HOSPITAL INFECTION AND ANTIBIOTIC CONTROL COMMITTEE
1.7 Frequency of meetings
1. Meetings must be held at least twice a year. The hospital director or the deputy director should be in attendance. 2. 1 week notification of the date of the meeting and the agenda should be given. 3. The Hospital Director’s Office will provide secretarial help and logistics support to the HIACC in conducting the meetings and activities. All minutes must be endorsed by the chairman and sent in a timely fashion to the Hospital Director. 4. There should be adequate designated space and computerss with internet facilities provided to the Infection Control Team.1.8 Circulation of minutes
1. Minutes should be kept and verified. 2. Minutes should be sent to all members and to those who attended the meeting. In addition, copies should be sent to: • The Hospital Director • The Dean of the Medical and Allied Health Faculties using the hospital as teaching facilities • Heads of Departments and Units1.9 Emergency meetings and outbreak control
1. The Chairman may convene an emergency meeting of the Infection Control Committee at any time and all members or their representative will be notified by telephone. Policies and Procedures on Infection Control Ministry of Health Malaysia 4 2. Emergency meetings are arranged for the control of outbreaks of infection and when the infection Control Team requires additional support and notification of the problem in accordance with the major outbreak policy. 3. The Chairman will chair all emergency meetings, and is in charge of the technical aspect of outbreak control measures.1.10 Administrative arrangements
1. The Infection Control Team, is responsible for the day-to-day infection control activities of the hospital and reports directly to the Chairman of the HIACC 2. The HIACC draws up policies on all aspects of prevention and control of infections for the hospital. 3. These policies must receive the support of the hospital’s management. 4. In the absence of separate activity budget code for infection control, the budget for the costs of infection control is part of the Medical Microbiology budget and for the unpredictable and ad-hoc activities such as large outbreaks or hospital wide campaigns, it will be borne by the hospital’s operational budget.1.11 The Infection Control Nurse ICN
1. The Infection Control Nurses is a full-time member of the Hospital’s Infection Control Team, which is headed by the Infection Control Doctor. 2. The ICN is responsible to the ICD but is professionally accountable to the Director via the appropriate Nursing Director within the nursing hierarchy. 3. The primary duties of the nurse are to assist the Infection Control Doctor with the prevention and control of infection in hospital. 4. This is achieved through the implementation of infection control policies and procedure, and by educating hospital and non-hospital personnel. 5. The number of ICN should conform to the Ministry’s norm of 1 ICN:110 beds.1.12 Duties and responsibilities of the infection Control Nurse
The Infection Control Nurse must: Clinical 1. Liaise closely with the hospital medical microbiologist and clinicians. 2. Supervise and advise on isolation technique policies and procedures generally and in specific clinical situations. 3. Provide clinical advice and support to nurses, midwives, health visitors and other non-clinical personnel on infection control issues. 4. Analyze and provide feedback on microbiology reports to head of department.Parts
» Bacaan Penuh ( bersaiz 5.5 MB)
» Roles of Hospital Infection and Antibiotic Control Committee
» Infection Control Doctor ICD
» Chairman of HIACC Bacaan Penuh ( bersaiz 5.5 MB)
» HOSPITAL INFECTION AND ANTIBIOTIC CONTROL COMMITTEE
» Frequency of meetings Circulation of minutes
» Emergency meetings and outbreak control
» Duties and responsibilities of the infection Control Nurse
» HEALTHCARE ASSOCIATED INFECTION SURVEILLANCE
» Types of Surveillance Bacaan Penuh ( bersaiz 5.5 MB)
» Data Collection Tabulation of Data
» Analysis and interpretation of data
» Preparation and dissemination of reports
» ISOLATION PRECAUTION Standard Precautions
» Respiratory hygienecough etiquette: Instruct symptomatic persons and health
» Signs, BHT, Isolation traytrolley
» Visitor Policy for Infection Control
» Dishes, Glasses, Cups, Eating Utensils and Medications
» Transportation of patients Transmission-based
» Hand Hygiene Bacaan Penuh ( bersaiz 5.5 MB)
» Natural ventilation Personal Protective Equipment PPE
» Use of mechanical ventilation
» Minimizing bacteria at entry points
» Maintaining sterility of instruments disposable items during a procedure
» Catheter change interval Urinary Catheter Care
» General principles of wound care 1.
