N.J. Admin. Code § 8:42C-10.2

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:42C-10.2 - Infection control policies and procedures

(a) The hospice shall have an interdisciplinary committee which establishes and implements an infection prevention and control program.

(b) The interdisciplinary committee shall develop, implement, and review, at least annually, written policies and procedures regarding infection prevention and control, including:

1. A method of complying with the Department's rules on reportable communicable diseases at N.J.A.C. 8:57;

2. A staff education program on infection prevention and control which shall be conducted on an annual basis;

3. Surveillance techniques to identify infections and develop systems to reduce risk using "APIC - HICPAC Surveillance Definitions for Home Health Care and Home Hospice Infections," February 2008, incorporated herein by reference, as amended and supplemented, available electronically at www.apic.org or at www.cdc.gov; and

4. Sterilization and high level of disinfection of reusable medical devices, following guidelines recommended by the Association for the Advancement of Medical Instrumentation (AAMI, 901 North Glebe Road, Suite 300, Arlington, VA 22203 or available at the AAMI website at www.aami.org), and any amendments thereto, which are incorporated herein by reference, including, at a minimum:

i. "Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities," ANSI/AAMI ST 79 (2006), incorporated herein by reference, as amended and supplemented, available electronically at www.aami.org or by telephone at (800) 332-2264;

ii. "Chemical Sterilization and High-level Disinfection in Health Care Facilities," ANSI/AAMI ST 58:2013, incorporated herein by reference, as amended and supplemented, available electronically at www.aami.org or by telephone at (800) 332-2264;

iii. Aseptic transfer of sterile supplies; and

iv. Chemicals used for cleaning general environmental surfaces.

(c) Any hospice that outsources the reprocessing of reusable medical devices to another health care facility or a commercial reprocessing firm shall conduct an annual audit to ensure conformance with the AAMI standards set forth at (b)4 above.

1. Documentation of such audits shall be maintained for a period of three years.

N.J. Admin. Code § 8:42C-10.2

Amended by R.2010 d.106, effective 6/21/2010.
See: 42 N.J.R. 25(a), 42 N.J.R. 1192(b).
In the introductory paragraph of (b), deleted a comma following "implement"; deleted former (b)1 through (b)3; recodified former (b)4 through (b)7 as (b)1 through (b)4; in (b)1, inserted "communicable"; rewrote (b)3; in (b)4, substituted "220" for "602", "1110 North Glebe Road" for "1901 North Fort Myer Drive" and "22201-4795 or available at the AAMI website at www.aami.org" for "22209"; rewrote (b)4i and (b)4ii; in (c), substituted "that outsources" for "which out-sources" and "(b)4" for "(b)7"; and recodified the former last sentence of (c) as (c)1.
Amended by R.2021 d.040, effective 5/3/2021.
See: 51 N.J.R. 1312(a), 53 N.J.R. 700(b).
In the introductory paragraph of (b), substituted "committee" for "Committee".
Notice of readoption with technical change, effective 3/18/2024. See: 56 N.J.R. 410(b).