infection prevention functions and role · 3 infection prevention activities surveillance education...
TRANSCRIPT
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Infection Prevention Functions and Role
Gail Bennett, RN, MSN, CIC
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How do I know if we have a comprehensive infection prevention program?
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Infection Prevention Activities
Surveillance Education Consultation Performance Improvement (Compliance) Policies and Procedures Committee Management Outbreak Investigation
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Surveillance of Infections
2nd presentation
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Education
Orientation
Annual, mandatory programs
One on one teaching
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Orientation (Examples)
Pamphlets TB Fact Sheet Hepatitis B Vaccine Fact Sheet BBP training:
May use a variety of methods Training must be done BEFORE we offer vaccine Qualified person must be available to answer
questions
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Annual Mandatory IC Training
Must include bloodborne pathogens and TB
100% attendance required by OSHA
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Scenario
OSHA walks in your facility in 2011 and starts requesting documents
“I need your documentation of all employees (FT and PT) for 2009 and proof that they all completed the 2009 mandatory bloodborne pathogens training program.”
“How quickly can you have that ready?”
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Documenting 100% attendance at annual, mandatory IC program
Recommendation: if no software program to monitor attendance, print a list of all associates working with the facility at the time of the training.
Have each associate sign in beside their name Review list for those associates who have not
signed beside their names to know who needs to attend a make-up course.
Maintain the records in a safe place.
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One on One Teaching
May provide during compliance or surveillance rounds
Anytime non-optimal technique is observed
Provide privacy for staff when counseling is done
Document in your records
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Consultation – You’re the Consultant
Use resources to get answers! Web sites Professional Guidelines Textbooks Guidelines/policy
manuals State IP groups APIC chapter Other
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Resource
Control of Communicable Diseases Manual, 18th edition, 2004. Edited by David Heymann
ISBN 0-87554-242-X/PC $33.00, 623 pages Excellent, inexpensive IC
resource!
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APIC Textbook The APIC Text Online is a subscription-based resource
and is available to APIC members for $149/year and non-members for $199/year. To access the APIC Text Online, visit http://text.apic.org
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Centers for Disease Control and Prevention (www.cdc.gov)
Association for Professionals in Infection Control and Epidemiology (www.apic.org)
Infection Control certification (www.cbic.org) ICP Associates (www.icpassociates.com)
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Quality Assurance/Performance Improvement
Performance Improvement Program – have an active IC PI program
Compliance Monitoring
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State Reporting Requirements
North Dakota reportable diseases http://www.ndhealth.gov/disease/Docume
nts/ReportableConditions.pdf
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Policies and Procedures
Have P&Ps based on regulations, standards, and current guidelines
Enforce your policies Monitor for compliance Review periodically Make changes as needed
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Committee Management:Infection Control
Meet on a regular schedule Make the meeting convenient Start and end on time Have a well prepared written agenda Prepare concise, accurate minutes that
show problem-solving for IC
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Outbreaks (will discuss in detail tomorrow)
Outbreak (excess cases over normal)
Inpatient facilities will usually recognize their outbreaks
Ambulatory care: outbreaks will likely be identified by people outside your center
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Outbreak Investigation
Know when and where to get help!
Clearly document your investigation.
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Recent outbreaks relating to Ambulatory Care
Outbreaks of Hepatitis C in Healthcare Settings Publications
Transmission of Hepatitis B and C Viruses in Outpatient Settings ---New York, Oklahoma, and Nebraska, 2000—2002.
Viral Hepatitis Transmission in Ambulatory Health Care Settings.* Spotlight: Viral Hepatitis Transmission in Ambulatory Health Care
Settings An Outbreak of Hepatitis C Virus Infections Among Outpatients at a
Hematology/Oncology Clinic.* A large nosocomial outbreak of hepatitis C and hepatitis B among
patients receiving pain remediation treatments.*
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Recent outbreaks relating to Ambulatory Care ….and an important message to all healthcare organizations!
Failure to adhere to basic principles of aseptic technique for the preparation and administration of parenteral medications
Unsafe practices Syringe reuse between patients during parenteral med
administration to multiple patients Contamination of medication vials or IV bags by accessing them
with a used syringe and/or needle Failure to follow basic injection safety practices when preparing and
administering parenteral meds to multiple patients Inappropriate use of fingerstick devices and glucometer equipment
between patients
APIC Position Paper: Safe Injection, Infusion, and Medication Vial Practices in Healthcare, 2009 www.apic.org
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Sentinel events
A single occurrence which requires immediate action
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Problem-solving
Assessing Planning Implementing Evaluating
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Questions??