2017 Home Care Infection Prevention and Control Program …

1 Home care Infection Prevention and Control Program , 2017 Table of Contents Page 1 of 16 Copyright 2006- 2017 Home Health Systems, Inc. All Rights Reserved (800) 961- 7122 Infection Prevention AND Control PLAN Section I: Infection Prevention and Control Program .. 4 Infection Prevention and Control Program Goals .. 4 Infection Prevention and Control Objectives .. 4 Infection Prevention and Control Strategies .. 5 Section II: Infection Prevention and Control Risk Assessment .. 6 Infection Prevention and Control Risk Assessment .. 6 Scope of Services .. 6 Service Duration .. 7 Patient Demographics .. 7 General Patient Population Served .. 7 Specialty Patient Population Served .. 7 Patient Diagnoses .. 8 High- risk Patients .. 8 Treatment and Procedures Performed .. 9 Geographic Location Served .. 9 Community Environment and Health Indicators for Counties Served.

2 10 Medical Devices, Equipment or Supplies .. 10 Noncritical Items .. 10 Soft Surface Items .. 11 Semicritical Items .. 11 Critical Items .. 11 Medical Waste .. 11 Occupational Exposures and Risks .. 12 Epidemiologically Important Issues .. 12 Infection Prevention and Control Data Analysis .. 12 Outbreak Investigation .. 13 Risk of Infection Transmission .. 13 Evaluation of the Patient and Environment .. 13 Section III: Strategies to Minimize, Reduce, or Eliminate the Prioritized Risks .. 14 Evidenced- based Infection Prevention and Control Operating Guidelines .. 14 Infection Prevention and Control Strategies .. 14 Strategies for Minimizing Infection Risks and Occupational Exposures .. 14 Staff Strategies for Preventing and Controlling Infection Transmission .. 15 Home care Infection Prevention and Control Program , 2017 Table of Contents Page 2 of 16 Copyright 2006- 2017 Home Health Systems, Inc.

3 All Rights Reserved (800) 961- 7122 Patient and Caregiver Strategies for Preventing and Controlling Infection Transmission in the Patient s care Setting .. 15 Strategies for Preventing and Controlling Infection Transmission in the Office Environment .. 15 Section IV: Structure and Resources for the Infection Prevention and Control Program .. 16 Organization- wide Collaboration .. 16 Infection Prevention and Control Program Management .. 16 Authority and Responsibility for the Infection Prevention and Control Program .. 16 Governing Body: Infection Prevention and Control Duties and Responsibilities .. 16 Administrator: Infection Prevention and Control Duties and Responsibilities .. 17 Clinical Manager: Infection Prevention and Control Duties and Responsibilities .. 17 Infection Preventionist: Duties and Responsibilities .. 19 Patient care Providers/Field Staff: Infection Prevention and Control Duties and Responsibilities.

4 19 Integration into Infection Prevention and Control Activities .. 20 Infection Prevention and Control Oversight .. 20 References .. 21 SURVEILLANCE, IDENTIFICATION AND REPORTING OF infections Surveillance Activities .. 4 Identifying a Home care - onset Infection .. 5 Healthcare- associated Infection .. 5 Home care - onset Healthcare- associated Infection .. 5 Healthcare Facility- onset Infection .. 5 Community- onset Infection .. 6 Infection Present on Admission .. 6 Date of Event .. 6 Infection Window Period .. 6 Repeat Infection Timeframe .. 7 Transfer Rule .. 7 Secondary Bloodstream Infection Attribution Period .. 8 Excluded infections .. 8 Calculating the Metrics for a Home care - onset Infection Incidence Rate .. 10 Collecting Denominator Data for Device- associated infections .. 11 Conducting Surveillance Activities for a Urinary Tract Infection .

5 12 Calculating the Metrics for a Urinary Tract Infection .. 13 Home care Infection Prevention and Control Program , 2017 Table of Contents Page 3 of 16 Copyright 2006- 2017 Home Health Systems, Inc. All Rights Reserved (800) 961- 7122 Conducting Surveillance Activities for a Central Line- associated Bloodstream Infection .. 14 Calculating the Metrics for a Central Line- associated Bloodstream Infection .. 16 Conducting Surveillance Activities for a Skin and Soft Tissue Infection .. 17 Calculating the Metrics for a Skin and Soft Tissue Infection .. 18 Outbreak Surveillance Activities .. 19 Collecting, Aggregating and Analyzing Surveillance Data .. 20 Criteria for Internal Reporting of infections .. 21 Criteria for External Reporting of infections .. 22 Protocol for Contacting Public Health Agencies .. 23 Appendix .. 24 Site- specific Infection Criterion.

