2015 Infection Preventionist Training

Transcription

1 Infection Prevention and Control The Critical Role of the Infection Preventionist The Regulation (F441) The facility must establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of diseases and infection. And The facility must establish an infection control program under which it: Investigates, controls, and prevents infections in the facility; Decides what procedures, such as isolation should be applied to an individual resident; Maintains a record of incidents and corrective actions related to infections. 1

2 And When the infection control program determines that a resident needs isolation to prevent the spread of infection, the facility must isolate the resident. The facility must prohibit employees with a communicable disease or infected skin lesions from direct contact with residents or their food, if direct contract will transmit the disease. And The facility must require staff to wash their hands after each direct resident contact for which hand washing is indicated by accepted professional practice. Personnel must handle, store, process and transport linens so as to prevent the spread of infection. Infection Preventionist The infection preventionist (IP) has primary training in nursing, medical technology or microbiology and has acquired additional training in infection control. 2

3 Additional Requirements Division of Occupational Safety and Health proposed that the Board add a new Section 5199 Aerosol Transmissible Disease Tuberculosis Control Plan OSHA - Bloodborne Pathogen Regulation CFR Employee exposure risk, work practice controls, Hepatitis B vaccination, post exposure management, health files, education & training Why an IP Necessary in LTCF F441 most frequently cited deficiency in the U.S. followed by F371 McGeer s criteria for surveillance definitions National increase in Multiple Drug Resistant Organism s (CDI, CRE, MRSA, VRE) Antibiotic Stewardship National safety crisis Recognized knowledge gap in understanding requirements/implementation of effective IC programs in LTC Gaps in Expertise Common in LTCF There is a gap in the expertise of: Linking process to outcome surveillance Calculating rates Recognizing trends Analysis of the data Developing action plans Evaluating & revising action plans 3

4 YOU are the ONE! The IP is responsible for: Directing the development, providing oversight and coordinating the IPC control program for the facility. Role of the IP Track surveillance data Identify trends Consult on infection risks Analyze data Implement IPC strategies Identify and manage outbreaks Report communicable diseases to local health officer & manage Follow the guidelines/guidance from CDC, OSHA & State Surveillance Ongoing systematic collection, analysis, and interpretation of outcome specific data for use in planning, implementation, and evaluation of infection prevention and control practices. Process Surveillance Direct observation of skills, practices and techniques related to infection prevention and control practice. Outcome Surveillance Collection, documentation and review of data for individual infection cases including comparison of the data to standard written definitions of infections. 4

5 Outcome Surveillance Practices For Surveillance only; highly specific Applied retrospectively; standardized Focus on transmissible & preventable infections Data collection, documentation, rates, trends, analysis, communication, action plans, training, follow-up, revise Process to Outcome Process surveillance is the direct observation of skills, practices and techniques related to infection prevention and control practice. Hand hygiene Isolation practices Use of PPE Cleaning/disinfecting equipment & surfaces Injection practices Linen handling Others Surveyor Review = Process Hand hygiene Isolation practices Aseptic technique Correct use of PPE Cleaning and disinfecting equipment and surfaces Safe injection practices Linen handling 5

6 Direct Observations Conducting periodic process surveillance and initiating interventions for corrective actions The IP is an Educator Work with each department to oversee, mentor, educate and coordinate department specific infection prevention and control practices. Follow evidenced-base infection prevention & control practices IP Oversight Immunizations and screening for communicable diseases Tuberculosis control plan Aerosol transmissible disease plan Exposure control plan 6

7 Monitor Compliance Practice of standard precautions by all Hand Hygiene Respiratory Hygiene & Cough Etiquette Personal Protective Equipment Summary The IP is the: Go to person Advisor Leader Educator Coordinator Analyzer Manager Observer Communicator However You are not alone! There are many people available to help you manage infection prevention and control: DON, ADON & Administrator Medical Director, Physicians Environmental Services & Laundry Directors Dietary Manager Director of Staff Development Therapists & Staff Nurses and Nurse Aides Laboratory Director Consultant Pharmacist Local Health Officer Acute Care IP Local APIC Chapter 7

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