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