Idaho Admin. Code r. 16.03.14.540

Current through September 2, 2024

Section 16.03.14.540 - INFECTION CONTROL

The hospital shall develop a plan for the prevention and control of infection with special emphasis on hospital acquired infection.

01.Infection Control Committee. The hospital shall establish an infection control committee composed of representatives of the medical staff, administration, nursing service, pharmacy services and laboratory. Other appropriate department heads shall be members as needed.

02.Infection Control Program. The program shall include at least the following elements:

a. Definition of nosocomial infection, as opposed to community acquired infections; and

b. A procedure for hospital surveillance of and for nosocomial infections; and

c. A procedure for reporting and evaluating nosocomial infections. The procedure must enable the hospital to establish the following on at least a quarterly basis:

i. Level or rate of nosocomial infections; and

ii. Site of infection; and

iii. Microorganism involved.

03.Infection Control and Prevention Procedures. There shall be a written infection control procedure that shall include aseptic techniques, cleaning, sanitizing, and disinfection of all instruments, equipment and surfaces, for all departments and services of the hospital where patient care is rendered.

04.Infection Control Committee Responsibilities. The infection control committee shall be responsible for at least the following:

a. Designate one (1) person to act as the surveillance officer; and

b. Evaluating antibiotic susceptibility/resistance trends; and

c. Review of all infection control procedures for all departments, including housekeeping and laundry procedures, at least annually; and

d. Development of procedures for defining and controlling hazardous and infectious wastes; and

e. Continuing education for all appropriate personnel.

Idaho Admin. Code r. 16.03.14.540

Effective March 17, 2022