Infection Prevention Fireworks, Non-Clinical IP Issues for CAHs

1. Infection Prevention Fireworks, Non-Clinical IP Issues for CAHs Randy Benson Executive Director RHQN

2. Non-Clinical IP Issues for CAHs • Role of the Infection Preventionist • Clinical Safety of Patients • Risk Assessment • Effective Policies • Staff Competency/Continuing Education • Data Collection • Environment of Care (EOC) • Sanitary Conditions • Employee Health • Disease Prevention

3. Non-Clinical IP Issues for CAHs • Role of the Infection Preventionist • Safety Committee (EOC, Patient Safety) • Clinical Role • Outbreaks • Trending • Policies • EOC Role • Employee Safety • Hand Hygiene • Facility Safety

4. Non-Clinical IP Issues for CAHs • Role of the Infection Preventionist • Non-clinical (DOH Standards) and Compliance Rests With the IP • Receipt, use, disposal, processing, or reuse of equipment to prevent disease transmission (documentation, competence); • Preventing cross contamination of soiled and clean items during sorting, processing, transporting, and storage (proper air flow, storage restrictions, competence);

5. Non-Clinical IP Issues for CAHs • Environmental management and housekeeping functions (competency); • Approving and properly using disinfectants, equipment, and sanitation procedures (documentation, competence); • Cleaning areas used for surgical procedures before, between, and after use (documentation, competence, training; • Hospital-wide daily and periodic cleaning (inspection, documentation, training);

6. Non-Clinical IP Issues for CAHs • Occupational health consistent with current practice(fit testing, TB skin test); • Attire (HR dress code issues); • Traffic patterns; • Antisepsis; • Handwashing (training, compliance); • Scrub technique and surgical preparation; • Biohazardous waste management according to applicable federal, state, and local regulations;

7. Non-Clinical IP Issues for CAHs • Examples of IP Roles in the EOC: • Wheelchair cleaning • Policy • Procedure • Compliance • Disinfecting Agents • Approval • Proper Use (Mixing and Application)

8. Non-Clinical IP Issues for CAHs • Examples (cont.) • Biohazardous Waste • Policies • Proper Handling (in house) • Proper Shipping (documentation) • Staff Education • Patient Nutrition Services • Proper storage of supplies • Kitchen Cleanliness

9. Non-Clinical IP Issues for CAHs • Examples (cont.) • DOH Survey Support • Escort EOC Surveyor • Provide documentation of IP supervision • Cleaning Facility • Cleaning Patient Care Areas • Cleaning Surgery • Discuss IP role in construction process • IP inspection (air contamination by dust, area sealed off

10. Non-Clinical IP Issues for CAHs • Examples (cont.) • Staff Competence • Hand Hygiene • Fit Testing • TB Skin Test (Risk Assessment) • Cleaning Solution Use (mixing, application) • Generic Safety Training (Infection Prevention, Bloodborne pathogens, Isolation) • Job Description Specific Training

11. Non-Clinical IP Issues for CAHs • IP EOC Job Function Rationale • Infection Prevention Issues Across the Spectrum of Care • Competent to Serve as the IP • Current in all policies and procedures • Protection of all patients, staff, physicians, and visitors from environmentally acquired diseases • Represent the facility in public health areas

12. Non-Clinical IP Issues for CAHs • Questions? Randy Benson RHQN Executive Director randyb@wsha.org 206 577-1821