6 25 Laboratory- Confirmed Bloodstream Infection (LCBI)* .. 25 Mucosal Barrier Injury Laboratory- Confirmed Bloodstream Infection (MBI- LCBI) .. 26 Venous Infection * .. 28 Influenza- like Illness (ILI) .. 29 Lower Respiratory Infection (LRI) .. 29 Symptomatic Urinary Tract Infection (SUTI) and Catheter- associated Urinary Tract Infection (CA- SUTI) .. 30 Fungal Skin Infection .. 32 Cellulitis, Soft Tissue, Non- surgical Wounds, Decubitus Ulcer, Foreign Body Site, and Around Foreign Bodies .. 33 Surgical Site Infection (SSI)* .. 33 Herpes Simplex or Zoster Infection .. 33 Gastrointestinal Infection .. 34 Clostridium difficile Infection (CDI)* .. 34 Sinusitis .. 34 Conjunctivitis .. 35 Ear Infection .. 35 Oral Infection .. 35 Outcome Measures to Calculate a Home care - onset Infection .. 36 Process Measures to Calculate a Home care - onset Infection .

7 43 Home care and Hospice Surveillance Reporting Worksheet .. 45 Skin and Soft Tissue Infection Surveillance Worksheet .. 46 Urinary Tract Infection Surveillance Worksheet .. 47 Central Line- associated Bloodstream Infection Surveillance Worksheet .. 48 Central Line- associated Bloodstream Infection Line List .. 49 Home care Infection Prevention and Control Program , 2017 Table of Contents Page 4 of 16 Copyright 2006- 2017 Home Health Systems, Inc. All Rights Reserved (800) 961- 7122 Urinary Tract Infection Line List .. 50 Skin and Soft Tissue Infection Line List .. 51 Surveillance Denominators .. 52 Home care Surveillance Report .. 53 Home care Surveillance Report Summary .. 54 Home care Infection Prevention and Control Transfer Summary .. 55 Multidrug- resistant Organism and C. difficile Prevalence and Incidence Log .. 57 State Reportable Disease/Conditions Web Sites.

8 58 HAND HYGIENE Hand Hygiene Plan .. 3 Indications for Hand Hygiene .. 4 Hand Hygiene Using an Alcohol- based Hand Hygiene Product .. 5 Hand Hygiene Using Soap and Water .. 6 Hand Hygiene Products .. 7 Product Selection .. 7 Alcohol- based Hand Hygiene Product .. 7 Soap .. 7 Hand Lotion or Cream .. 7 Hand Hygiene 8 Towels .. 8 Nursing Bag Hand Hygiene Contents .. 8 Management of Product Dispensers .. 8 Other Hand Hygiene Considerations .. 9 Artificial Fingernails or Enhancements .. 9 Nail Length .. 9 Nail Polish .. 9 Hand and Forearm Bandages, Casts and Splints .. 9 Hand care Program .. 10 Alcohol- based Hand Hygiene Product Storage .. 11 Storage in the Office .. 11 Storage in a Vehicle .. 11 Storage and Placement in a Hospice care Facility .. 11 Home care Infection Prevention and Control Program , 2017 Table of Contents Page 5 of 16 Copyright 2006- 2017 Home Health Systems, Inc.

9 All Rights Reserved (800) 961- 7122 CDC vs. WHO Hand Hygiene Guideline Comparison .. 13 CLEANING AND DISINFECTION Principles of Cleaning and Disinfection .. 3 Soft Surface Sanitizing .. 4 Medical Equipment: Noncritical 5 Vital Sign Equipment .. 6 Electronic Medical Equipment Used by Patients .. 8 Portable Electronic Devices: Laptop Computer, Tablet, and Peripherals .. 10 Bag Technique .. 11 Decontaminating and Cleaning the Nursing Bag .. 13 Core and Supplementary Contents in the Home care Nursing Bag .. 14 Children s Toys and Rehabilitation Equipment .. 15 Medical Bed Mattress Cover .. 16 Cleaning and Storing a Bath Basin .. 17 Medical Equipment: Semicritical Items .. 18 Point- of- care Device: Prothrombin Monitoring Device .. 19 Medical Equipment: Critical Items .. 20 Linen Handling, Storage, and Cleaning .. 21 Cleaning Spills of Non- regulated Medical Waste.

10 23 Cleaning Spills of Medical Waste on a Hard, Non- porous Surface .. 24 Cleaning Spills on a Porous Surface .. 25 Cleaning Environmental Surfaces .. 26 Storing Patient care Supplies in a Vehicle .. 28 Inspecting and Maintaining Patient care Supplies Stored in a Vehicle .. 29 Medical Equipment and Supply Storage .. 30 Staff Member Attire .. 32 Labeling a Secondary Cleaning Product Container .. 33 Refrigerator Temperature Monitoring .. 35 Refrigerator Cleaning .. 36 Medication and Vaccine Refrigerator Temperature Log .. 37 Home care Infection Prevention and Control Program , 2017 Table of Contents Page 6 of 16 Copyright 2006- 2017 Home Health Systems, Inc. All Rights Reserved (800) 961- 7122 Food Refrigerator Temperature Log .. 38 Equipment and Supplies Storage: Vehicle Inspection Checklist .. 40 PATIENT care PRACTICES Sterile Technique.