6 Colo. Code Regs. § 1011-1 Chapter 09 Part 11

Current through Register Vol. 47, No. 11, June 10, 2024

Part 11 - INFECTION PREVENTION AND CONTROL AND ANTIBIOTIC STEWARDSHIP PROGRAM

11.1 Applicability

(A) All community clinics shall meet the standards in this Part 11.2, 11.3, and 11.4.

(B) All community clinics operating inpatient beds shall additionally meet the standards in this part 11.5.

(C) All community clinics providing emergency services shall additionally meet the standards in this Part 11.5 and 11.6.

11.2 The CC shall have an infection prevention and control program that reflects the scope and complexity of services provided by the CC. The program shall be based on national standards for infection control and shall ensure the adequate investigation, control, and prevention of infections.

11.3 The CC shall develop and implement policies and procedures regarding:

(A) Training of provider, nursing, ancillary, and all other staff on infection control practices. The policy shall address training provided upon orientation to the CC as well as ongoing annual training.

(B) Patient isolation precautions in response to communicable disease.

(C) Hand hygiene, which shall be performed as often as necessary using soap and water or alcohol-based hand sanitizer and shall be performed according to nationally recognized guidelines.

(D) Maintenance of a sanitary environment.

(E) Mitigation of risks associated with patient infections present upon arrival.

(F) Coordination with other federal, state, and local agencies, as necessary.

11.4 As a condition of licensure, the community clinic shall conduct disease reporting in accordance with 6 CCR 1009-1 Rules and Regulations Pertaining to Epidemic and Communicable Disease Control.

11.5 Additional Infection Control Requirements (Required Only for Community Clinics Operating Inpatient Beds or Community Clinics Providing Emergency Services)

(A) The program shall be overseen by at least one individual trained in infection prevention and control who shall be employed by or regularly available to the CC.

11.6 Antibiotic Stewardship Program (Required Only for Community Clinics Providing Emergency Services)

(A) The CC shall have an antibiotic stewardship program responsible for the optimization of antibiotic use through stewardship.

(B) The program shall be overseen by an individual who is qualified through education, training, or experience in infectious disease, infection prevention and control, pharmacy, and/or antibiotic stewardship.

(C) The program shall document the evidence-based use of antibiotics in all services of the CC and any improvements in proper antibiotic use.

(D) The program shall adhere to nationally recognized guidelines, as well as best practices, for improving antibiotic use.

(E) The program shall reflect the scope and complexity of the services provided at the CC.

6 CCR 1011-1 Chapter 09 Part 11