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JC EBIPIEC 2019

$59.04

Infection Prevention and Control Issues in the Environment of Care, 4th Edition

Published By Publication Date Number of Pages
Joint Commission 2019 234
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Approximately 1 in 30 hospital patients develops a health care–associated infection (HAI) on any given day, and about 70,000 individuals die as a direct or indirect result of such infections each year. And the impact goes beyond hospitals and even beyond health care—these infections carry a significant financial burden, especially in low- and middle-income nations. In the United States, treating patients who develop HAIs costs billions of dollars annually. These stark facts underscore the need for a strong and consistent infection prevention and control program in every type of health care setting. Because an organization’s ability to prevent and control infection is inextricably linked to its physical environment, a thoughtfully managed environment is a crucial piece in the infection prevention and control puzzle. The fourth edition of the best-selling Infection Control and Prevention Issues in the Environment of Care is designed to help infection preventionists, other infection prevention and control practitioners, and physical environment professionals collaborate to design, improve, and manage an infection prevention and control program that will protect patients, staff, and visitors from the threat of infection. This edition explores the keys to maintainting a safe, infection-free environment, which includes reducing and controlling environmental hazards and risks. It examines various infection risks, both in the United States and abroad, that can be minimized or eradicated through proper management of the physical environment. Topics new to the fourth edition include infection prevention and control and environment of care components of the compounding pharmacy, fogging for room decontamination, and establishing water management programs that are environmentally sustainable, among others. Key Topics: • Joint Commission and Joint Commission International standards for infection prevention and control, related standards for the physical environment and emergency management, and infection-related patient safety goals • The human element of infection prevention and control efforts—from high-level leadership to frontline staff, patients, and visitors—in such areas as hand hygiene, sharps management, and staff training • Infection prevention and control considerations before, during, and after a construction project, including risk assessments • Reprocessing medical/surgical items, including what types of items need to be reprocessed, the role of different departments in reprocessing, and alternative equipment maintenance programs • The impact of utility and water distribution and management systems on infection control • The importance of addressing infection control in emergency management plans to manage risks during emergencies • Performance improvement and measuring infection control in the physical environment • Guidelines, requirements, specifications, and recommendations for infection prevention and control in the physical environment Key Features: • Practical tips and strategies to improve infection prevention and control programs • Advice for how environment of care and infection control professionals can collaborate • Case studies profiling infection control plans and projects that have proven effective in health care facilities • Useful tools and checklists to help health care organizations assess and address infection control risks in the care environment • Mock tracer scenarios and questions to identify infection risks and monitor compliance • Helpful sidebars guide organizations in assessing compliance with Joint Commission/Joint Commission International standards and other guidelines and requirements, explore the pros and cons of various infection control approaches, find resources for additional guidance on infection control issues, and more • Figures that break down complex information in a visual, easy-to-understand format Standards: Infection Prevention and Control (IC); Environment of Care (EC); Emergency Management (EM) International standards for Prevention and Control of Infections (PCI) and Facility Management and Safety (FMS) Setting: All settings Key Audience: Infection preventionists, infection prevention and control program leaders, facility managers, environment of care staff, housekeeping

