautions to prevent the transmission of infections spread by very small respiratory particles which are expelled

More information

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Family Medicine Physical Therapy Date Originated: February 25, 1998 Dates Reviewed: 2.25.98, 2.28.01 Date Approved: February 28, 2001 3.24.04; 9/10/13

More information

8. Droplet/Contact Precautions. 8.1 Introduction

8. Droplet/Contact Precautions. 8.1 Introduction 8. Droplet/Contact Precautions 8.1 Introduction Droplet/Contact Precautions are required for patients diagnosed with, or suspected of having infectious microorganisms transmitted by the droplet route and

More information

Principles of Infection Prevention and Control

Principles of Infection Prevention and Control Principles of Infection Prevention and Control Liz Van Horne Manager, Core Competencies Senior Infection Prevention & Control Professional OAHPP Outbreak Management Workshop September 15, 2010 Objectives

More information

PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards. Infection Prevention and Control: Personal Protective Equipment

PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards. Infection Prevention and Control: Personal Protective Equipment PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards : Personal Protective Equipment PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards 2016 PERSONAL PROTECTIVE EQUIPMENT Personal protective

More information

The environment. We can all help to keep the patient rooms clean and sanitary. Clean rooms and a clean hospital or nursing home spread less germs.

The environment. We can all help to keep the patient rooms clean and sanitary. Clean rooms and a clean hospital or nursing home spread less germs. Infection Control Objectives: After you take this class, you will be able to: 1. List some of the reasons why residents and patients are at risk for getting infections. 2. Discuss the cycle of infection

More information

CHAPTER 3 OBSTETRIC AREAS. Obstetric Areas

CHAPTER 3 OBSTETRIC AREAS. Obstetric Areas Obstetric Areas Obstetrical patients will include those who are currently pregnant, or those who delivered or aborted in the previous 6 weeks. Patients with ectopic pregnancies or any pre-abortive process

More information

INFECTION CONTROL ORIENTATION TRAINING 2006

INFECTION CONTROL ORIENTATION TRAINING 2006 INFECTION CONTROL ORIENTATION TRAINING 2006 INFECTION CONTROL OSHA BLOODBORNE PATHOGEN STANDARD STANDARD PRECAUTIONS RISK OF EXPOSURE TO CONTAMINATED MATERIALS USE OF PROTECTIVE EQUIPMENT FOLLOW-UP OF

More information

INFECTION PREVENTION AND CONTROL

INFECTION PREVENTION AND CONTROL INFECTION PREVENTION AND CONTROL NATIONAL SYMPOSIUM ON ANTIBIOTIC STEWARDSHIP & INFECTION PREVENTION AND CONTROL - Right Drug, Right Dose, Right Duration, Right Frequency ASP 2016 January 23rd Hotel Crown

More information

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Department: Family Practice Dental Clinic Date Originated: 05-31-2006 Date Reviewed: 06-21-2006 Date Approved: Page 1 of 7 Approved by: Department Chairman

More information

DEPARTMENTAL POLICY. Northwestern Memorial Hospital

DEPARTMENTAL POLICY. Northwestern Memorial Hospital Northwestern Memorial Hospital DEPARTMENTAL POLICY Subject: INFECTION CONTROL AND PREVENTION Title: ISOLATION PRECAUTIONS 1 of 8 Revision of: 04/2004 Policy # Effective Date: 01/2007 I. PURPOSE: Appropriate

More information

INFECTION CONTROL ORIENTATION TRAINING 2004

INFECTION CONTROL ORIENTATION TRAINING 2004 INFECTION CONTROL ORIENTATION TRAINING 2004 INFECTION CONTROL OSHA BLOODBORNE PATHOGEN STANDARD STANDARD PRECAUTIONS RISK OF EXPOSURE TO CONTAMINATED MATERIALS USE OF PROTECTIVE EQUIPMENT FOLLOW-UP OF

More information

Safe Care Is in YOUR HANDS

Safe Care Is in YOUR HANDS Safe Care Is in YOUR HANDS 1 in25 patients has a Healthcare-Associated Infection Would you like to be part of prevention? It s EASY and we can start TODAY! STOP the spread of germs! Hand Hygiene Before

