Infection Control in Ambulatory Care

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  (OSHA)

Staff exposure to patients of communicable disease

Clinical Infection Control Policy – Ambulatory Care  

Blood-Borne Pathogens – Occupational Post-exposure Policy

Dental Office Infection Control - resources

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  

Air Decontamination

‘Dirty-Clean’ Work Flow Policy

Refrigerator: Maintenance/Monitoring Policy

Linen: Handling, Storage, Transportation and Processing  

Cleaning Examination Rooms  

Cleaning Toys - policy and procedure

Handwashing - Policies & Procedures

'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) 

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

Certification in Infection Control and Epidemiology;

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  

E-mail apollomanagedcare@cox.net to request example pages or additional information.

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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)

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