» Spatial separation of catheterized patients Technique
» Environment Urinary Catheter Care
» Wound Care Bacaan Penuh ( bersaiz 5.5 MB)
» Procedure for insertion of catheter
» A dedicated lumen used for PN line should be identified and not be used for
» Nursing considerations for PN
» Storage Replacement of PN tubing and filters
» General Principles. Replacement of PN tubing and filters
» Specific practices transport, storage, transfusion, dispose
» Blood and Blood Products Transfusion
» Hand hygiene Urinary Tract Infection
» Catheter Insertion Urinary Tract Infection
» Closed Sterile Drainage Urinary Tract Infection
» Irrigation Urinary Tract Infection
» Specimen Collection Urinary Tract Infection
» Urinary Flow Urinary Tract Infection
» Meatal Care Urinary Tract Infection
» Catheter Change Interval Urinary Tract Infection
» Critical items - instruments or objects that enter directly into the vascular
» Semi-critical items - instruments or objects that come into contact with
» Developed a good surveillance system to study the incident of SSI.
» Nosocomial Respiratory Infection Bacaan Penuh ( bersaiz 5.5 MB)
» Introduction INFECTION CONTROL IN SPECIFIC HEALTHCARE SETTING
» Personal Protective Equipment Personnel .1
» Neonatal Intensive Care Unit
» Outer zone: This zone should contain:
» Laminar Flow Ventilation Ultra Clean Ventilation
» Wall Mounted Air Conditioners:
» Protective Clothing for Use in the Operating Theatre
» Surgical Hand Scrubbing Refer to hand hygiene section
» Gowning Free-standing Air Conditioners:
» Gloving Free-standing Air Conditioners:
» Draping Free-standing Air Conditioners:
» Establishing a Sterile Field
» Dispensing of the Sterile Supplies
» Maintaining the Sterile Field
» Waste and Linen Post operative
» Cleaning of the Operation theatre
» Intra operative Initial cleaning at the beginning of the day
» Concurrent cleaning between cases
» Haemodialysis unit water supply and air conditioning
» Staff health Terminal cleaning end of the day
» Hand hygiene Terminal cleaning end of the day
» Nephrology and Hemodialysis Unit
» Instrument processing area in the dental clinic
» Instrument cleaning refer to CSSD chapter
» Cleaning and Disinfection of Treatment Room 1.
» Dental Radiology Asepsis Components permanently attached to dental unit waterlines
» Dental Laboratory Materials and Equipment
» Storage and preparation rooms
» Movement of instruments Safety
» Collection of body from ward
» Routine case autopsy Mortuary
» Specimen handling Procedure for post-mortem examination of known or suspected CJD
» Clinical waste Procedure for post-mortem examination of known or suspected CJD
» Visitors Procedure for post-mortem examination of known or suspected CJD
» Quality control Procedure for post-mortem examination of known or suspected CJD
» Care Givers For Patient In The Burn Unit 1.
» Visitors Full time Care givers
» Culturing and Surveillance Full time Care givers
» Antibiotic Policy Full time Care givers
» Haematology and Oncology Unit
» Laboratory Bacaan Penuh ( bersaiz 5.5 MB)
» Introduction Bacaan Penuh ( bersaiz 5.5 MB)
» Personel protective equipment PPE
» Screening for HCW TUBERCULOSIS
» Infection control in specific area .1
» HOSPITAL OUTBREAK MANAGEMENT Steps in Outbreak Investigation and Management
» Introduction Introduction Bacaan Penuh ( bersaiz 5.5 MB)
» Policy Statement Training Bacaan Penuh ( bersaiz 5.5 MB)
» Arrangements Bacaan Penuh ( bersaiz 5.5 MB)
» Infection Control During Construction and Renovation
» Operation Theatre Commissioning Bacaan Penuh ( bersaiz 5.5 MB)
» Administrative monitoring Mechanical Monitoring
» Distribution of sterile items
» Establish a system Bacaan Penuh ( bersaiz 5.5 MB)
» Monitoring antimicrobial use using aggregated data on Defined Daily
» Each hospital shall send report on DDD every 6 months to National Infection
» However, individual local data shall be reported according to discipline
» It is recommended to have a national benchmark data specifically for Intensive
» It is also beneficial if each state have their own benchmark data from their
» A report of local monitoring data for hospital compared with national
» The aggregate benchmark data included numeric presentation of pooled
» Correlation between antimicrobial use and resistance rate
» Costquantity of empiric antimicrobial administered in a specified period.
» Antimicrobial management programstrategies Antimicrobial policy
» Multi-Resistant Organism 13. Bacaan Penuh ( bersaiz 5.5 MB)
» Methicillin Resistant Staphylococcus Aureus
» Vancomycin Resistant Enterococci Bacaan Penuh ( bersaiz 5.5 MB)
» HIV Bacaan Penuh ( bersaiz 5.5 MB)
» Dengue Bacaan Penuh ( bersaiz 5.5 MB)
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