More information

Infection Control in General Practice

Infection Control in General Practice Infection Control in General Practice August 2017 Magali De Castro Clinical Director, HotDoc Infection Control in General Practice This session will cover: Key infection control considerations for general

More information

Policy - Infection Control, Safety and Personal Security

Policy - Infection Control, Safety and Personal Security Policy - Infection Control, Safety and Personal Security Origin Date: October 28, 2013 Last Evaluated: April 2018 Responsible Party: Program Director Minimum Review Frequency: Annually Approving Body:

More information

TRANSMISSION-BASED PRECAUTIONS

TRANSMISSION-BASED PRECAUTIONS TRANSMISSION-BASED PRECAUTIONS PRECAUTIONS Standard Precautions infection prevention practices used with all patients regardless of suspected or confirmed diagnosis. Based on the principle that all blood,

More information

2014 Annual Continuing Education Module. Contents

2014 Annual Continuing Education Module. Contents This self-directed learning module contains information you are expected to know to protect yourself, our patients, and our guests. Content Experts: Infection Prevention Target Audience: All Teammates

More information

Replaces: 08/11/16. Formulated: 1/2000 TRANSMISSION-BASED PRECAUTIONS

Replaces: 08/11/16. Formulated: 1/2000 TRANSMISSION-BASED PRECAUTIONS CMHC INFECTION CONTROL Effective : 08/10/17 Page 1 of 4 POLICY: TDCJ and any medical contractors will implement Transmission-Based Precautions as needed to interrupt the transmission of potentially contagious

More information

Standard Precautions (SP) & Transmission-Based Isolation Policies

Standard Precautions (SP) & Transmission-Based Isolation Policies SJMHS Infection Control Policy Standard Precautions (SP) & Transmission-Based Isolation Policies Control of Communicable Disease Section Number 3 Policy Number 1.1 Effective Date: 11/63 Revised Date: 9/96,

More information

N/A. The purpose of this policy is to outline standards for ambulatory services to minimize the risk of infection.

N/A. The purpose of this policy is to outline standards for ambulatory services to minimize the risk of infection. North Shore-LIJ Health System is now Northwell Health System Infection Prevention POLICY TITLE: Ambulatory Services CLINICAL POLICY AND PROCEDURE MANUAL POLICY #: INF.1172 System Approval Date: 1/25/17

More information

Infection Control and Prevention On-site Review Tool Hospitals

Infection Control and Prevention On-site Review Tool Hospitals Infection Control and Prevention On-site Review Tool Hospitals Section 1.C. Systems to Prevent Transmission of MDROs Ask these questions of the IP. 1.C.2 Systems are in place to designate patients known

More information

ANTT. What is it and do you need to know? Grampians Region Infection Control Group Sue Atkins Regional Infection Control Consultant

ANTT. What is it and do you need to know? Grampians Region Infection Control Group Sue Atkins Regional Infection Control Consultant ANTT What is it and do you need to know? Grampians Region Infection Control Group Sue Atkins Regional Infection Control Consultant Aseptic Non Touch Technique Yes you need to know! Introduction Understanding

More information

Infection Prevention Isolation Precautions Toolkit

Infection Prevention Isolation Precautions Toolkit Infection Prevention Isolation Precautions Toolkit The toolkit provides: Link(s) to revised Isolation Policy on The Point Link to ICON training video and key changes to policy (NEW) Quick Review Chart

More information

Infection Prevention and Control Annual Education 2010

Infection Prevention and Control Annual Education 2010 Infection Prevention and Control Annual Education 2010 Authored by: Cathy Clark, RN MPH CIC Mary Whitaker, RN CIC Bola Ogundimu, RN MPH Marie Commiskey, RN CCRN CIC Modified for affiliated schools students

More information

- E - COMMUNICABLE DISEASES AND INFECTIOUS DISEASE CONTROL

- E - COMMUNICABLE DISEASES AND INFECTIOUS DISEASE CONTROL - E - COMMUNICABLE DISEASES AND INFECTIOUS DISEASE CONTROL Every child is entitled to a level of health that permits maximum utilization of educational opportunities. It is the policy of the Duval County

More information

Learning Objectives. Successful Antibiotic Stewardship. Byron Health Center & GrandView Pharmacy

