6 Colo. Code Regs. § 1011-1-5-26

Current through Register Vol. 47, No. 11, June 10, 2024
Section 6 CCR 1011-1-5-26 - INFECTION CONTROL
26.1 INFECTION CONTROL PROGRAM

The facility shall have an infection control program that provides annual in-service training on infection control and shall have current infection control policies and procedures available to all staff members.

26.2 POLICIES

The facility shall have and follow written policies, approved by the governing body, addressing the transmission of communicable diseases with a significant risk of transmission to other persons and for reporting diseases to the state and/or local health department, pursuant to 6 CCR 1009-1, Rules and Regulations Pertaining to Epidemic and Communicable Disease Control.

26.3 The facility's written policies and procedures regarding infection control shall be consistent with the Centers for Disease Control and Prevention (CDC): Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, 2007, and Guidelines for Environmental Infection Control in Health-Care Facilities, 2003, which are incorporated by reference consistent with section 1.3 of this chapter.
A) Those policies and procedures shall include at a minimum, all of the following criteria:
1) Staff shall exercise caution when handling sharp objects such as needles around residents. Needles shall not be recapped, broken off or disposed of in other than puncture-proof containers.
2) Linen and clothing of residents with communicable infections shall be washed in a manner that ensures disinfection.
3) Staff shall wear disposable gloves when handling items soiled with blood or body fluids.
4) Resuscitation equipment shall be immediately available in the event its use becomes necessary.
5) Wearing disposable gloves, staff shall immediately clean up spills of blood or bodily fluid from residents with communicable infections. Staff shall then disinfect the contaminated area using an appropriate concentration of a disinfectant certified by the manufacturer to be effective as used.
6) All disposable equipment containing infective waste shall be disposed of in the room where it is used in sturdy plastic bags and then re-bagged outside the room. It shall either be autoclaved or incinerated prior to disposal in a sanitary landfill.
7) Facility access of non-resident individuals with contagious conditions shall be restricted until those individuals are no longer contagious, the infectious period has expired or personal protective equipment is provided.
26.4 RESIDENT ISOLATION

Facilities shall provide for the isolation of residents with communicable diseases where appropriate. Individual resident factors are important determinants of infection transmission risks and the need for a single room and/or private bathroom for any resident is best determined on a case-by-case basis.

26.5 SANITATION OF NURSING AND RESIDENT CARE EQUIPMENT

Nursing and resident care equipment shall be properly cleaned, sanitized, disinfected or sterilized, and stored.

26.6 DISPOSABLE EQUIPMENT AND SUPPLIES. Single service disposable care equipment shall be used only once and shall be disposed of in an approved manner. Reusable disposable care equipment shall be used only for the resident to whom assigned. Disposable sterile equipment shall be certified by the distributor as sterile and be destroyed after initial use.
26.7 HANDWASHING

Personnel shall wash their hands before and after contact with a resident, after contact with a contaminated object or waste and adhere to the CDC Guidelines for Hand Hygiene in HealthCare Settings, 2002, which is incorporated by reference consistent with section 1.3 of this chapter.

26.8 SANITATION OF AIR

Design, installation, and operation of heating/cooling/ventilation system shall ensure adequate microbial control of the air.

26.9 PETS

The facility shall ensure that pet animals either residing at or visiting the facility have been appropriately vaccinated and licensed.

6 CCR 1011-1-5-26