Current through September, 2024
Section 11-93-58 - Infection control(a) Definitive procedures governing sterilization techniques shall be developed. The written procedures shall include: (1) The technique to be used for particular instrument or group of instruments.(2) The length of time to accomplish sterilization.(3) Temperature, time and pressure control levels established for steam sterilization.(4) Proper methods of preparation of items for sterilization.(5) Shelf storage for sterile items established.(6) Use of sterilizer indicators.(7) Use of routine bacteriological sterilizer culture controls as might be indicated.(b) Written procedures shall also be developed to provide for: (1) Prohibition of re-use of disposable, one time use, items.(2) Biologically safe methods of disposal of contaminated items such as needles, syringes, catheters, gloves, pathological wastes, contaminated dressings, and any other contaminated items which might be present in the facility.(c) There shall be an infection control committee established to investigate any patient infection and to take prompt and appropriate remedial action to prevent a recurrence. This committee shall consist at least of a physician and a midwife or a registered nurse. (1) Written reports of all results of investigations of infections and the remedial action taken shall be kept in the permanent files of the facility.(2) The facility shall report promptly to the licensing agency infectious diseases which may represent a potential hazard to patients, personnel and the public. Included, but not limited to, are the reportable diseases and the occurrences of other diseases in outbreak form.(d) There shall always be a continuous education program provided to all personnel in the cause, transmission, prevention, and elimination of infections.(e) A policy shall be established for strict control of visitors to prevent their casual access to the birthing room.(f) There shall be provisions for adequate patient post-discharge follow up in order to discover any patient infection and to record same in the files of the infection control committee.[Eff. MAR 3, 1986] (Auth: HRS §§ 321-9, 321-10) (Imp: HRS §§ 321-10, 321-13)