Infection Control in Ambulatory Care

Description

Infection Control in Ambulatory Care is a 137 page report of ‘best practice’ policies and procedures to meet OSHA, JCAHO, NCQA and other standards for accreditation and certification visits in a medical office or ambulatory care setting. Resources include forms, OSHA training program, OSHA standards, web site links, references. Updated annually. Infection prevention and control is an integrated, responsive process that is applied to all programs, services and settings and requires collaboration throughout the organization to develop, implement, and evaluate. When designing the infection prevention and control program, the unique characteristics of each organization guide the selection and implementation of guidelines and successful practices to support appropriate interventions. The goals of the infection prevention and control program are to reduce the risks of transmission of infectious agents among and between patients and health care personnel and to reduce risks for infections developing in patients related to the use of devices and procedures required in their care. The goals are achieved through the processes of surveillance, ongoing analysis of data, prevention, and control. (JCAHO) Table of Contents Preface, Disclaimers, Copyright – please review this information JCAHO Standards for Infection Control Infection and exposure control in ambulatory care National resource links for infection control policies and procedures Infection Control Committee Exposure Control Plan Biohazard and Hazmat Services Hepatitis B vaccination CDC Universal Precautions guidelines Work Practice Controls Personal Protective Equipment (PPE) Environment (housekeeping) services Laundry Communication to employees Compliance - Training program: required components Staff exposure to patients of communicable disease Clinical Infection Control Policy: Ambulatory Care Blood-Borne Pathogens – Occupational Post-exposure Policy Universal Precautions, policy and procedures Infection Control Records Infection control, general policy Inservice acknowledgement form Designation of Clean and Not-Clean/‘Dirty’ Patient Care Items & Equipment ‘Dirty-Clean’ Work Flow Policy Refrigerator: Maintenance/Monitoring Policy Linen: Handling, Storage, Transportation and Processing Cleaning Toys - policy and procedure Cleaning Examination Rooms Hand washing , JCAHO queries 'Soap/Lotion' Containers Hand drying , Hand cleansers, JCAHO hand washing queries Hand drying Biohazard waste disposal Medical Waste Management Medical Waste Management: Authority and Responsibility Enforcement of the Waste Management Plan Decontamination, Disinfection and Sterilization of Equipment High Level Disinfection Policy Glutaraldehyde Potency Testing Policy Autoclave Sterilization Policy Autoclave: Biological Monitoring, Cleaning and Servicing Autoclave Recall and Outdate Procedures Storage of Sterile Supplies Legionella - prevention Communicable Disease: Managing Known or Suspected Patients Managing HIV HIV: Post-Exposure Evaluation HIV: Testing/Release of Information HIV Test: Information and consent form Authorization: release of information related to HIV testing Communicable Disease: Reporting Hepatitis Hepatitis B Vaccine Declination Form Hepatitis B Vaccination: Post-exposure Evaluation Hepatitis B: Informational Pamphlet Hepatitis B Vaccine: Informed Consent Form Hepatitis C - clinical guideline Post-exposure Incident Report Form Request for Source Individual Evaluation by Another Facility Evaluation of Source Individual – form Exposure Follow-up Record Skin and soft tissue infections Tuberculosis Control Plan Creutzfeldt-Jackob Disease (CJD)/v CJD with other Transmissible Spongiform Encelphalopathies Skin Disinfection to Prevent Catheter-related Blood-stream Infection Screening for Methicillin Resistant Staph Aureus (MRSA) (New VRSA (Vancomycin Resistant Staphylococcus Aureus); VRSE (Vancomycin Resistant Staphylococcus Epidermidis); VISA (Vancomycin Intermediate Staphylococcus Aureus); VISE (Vancomycin Intermediate Staphylococcus Epidermidis) Vancomycin Resistant Enterococcus Blood borne pathogens – exposure determination record Animal guests in the medical environment Bioterrorism-related infection control: Anthrax, Botulism, Plaque, Smallpox Addenda Employee/staff training session post-test High Level Disinfectants approved by the FDA Infection Control Sentinel Events and their management Reuse of Disposable Items - Policy References and Resources for Infection Control AHRQ Evidence report/technology assessment #43: Making Health Care Safer. A Critical Analysis of Patient Safety Practices. Infection Control Best Practice links. OSHA Regulations (Standards - 29 CFR) Bloodborne pathogens. - 1910.1030 OSHA Regulations (Standards - 29 CFR) Hepatitis B Vaccine Declination (Mandatory) - 1910.1030 App A Web Site Links - related to Infectious Disease

Publication Date: January 2007

Number of Pages: 137

Table of Contents