In LTCF Infectious Disease Epidemiology Section Office of Public Health Louisiana Dept of Health amp Hospitals 8002562748 wwwinfectiousdiseasedhhlouisianagov Your taxes at work Requirements ID: 927207
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Infection Control ProgramIn LTCF
Infectious Disease Epidemiology Section
Office of Public Health
Louisiana Dept of Health & Hospitals
800-256-2748
www.infectiousdisease.dhh.louisiana.gov
Your taxes at work
Slide2Requirements /Reommendations for Infection Control ProgramSkilled Nursing: 1987 Omnibus Reconciliation Budget Act (OBRA) Nursing Homes: Medicare & Medicaid. Requirements for LTCF-HCFA. Final rule. Fed. Register 1991; 56:48826-80Occupational exposure to bloodborne pathogens—OSHA. Final rule. Fed Regist 1991;56:64004-182.Friedman C et al 1999. Requirements for infrastructure and essential activities of infection control and epidemiology in out-of-hospital settings: a consensus panel report. APIC/SHEA. Infect Control Hosp Epidemiol 1999;20: 695-705.
Slide3HOUSEKEEPINGLINENENVIRONMENTAL CONTROLPhysical facilityPatient care equipment
Water, Air, Food
Solid waste, Liquid waste
Scope of Infection Control
Prevention of Hospital Acquired (
Nosocomial
) Infections
STANDARD PRECAUTIONSHandwashingBarrier precautionsSharps disposal
ISOLATION PRECAUTIONS
EMPLOYEE HEALTHCD ReportingHBV screening & immunizationBBFETBMMR, VaricellaWork restrictionProphylactic Rx: Mng, Pert, TB, HAV, HBV, HIV
SURVEILLANCENosocomial infectionSurveillance systemAntibiotic sensitivity
IC COMMITTEEIC POLICIES
COMMUNICABLE DISEASE CONTROL IN HOSPITALReporting of diseaseMRSA….Preventive treatment of exposed
STERILIZATIONIC supports CSS (Central Sterilization & Supply)
SPECIAL
PROCEDURES
Cardiovascular access lines
Wound care
Urinary
catheterArtificial
ventilation
….
Slide4Infection Preventionist & IC CommitteeResponsible for directing infection control Familiar with LTCF & resident care problems Written job description of IC duties With sufficient time and administrative supportSufficient IC knowledge base to carry out responsibilities Canada’s recommends 1 IP /150 to 250 long term beds