Learning Objectives. Successful Antibiotic Stewardship. Byron Health Center & GrandView Pharmacy Successful Antibiotic Stewardship Byron Health Center & GrandView Pharmacy Learning Objectives Understand the core requirements of an antibiotic stewardship program as defined by the CMS Requirements of

More information

Welcome to the Cooper Infection Prevention Team

Welcome to the Cooper Infection Prevention Team Welcome to the Cooper Infection Prevention Team We Need YOU on the Team Healthcare Associated Infections Increase Morbidity & Mortality (Pain, Suffering and Death) CDC estimates that each year about 2

More information

OCCUPATIONAL HEALTH & SAFETY

OCCUPATIONAL HEALTH & SAFETY OCCUPATIONAL HEALTH & SAFETY Safety in the Workplace WRH recognizes health and safety as a vital component in achieving its vision, mission and values. It is committed to providing safe and harm free care

More information

Infection Prevention & Control (IPAC):

Infection Prevention & Control (IPAC): Windsor Regional Hospital believes that Infection Prevention and Control is vital to patient safety. ALL persons working in the hospital have a RESPONSIBILITY to practice good infection prevention and

More information

Emergency Department Isolation Precautions

Emergency Department Isolation Precautions Carolinas HealthCare System Department of Infection Prevention I. SCOPE Emergency Department Isolation Precautions This policy applies to all Carolinas HealthCare System Emergency Department (ED) locations

More information

Five Top Tips to Prevent Infections in Long-term Care Settings

Five Top Tips to Prevent Infections in Long-term Care Settings Five Top Tips to Prevent Infections in Long-term Care Settings Tip No. 1 Vigilance Open Your Eyes Staff Education Reduce Risks Be Proactive Know the Signs and Symptoms of Infection Tip No. 2 Hand Hygiene

More information

a. Goggles b. Gowns c. Gloves d. Masks

a. Goggles b. Gowns c. Gloves d. Masks Scrub In A patient is isolated because of an undetermined respiratory condition. Which PPEs will healthcare professionals need before caring for the patient? a. Goggles b. Gowns c. Gloves d. Masks A patient

More information

NA REVIEWED/REVISED: DATE TO BE REVIEWED: 01/31/2016 EMERGENCY MEDICAL SERVICES

NA REVIEWED/REVISED: DATE TO BE REVIEWED: 01/31/2016 EMERGENCY MEDICAL SERVICES POLICY NO: 545 DATE ISSUED: 10/14/2014 DATE NA REVIEWED/REVISED: DATE TO BE REVIEWED: 01/31/2016 EMERGENCY MEDICAL SERVICES Purpose: The purpose of this policy is to state the minimum standards for infection

More information

Policy - Infection Control, Safety and Personal Security

Policy - Infection Control, Safety and Personal Security Policy - Infection Control, Safety and Personal Security Origin Date: October 28, 2013 Last Evaluated: February 5, 2015 Responsible Party: Director of Didactic Education Minimum Review Frequency: Annually

More information

ACG GI Practice Toolbox. Developing an Infection Control Plan for Your Office

ACG GI Practice Toolbox. Developing an Infection Control Plan for Your Office ACG GI Practice Toolbox Developing an Infection Control Plan for Your Office AUTHOR: Louis J. Wilson, MD, FACG, Wichita Falls Gastroenterology Associates, Wichita Falls, Texas INTRODUCTION: Preventing

More information

Guidelines on Infection Prevention and Control for Cork Kerry Community Healthcare 06: Transmission Based Precautions

Guidelines on Infection Prevention and Control for Cork Kerry Community Healthcare 06: Transmission Based Precautions Guidelines on Infection Prevention and Control for Cork Kerry Community Healthcare 06: Transmission Based Precautions This guidance document has been adopted as the policy document by: Organisation:...

More information

Of Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD. Study Points

Of Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD. Study Points Of Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD I. Introduction Study Points Management of the CSSD environment is vital to preventing surgical site infections.

