Out Now – Infection Control in Ambulatory Care 2008
Research and Markets (http://www.researchandmarkets.com/research/805253/infection_control) has announced the addition of the “Infection Control in Ambulatory Care 2008″ report to their offering.
117pp 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.
Preface:
A word of caution:
The content of this ‘single topic’ toolbox is ‘generic’ and must be revised and adopted by your health care organization to be consistent with the requirements of state and local laws, OSHA, JCAHO, NCQA, URAC or other accreditation and review bodies, your organization’s by-laws and to meet the requirements of your organization’s legal counsel and governance.
Use clear and unambiguous language in any stated policy or procedure. Avoid any implications of guaranteed clinical results or outcomes as a result of following a particular guideline. All policies, procedures, guidelines and similar criteria should be followed consistently, significant variations noted with justification, and be in a written form available for dissemination.
When using this single topic publication, it should be noted that the policies/guidelines are all subject to legislative and other changes (e.g., by-laws revisions) that occur periodically. The policies and procedures should be reviewed and updated as often as needed and at least every two years. The initial and revised policies and procedures should go through a rigid review and approval process with final approval by the governing body prior to implementation.
This volume is sold with the understanding that the publisher is not engaged in providing legal, accounting, or other professional services. If these services are needed, they should be sought from a competent professional. (After a Declaration of Principles jointly adopted by a Committee of the American Bar Association and a committee of publishers and associations.)
CONTENTS:
Preface, Disclaimers, Copyright – please review this information ii
Table of Contents iv
JCAHO Standards/Safety Goals for Infection Control (New 11-03, update 1-04, 6-08) vii
Infection and exposure control in ambulatory care (update 8-04, 3-06) 1
Resources for infection control policies and procedures with links (updated 8-06, 5-08) – also refer to the addenda for additional resources 2
Infection Control Committee (updated 08-04, updated 8-08) 3
Exposure Control Plan (updated 08-04, 3-06, 8-06, updated 8-08) 4
Biohazard and Hazmat Services (New 8-04) 5
Hepatitis B vaccination 6
CDC Universal Precautions guidelines (update 2-07) 6
Work Practice Controls 7
Personal Protective Equipment (PPE) 7
Environmental (housekeeping) services 8
Laundry (update 2-07) 8
Compliance 8
Communication of infectious hazards to employees 9
Training program – required components (update 8-04) 10
Mandatory staff testing for communicable disease (New 8-06, updated 8-08) 10
Clinical Infection Control Policy – Ambulatory Care (update 3-06, 8-06, 8-08) 11
Blood-Borne Pathogens – Occupational Post-exposure Policy Links (New 6-05, update 6-06, 2-07, 8-08) 12
Universal Precautions, policy and procedures 13
Infection Control Records – form 14
Infection control, general personnel policy (update 8-06) 14
Clothing & jewelry issues (New 9-07) 14
In-service acknowledgement form 15
Designation of Clean and Not-Clean/’Dirty’ Patient Care Items & Equipment P & Ps (New 02-03, update 8-08) 16
Air Decontamination (New 8-06) 18
Refrigerator/Freezer: Maintenance/Monitoring Policy (update 7-06, update 2-07) 19
Linen: Handling, Storage, Transportation and Processing (update 6-06, 2-07) 20
Cleaning Examination Rooms 21
Cleaning toys, dolls, teaching aids – P & P links (New 8-06, update 2-07) 21
Hand washing P & Ps (update 8-06, 2-07, 4-07) 21
Soap/Lotion Containers (Update 8-04) 21
Hand washing Policy & Procedure (update 4-06, 3-08) 21
Hand drying (New 8-06) 23
Hand cleansers, JCAHO queries (update 8-04, 5-05, 11-05, 5-06) 23
Dental office infection control guidelines (New 5-07) 25
