HIC2 Infection control manual

posted Jan 20, 2011, 3:56 AM by Dr.Murali BK   [ updated Mar 12, 2011, 1:20 AM by naomi coutinho ]

HIC 2
     INFECTION CONTROL MANUAL 



    1.    PURPOSE
    
    1.1  To maintain standards in infection control measures and minimize hospital infection in patients and staff.
    1.2  To define policy and procedure regarding hospital acquired infections in the hospital

    2.    SCOPE
           Hospital wide 

    3.    DEFINITION
           Infection control refers to policies and procedures used to implement the best practices to minimize the risk of     spreading infections diseases ,in the hospital. These diseases are usually caused by bacteria or viruses and can be spread by human to human contact, human contact with an infected surface, airborne transmission through tiny droplets of infectious agents suspended in the air, and, finally, by such common vehicles as food or water. 

    4.     RATIONALE

    4.1.To reduce the occurrence of infectious diseases.

    4.2.Prevention and Control of Nosocomial Infections.

    4.3.To prevent post surgical infection

    4.4.To safeguard staff from infections.


    5.    HIGH RISK AREAS
    5.1  Operation Theater
    5.2  Intensive care unit
    5.3  Recovery room

 
    6.    HOSPITAL INFECTION CONTROL COMMITTEE
           
           Dr.B.K.Murali
           Dr.Girish Gautam
           Dr.Reena Rao
           Dr.Jaya Jeswani
           Mrs.Monica Ganvir
           Sr.Prerna
           Sr.Naomi

  
    7.    OBJECTIVES OF THE COMMITTEE
           
    7.1  To minimize the risk of infection to patients, staff and visitors
    7.2  To identify the roles and responsibilities of kep personnel involved in the prevention and control of infection
    7.3  To maintain surveillance over hospital acquired infections
    7.4  To develop a system for identifying, reporting, analyzing, investigating and controlling hospital acquired infections.
    7.5  To develop and implement preventive and corrective programmes in specific situationswhere infection hazards exist
    7.6  To review and update hospital infection control policies and procedures from time to time
    7.7  To provide employee health education regarding mattersrelated to hospital acquired infections.

    
    8.     FUNCTIONS OF INFECTION CONTROL COMMITTEE

    8.1  Maintenance of sound habits in personal hygiene and individual responsibility in infection control by training the s    
           staff throughout the organization. 

    8.2  Monitoring and investigating infectious diseases, potentially harmful infectious exposures, and outbreaks of   
           infections among personnel. 

    8.3  Providing care to personnel for work-related illnesses or exposures.

    8.4  Identifying infection risks areas related to employment and instituting appropriate preventive measures.

    8.5  Surveillance activities for tracking and analyzing appropriate infection rates.

    8.6  Providing feedback regarding these rates on regular basis to top management, medical and nursing staff. 


    9 .   FUNCTIONS OF INFECTION CONTROL NURSE

    9.1. Regular visit to the all clinical areas to make sure that the patients with particular infection receives an appropriate treatment in regard to the isolation precaution, and the type of treatment.
    
    9.2. To make sure that, the staffs are educated and updated with the protocols in relation to the infection control.

    9.3. To advise and supervise the work of staff for the best infection control practices like Bio-Medical waste management,   
           Hand washing, Isolation throughout the hospital.

    9.4. To arrange special teaching session to the staff and even for specific group of patients pertaining to the infection  
           control and prevention.
    
   9.5.  To collect data of patients with infections that require isolation precaution and use of specific antibiotics.eg; MRSA  
           etc;
   
   9.6. To conduct clinical audit as a member of Infection control committee member ,to make sure that, the infection control  
          and prevention.

   9.7. To updates his/ her knowledge by participating in the clinical governance meeting.

   9.8. To share her or his concerns to the Director or the microbiologist in order to get an idea and for a possible solution.

          In the hospital situation, any outbreak of infection is normally informed by the Head of the microbiology or virology  
    department. The information will then be cascaded to the local unit/ward through the infection control nurses and infection 
    control link nurses.


   10.   PERSONNEL RESPONSIBLE

          Doctors

          Nurses

          Patient assistants

          Housekeeping staff

          Pantry boys

          Lab Technicians

          OT Technicians


    11.  INFECTION CONTROL MEASURES

         Proper Hand wash technique (Refer policy and procedure for hand wash NUR/SOP/VER1)

         Isolation /Nursing barrier techniques (Refer policy and procedure for Isolation /Nursing barrier NUR/SOP/VER1

         Appropriate pre and post exposure prophylaxis (Refer policy and procedure for pre and post exposure prophylaxis    
         HR/SOP/VER1)

        Sterilization Technique (Refer policy and procedure for Sterilization OT/SOP/VER1)

        Proper Bio- Medical waste management (Refer policy and procedure for Bio- Medical waste management   
        HK/SOP/VER1)

        Proper Equipment cleaning (Refer policy and procedure for Equipment cleaning HK/SOP/VER1)

        Laundry and linen Management (Outsourced)

        Kitchen sanitation and food handling (Outsourced)

        Engineering control Programme (Refer policy and procedure for Engineering control Programme ENG/SOP/VER1)

        Sensitization programme for staff.

        In service training programme for staff.

        Surveillance programme (Refer policy and procedure for Surveillance Programme NUR/SOP/VER1)







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