More information

Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals

Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals Resident safety-priority for staff and for CMS Providing care in a homelike environment but still

More information

Infection Control Manual. Table of Contents

Infection Control Manual. Table of Contents This policy has been adopted by UNC Health Care for its use in infection control. It is provided to you as information only. Infection Control Manual Policy Name Patients with Cystic Fibrosis Policy Number

More information

Objectives. IPC Open calls - bi-weekly series. Introduction to Infection Prevention & Control (IPC) Open Call Series

Objectives. IPC Open calls - bi-weekly series. Introduction to Infection Prevention & Control (IPC) Open Call Series Introduction to Infection Prevention & Control (IPC) Open Call Series #4 Transmission Precautions Isolate the Organism and Not the Resident Diane Dohm MT, IP, CIC, CPHQ MetaStar Anne Haddad, MPH MPRO March

More information

Transmission Based Precautions (Isolation Guidelines)

Transmission Based Precautions (Isolation Guidelines) Transmission Based (Isolation Guidelines) Transmission Based (Isolation Guidelines) Contents Policy... 2 Purpose... 2 Scope/Audience... 2 Associated Documents... 2 1.1 Transmission-based... 2 1.1.1 Contact...

More information

STOP CONTACT PRECAUTIONS. Staff: Families and visitors: Please report to staff before entering. Required: - Gown & Gloves. Bed #

STOP CONTACT PRECAUTIONS. Staff: Families and visitors: Please report to staff before entering. Required: - Gown & Gloves. Bed # CONTACT PRECAUTIONS Clean hs Clean hs with A) h foam/gel or B) soap water HOUSEER will - Gown & Gloves Point-of-Care Risk When there is a risk of splash or spray, wear face eye. For more information, refer

More information

BLOODBORNE PATHOGENS EXPOSURE PREVENTION POLICY AND PROCEDURE BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN

BLOODBORNE PATHOGENS EXPOSURE PREVENTION POLICY AND PROCEDURE BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN BLOODBORNE PATHOGENS EXPOSURE PREVENTION POLICY AND PROCEDURE This sample plan is provided only as a guide to assist in complying with the OSHA Bloodborne Pathogens standard 29 CFR 1910.1030, as adopted

More information

Infection Prevention & Control Orientation for Housestaff Welcome to Shands at UF!

Infection Prevention & Control Orientation for Housestaff Welcome to Shands at UF! Infection Prevention & Control Orientation for Housestaff 2011 Welcome to Shands at UF! Hot Topics: Prevention Initiatives National Patient Safety Goal 07: Prevent Healthcare Associated Infections Prevent

More information

Erlanger Infection Control Program. Resident Resident Orientation and. and

Erlanger Infection Control Program. Resident Resident Orientation and. and Erlanger Infection Control Program Resident Resident Orientation Orientation and and Bloodborne Bloodborne Pathogen Pathogen Review Review 2008-2009 2009 1 Outline 1. Healthcare associated infections 2.

More information

Approval Signature: Date of Approval: December 6, 2007 Review Date:

Approval Signature: Date of Approval: December 6, 2007 Review Date: Personal Care Home/Long Term Care Facility Infection Prevention and Control Program Operational Directive Management of Methicillin-Resistant Staphylococcus Aureus (MRSA) Approval Signature: Supercedes:

More information

Objectives. Hot Topics in Infection Prevention and Control in Post Acute Care Settings. NADONA Infection Prevention and Control Webinar Series

Objectives. Hot Topics in Infection Prevention and Control in Post Acute Care Settings. NADONA Infection Prevention and Control Webinar Series Hot Topics in Infection Prevention and Control in Post Acute Care Settings J. Hudson Garrett Jr., PhD, MSN, MPH, FNP BC, PLNC, CDONA, VA BC, FACDONA PRESENTS Hot Topics in Infection Prevention and Control

More information

Infection Control (F441) Surveyor Training Interpretive Guidance Investigative Protocol Cindy Deporter Updated 1/17

Infection Control (F441) Surveyor Training Interpretive Guidance Investigative Protocol Cindy Deporter Updated 1/17 483.80 Infection Control (F441) Surveyor Training Interpretive Guidance Investigative Protocol Cindy Deporter Updated 1/17 1 Federal Regulatory Language 483.80 Infection Control The facility must establish

More information

Guidelines for the Management of C. difficile Infections in. Healthcare Settings. Saskatchewan Infection Prevention and Control Program November 2015

Guidelines for the Management of C. difficile Infections in. Healthcare Settings. Saskatchewan Infection Prevention and Control Program November 2015 Guidelines for the Management of C. difficile Infections in Healthcare Settings Saskatchewan Infection Prevention and Control Program November 2015 Agenda What is C. difficile infection (CDI)? How do we

More information