Biohazard waste disposal 26
Medical Waste Management 26
Waste Management: Authority and Responsibility 27
Enforcement of the Waste Management Plan 28
Notes 31
Decontamination, Disinfection and Sterilization of Equipment & Supplies – endoscopy resources (update 10-04, 8-06, 2-07, 5-08) 32
Manual Instrument Cleaning (New 8-06) 32
High Level Disinfection Policy (update 11-06) 33
Glutaraldehyde Potency Testing Policy 34
Autoclave Sterilization Policy 34
Glutaraldehyde toxicity concerns (New 1-05) 34
Autoclave: Biological Monitoring, Cleaning and Servicing 37
Autoclave Recall and Outdate Procedures (update 2-07) 38
Storage of Sterile and Clean Supplies (update 7-06, 2-07) 39
Notes 40
Communicable Disease: Managing Known or Suspected Patients (update 8-06) 41
Managing HIV (New 3-05, update 7-05, 11-05, 2-06, 6-06, 12-06, 8-07) 41
HIV: Post-Exposure Evaluation 42
HIV: Testing/Release of Information 43
HIV Test: Information and consent form 44
Authorization: release of information related to HIV testing 46
Communicable Disease: Reporting (Update 8-04, 12-06) 47
Hepatitis (update 2-06, 2-07) 47
Hepatitis B – introduction (New 6-06) 47
Hepatitis B Vaccine Declination Form 48
Hepatitis B Vaccination: Post-exposure Evaluation 48
Hepatitis B: Informational Pamphlet 49
Hepatitis B Vaccine: Informed Consent Form 50
Hepatitis C (New 2-05, update 8-05, 11-05, 6-06) 51
Introduction, tests (New 3-07) 51
Post-exposure Incident Report Form (New 8-04) 55
Request for Source Individual Evaluation by Another Facility – example letter (New 8-04) 56
Evaluation of Source Individual – form (New 8-04) 56
Exposure Follow-up Record (New 8-04) 57
Legionella – prevention (New 5-06)
Skin and soft tissue infections (New 10-06) 57
Surgical infection control (New 7-08) 57
Tuberculosis Control Plan, Testing guideline (update 4-05, 12-05, 3-06, 10-06, 2-07, 8-08) 58
Creutzfeldt-Jakob Disease (CJD)/v CJD with other Transmissible Spongiform Encelphalopathies (New 8-06, update 8-08) 62
Skin disinfection to prevent catheter-related blood-stream infection (added 06-02) 62
Methicillin Resistant Staphylococcus Aureus (MRSA) (New 9-07) 63
Screening for Methicillin Resistant Staphylococcus Aureus (MRSA) (New 01-03, update 9-07) 63
VRSA (Vancomycin Resistant Staphylococcus Aureus); VRSE (Vancomycin Resistant Staphylococcus Epidermidis); VISA (Vancomycin Intermediate Staphylococcus Aureus); VISE (Vancomycin Intermediate Staphylococcus Epidermidis) (New 8-06) 64
Vancomycin Resistant Enterococcus (VRE) Detection (New 8-06) 64
Varicella zoster infection control (New 2-07) 64
Blood borne pathogens – exposure determination record (update 8-06) 65
Animal guests in the medical environment (New 8-06, update 8-08) 67
Addenda 68
Bioterrorism-related infection control: Anthrax, Botulism, Plaque, Smallpox (New 12-06) 68
Cleaning whirlpool tubs and other therapy machines (New 2-07) 68
Healthcare Epidemiology – 100 Policy and procedure links for hospitals, surgicenters & ambulatory care (New 2-07) 68
Employee/staff training infection control session test (added 8-04) 70
Certification in Infection Control and Epidemiology (New 1-08) 71
High Level Sterilization Products approved by the FDA (added 07-01, update 10-04) 72
Infection Control Sentinel Events and their management (added 01-03) 74
Reuse of Disposable Items – Policy (New 8-06) 74
Organizations for Infection Control – list with links 75
AHRQ Evidence report/technology assessment #43: Making Health Care Safer. A Critical Analysis of Patient Safety Practices. Infection Control Best Practice links. (added 08-01) 75
OSHA Regulations (Standards – 29 CFR) Bloodborne pathogens. – 1910.1030 (New 8-04) 76
OSHA Regulations (Standards – 29 CFR) Hepatitis B Vaccine Declination (Mandatory) – 1910.1030 App A (New 8-04) 87
References and resources – links (New 1-08) 88
Web Links related to Infectious Disease 94
Apollo publication lists and order form 105
For more information visit http://www.researchandmarkets.com/research/805253/infection_control.