126 Abstracts AJIC

April 1994

TB EDUCATION ON THE MOVE A. Rmdla, RN, RSN, CIC, F. Hixsca, RN, RSN, MA. Y&l, RN, BSN, CIC.* St. Mary’s He&b Center, Richmond Heights, MO.

lNFR4XION CONTROL CALL BACK PROGRAM. L. Jcndmsky, MT, BS, UC,* J. Bloom, MD, S. tkidtmmtn, RN, MA, Ii. Murphy, RN, MS. Bmokdak Hospital Idcdid centa (BHMC), Brooklyn, NY.

PIG 648/1991, 1718/1992, 1528l199i. Tk IC-CBP pmvided P ti-&y-and mzumbz methodinwhichtofollowthiam~signihcPnt~thatisinnctdofsppropriptc lllcdkd mpbnat ad tistalt follow-up.

-ATION OF NRW YORK STATE’S MANDATORY INFECTION CONTROL TRAINING PROGRAM. L. Chiarello. RN. MS. CIC.’ L. Novick. MD. MPH, D. Whaleit, K. Gulliva, MAT, G. Ras&, ti, ti, L: Liimer; MA: New York St& Dqminmt of H&b and State Education Depmiment, Albany, NY.

Thc~ofHIvtnnunissioclbyinfeacdholthcsreworkers~cWs)hnsbeen thesubje*ofintplrcplblicMdpolilicpl~~;opinimlvpryonthcmoJtnppropriDtc and effcctiw pt’mdm s-tmU&. In Au.gust, 1992, aftez 18 months of ccnsulta.ticm with the kalth cam ulmmmdty, the NW York Stam Dc@utmat of Hcaldt @OH) &klptCd~pdicyOtlprcvatinOHIVSUdHBV-thIUUghIttCdiddUlUl procedures. ‘Ills policy was subsqmtly dcicmhd by the Caters for Disease Cona and Pmvattlon (CDC) to be eqtdvalent to federal recommendations. A major assumption of dte DOH appmach is dat dbmmce to scientifically accepted principka ad practices of inMica control Q by all HCWs is the most effective strategy for preventing HIV and HBV ttmtsmission in health care Wtings. Tltis policy was impknwtted through le8islaticm dmt 1) establishes adhmrnce to IC stand&s as a umdition of professional pl&ice and 2) mquim IC tminhg of physicians, nursu, dental professim&, podiiuists and ootometrists bv Julv 1994. and every four VW duratkr. DOH and the State l?d&tion Dcparh&t j&ttly c&din&d implem&ion pctivitiw. The implementation pmccss has moved duough 5 stagea: 1) organization of deputmatai resources to oversee impbxnauadon; 2) coosultadon from dm affected professions on course scope and dcvclopment Of haining IcMm’ces; 3) syllabus dcvclopment; 4) notification of healti profcsrioopls; md 5) s~liciUti~~~ and npproval of course prwidas. A key strategy was dte dC”elqnnCnt of a cmccpt p&%zr to articulate a philosophy and fnuncwork for building P colJrse syllsbns. sii core clemmu de&e the required scope of hainiig: 1) ptufeasional responsibility for IC, 2) moda awl mechanisms of disease transmission, 3) use of a+wing and work practice controls, 4) xkcticm and use of barriers and puscal pnXcc!ive equipment, 5) cleaning, disinfection and stcrilizption pm&es, and 6)occupptioMLhcaltlstrpcegiu. Tbecoreelememsarefurdxrdefmedbymnteat outlbtu whiclt must then be developed into tmlnhg tnatuids targeted to various health profwicms and be&b care scnings. Approximately 2.5 to 4 hours is needed to meet the rcquimmat.

ThecoutseworkisdesignedtoaddrrssallmodcJoftransmission,promMean understnnding of infection control alcepts, stimulate critical dti”kbt8 on the application of IC practices, and inctwse m”aFeness of how IC stmtegies pmtect patients and HCWS. Efforu were made to integrate dir program with other regulatory training requirements.

The appmach takea in NYS can be a model for other states considering legislation for mandatmy infecdon control training.

IUKMEINQ THE BFFlCIENT UTILIZATION OF RESPIRATORY ISOLATION FOR TUBRRCULOSI8.z A QUALITY IMPRO= APPROACH. J. Harmon. RN, MS, J. Rochc, MD. Hmtford Hospital, Hutford, CT.

CDCgui&llnmmandatedutpatiaubekeptmmsplmtoryisok&mundlduec tlcgativc Acid Past Baculu (AFB) smcml, cdbmid on scpmu days, are documaud. lltlsmnPkdwiththe~ tnw&weofTRMdalimitednumberofisolation