PDF Catalog

PDF Pages PDF Title
12 Introduction
18 ONE
The Connection:Infection Prevention and Control and thePhysical Environment
19 Infection Prevention and Control Standards and the Infection Prevention and Control Program
Planning for the Infection Prevention and Control Program
20 Sidebar 1-1
The Joint Commission’s Infection Prevention and Control Standards*
21 Sidebar 1-2
Joint Commission International’s Prevention and Control of Infection Standards*
24 Tool 1-1
Infection Prevention and Control Plan Assessment Checklist
26 Evaluation and Improvement of the Infection Prevention and Control Plan
Infection Prevention and Control and Standards Related to the Physical Environment
27 Sidebar 1-3
The Joint Commission’s Environment of Care Standards Related to Infection Prevention and Control*
28 Sidebar 1-4
Joint Commission International’s Facility Management and Safety Standards Related to Infection Prevention and Control*
29 Infection Prevention and Control and Patient Safety Goals
30 Collaboration Among Infection Prevention and Control and Environmental Professionals
32 Sidebar 1-5
Infection Prevention and Control Issues in Opioid Treatment Facilities
34 Touring the Physical Environment
37 Tool 1-2
42 Tracers for Infection Prevention and Control
43 Sidebar 1-6
|SAMPLE TRACER
Infection Prevention and Control in Ambulatory Health Care
45 Conclusion
Reference
46 TWO
The Human Element: Staff and Infection Prevention and Control Compliance
47 Collaboration Made Easier
Guidelines for Hand Hygiene Compliance
48 Human Factors and Hand Hygiene
49 Sidebar 2-1
Comparison of US CDC and WHO Guidelines for Hand Hygiene
54 Physical Elements That Support Hand Hygiene
Human Error and Sharps Management
55 Sidebar 2-2
Life Safety Standards for Alcohol-Based Hand Rub Dispensers
56 Tool 2-1
Physical Environment Elements That Support Hand Hygiene Assessment Checklist
59 Sidebar 2-3
Reducing Bloodborne Pathogen Exposure Through Sharps Management
62 Tool 2-2
Sharps Injury Log
63 Human Nature and Staff Training and Competency
64 Tool 2-3
Sharps Risk Assessment Worksheet
66 Sidebar 2-4
National Institute for Occupational Safety and Health Performance Criteria for Sharps Disposal Containers
69 Conclusion
References
72 THREE
Construction Projects:Infection Prevention and Control Considerations
73 Infection Prevention and Control Regulations for Construction Projects
Construction Project Collaboration
74 Sidebar 3-1
Sample of Key Changes in the 2018 Facility Guidelines Institute Guidelines
75 Sidebar 3-2
Online Guidelines for Infection Prevention and Control and Construction
76 Design Elements for Infection Prevention and Control
81 Sustainable Design and Infection Prevention and Control
82 Sidebar 3-3
Infection Prevention and Control During Infrastructure Repairs in Semirestricted Areas
84 Sidebar 3-4
Online Information on Sustainable Design
87 Sidebar 3-5
Engineered Specifications for Positive and Negative Pressure Rooms
88 Infection Prevention and Control During Construction
90 Infection Prevention and Control After Construction
92 Conclusion
93 Tool 3-1
Preoccupancy Infection Prevention and Control Checklist for Construction Projects
95 References
96 FOUR
Medical Equipment:Reprocessing for Infection Prevention and Control
97 Key Terms
A Systematic Approach to Reprocessing
99 Sidebar 4-1
A Sampling of Organizations to Consult in Developing a Reprocessing Policy
100 Disinfecting Noncritical Items
102 Reprocessing Semicritical and Critical Surgical and Procedural Equipment and Instruments
107 Sterilization
108 Tool 4-1
Endoscope Reprocessing Checklist
110 Monitoring Sterilization
112 Sidebar 4-2
Protocol for Investigating Exposure Risk Due to Disinfection or Sterilization Failure
113 Reprocessing Single-Use Devices
114 Central Processing
116 Collaboration in Reprocessing
117 Tool 4-2
Sample Checklist for Assessing Competency of Central Processing Staff
120 AEM and Reprocessing Equipment
121 Conclusion
122 Tool 4-3
Sample Alternative Equipment Maintenance Program Evaluation Checklist
125 References
126 FIVE
Utility Systems:Infection Prevention and Control Concerns
127 Infection Prevention and Control Regulations for Utility Systems
Infection Prevention and Control and HVAC Systems
128 Sidebar 5-1
Heating, Ventilating, and Air-Conditioning and Ultraviolet Germicidal Irradiation to Control Spread of Tuberculosis Infection
129 Sidebar 5-2
Sick Building Syndrome
132 Infection Prevention and Control and HVAC Systems Maintenance
Other Options: New Technologies and Sustainable Approaches
133 Tool 5-1
Indoor Air Quality Staff Responsibility Checklist
135 Infection Prevention and Control and Water Distribution Systems
136 Sidebar 5-3
Water-Linked Infection Outbreaks in Health Care Organizations
137 Sidebar 5-4
Interventions for Waterborne Infections in a Health Care Facility
140 Legionella
Sidebar 5-5
Legionnaires’ Disease Risk Factors and High-Risk Patient Populations
143 Tool 5-2
Legionella Sample Data Sheet
144 Mold
145 Sidebar 5-6
Mock Tracer for a Legionella Outbreak
148 Conclusion
References
150 SIX
Environmental Servicesand Medical Waste Disposal:Infection Prevention and Control Issues
151 Housekeeping and Infection Prevention and Control
152 Tool 6-1
Checklist for Housekeeping Infection Prevention and Control
153 Sidebar 6-1
Using the Physical Environment to Control Transmission of Clostridium difficile
155 Sidebar 6-2
US Environmental Protection Agency–Registered Disinfectants
158 Tool 6-2
Daily Patient Room Cleaning Procedure Checklist
161 Laundry Operations and Infection Prevention and Control
162 Sidebar 6-3
Clean 4 You Promise Package for Environmental Cleaning
165 Sidebar 6-4
US Centers for Disease Control and Prevention and Occupational Safety and Health Administration Laundry Practices
166 Regulated Medical Waste Disposal and Infection Prevention and Control
167 Tool 6-3
Laundry Practices Infection Prevention and Control Assessment Checklist
170 Sidebar 6-5
Sample Standards from the Healthcare Laundry Accreditation Council
172 Sidebar 6-6
Treatment Methods for Regulated Medical Waste
174 Conclusion
References
176 SEVEN
Emergency Management:Infection Prevention and Control for Disasters
177 The Emergency Operations Plan/Emergency Management Plan
178 Tool 7-1
Emergency Operations Plan/Emergency Management Plan Evaluation Checklist
182 Infectious Patient Surges
183 Sidebar 7-1
Sample Hazard Vulnerability Analysis
186 Tool 7-2
Organizational Assessment for Influenza Preparedness
187 Tool 7-3
Infectious Disease Response Assessment Checklist
190 Environmental Considerations for Infectious Disease Outbreaks
192 Decontamination
193 Sidebar 7-2
Resuming Service After Blackwater Flooding
195 Decontamination Facilities
198 Conclusion
References
200 EIGHT
Performance Improvement:Measuring Infection Prevention and Controlin the Physical Environment
201 A Multidisciplinary Team Approach
What to Measure
203 Collecting Data
204 Tool 8-1
RCA Procedure Checklist
206 Tool 8-2
RCA Evaluation Checklist
208 Intervention Responses and Follow-Up
Using Data Tools to Improve Infection Prevention and Control
209 Tool 8-3
Measurement Evaluation Checklist
211 Sidebar 8-1
Using Data Tools and Analysis to Decrease CAUTIs
215 Sidebar 8-2
Performance Improvement Tool Selection Matrix
216 Sidebar 8-3
Sample Bar Graph—Posttest Scores for Infection Transmission Education
217 Sidebar 8-4
Sample Run Chart—Effectiveness of Training in Decontamination Procedures
218 US Centers for Disease Control and Prevention’s Performance Measurement Recommendations
Conclusion
220 Index
JC EBIPIEC 2019
$59.04