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Infection Control & Prevention A generic overview of an

Infection Control & Prevention A generic overview of an

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Infection Control & Prevention A generic overview of an

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  1. Infection Control & Prevention A generic overview of an Infection Control Program How Does Infection Prevention & Control fit into “The Big Picture” of our healthcare facility? Patti Grant -- 29th Annual TSICP Conference 2006

  2. Infection Control (Epidemiology) • The Study of Infection Control (IC) is grounded in “Epidemiology” • Epidemiology: The Study of Anything that happens to people • EPI – Upon • DEMOS – People • LOGY -- Study Patti Grant -- 29th Annual TSICP Conference 2006

  3. Where Did IC Come From? Where is IC Prevention Going? • 1840’s with Dr. Semmelweis • Handwashing • Germ Theory Cemented 1930’s • Late 1950’s Antibiotics • Early 1960’s Antibiotic Resistance • Back to Handwashing & Prevention • 1970: 1st isolation guideline published by CDC • 1992: HICPAC formed to advise DHHS/CDC on infection prevention in healthcare facilities and develop guidelines • Today: Travel, Bioterrorism, Super Bugs, Community Participation Patti Grant -- 29th Annual TSICP Conference 2006

  4. We’re Called Many Things … Even if we “just do” Infection Control • Nurse Epidemiologist • Infection Control Practitioner • Infection Control Professional • Infection Control Coordinator • Infection Control Manager • Infection Control Director Patti Grant -- 29th Annual TSICP Conference 2006

  5. We Work Many Places … Resources are Varied • Large University Teaching Hospital • Non-Teaching Acute Care • For Profit • Non-Profit • Medium & Small Hospitals • Non-Traditional Settings • “Hospital” vs. “Free-Standing” non-hospital affiliated healthcare facilities Patti Grant -- 29th Annual TSICP Conference 2006

  6. Non-Traditional ICP Settings affiliated with Hospitals • Ambulatory Clinics • Day Surgery Centers • Long Term Care Facilities • Rehabilitation Services • Home Care • Dialysis Centers • Transitional Care • Physicians Offices Patti Grant -- 29th Annual TSICP Conference 2006

  7. Setting Determines Resources • Educational Sponsorship? • Hardware? Software? • Data Entry & Secretary Support? • Number “dedicated” to IC & P? • Non Revenue-Producing Department • Multiple Hats? • Risk Management, Employee Health, Nurse Educator, Quality Management, Utilization Review Patti Grant -- 29th Annual TSICP Conference 2006

  8. How is an ICP “Born” ? • APIC -- 1972 • LVN, RN, MT, MPH • Formal Training • APIC & State IC Organizations • 1-3 years to become ‘proficient’ • Ongoing Education • CIC -- 1983 • Giving Back: Sustaining the Profession • Research and Publications • Volunteerism • Involvement with Public Policy Patti Grant -- 29th Annual TSICP Conference 2006

  9. Infection Control Human andFiscalResources • SENIC Study 19851: ratio of number of ICPs to patient beds 1:250 Acute Care • Before advent of clinics and off-site services, and extensive diversity & complexity of services • Delphi Study 20022: ratio 1:100 (response to expanded responsibilities) • CBIC task analyses of ICP job every 5 years 1982-2002 • Infrastructure consensus recommendations 1998,19993 • These studies assume “Dedicated ICP” and not a “multi-tasker” (wearing many hats) 1 Haley RW. Am J Epidemiol 1985; 121: 182 2 O’Boyle C. AJIC 2001; 30:321 3 Scheckler WE. ICHE 1998; 19:114; Friedman C. ICHE 1999; 20: 695 Patti Grant -- 29th Annual TSICP Conference 2006

  10. Microbiology Epidemiology Statistics Management Communications Employee Health Reportable Disease Plant Operations Education Sterilization Disinfection Patient Care Infectious Disease Research Projects Vendor Decisions Construction & Renovation Projects Not “JUST” Infection Control Patti Grant -- 29th Annual TSICP Conference 2006

  11. Any IC Decision is Multifaceted • APIC & SHEA • CDC … Can I take my • JCAHO placenta home? • EPA … Can I get AIDS from • OSHA a razor blade that • FDA was in a shoe at the store? • CMS … What refrigerator can I store leeches in? • State & Local Health Department Patti Grant -- 29th Annual TSICP Conference 2006

  12. In a Nutshell? Infection Control: • Conductor of Biohazard Safety • For Patient, Employee, Volunteer, Visitor • Discussion • Conclusion • Recommendation • Action • Follow-Up Patti Grant -- 29th Annual TSICP Conference 2006

  13. Infection Control: The Big Picture • Site Visits (Surveillance Rounds) • Prospective Chart Surveillance • Policy & Procedure • Information Sharing Patti Grant -- 29th Annual TSICP Conference 2006

  14. Examples of “Big Picture” … • September 11, 2001 • Bioterrorism Preparedness • Smallpox Vaccine • Anthrax • Ricin • Monkey pox – For Real! • SARS • 2004-2005 Flu Vaccine Shortage Patti Grant -- 29th Annual TSICP Conference 2006

  15. Our Public Health Commitment • Extends beyond the hospital • TB Elimination • Meningococcal meningitis • Enteric Pathogens • Emerging Diseases (SARS) • The “OUTSIDE” does and will come in …it is not just business as usual Patti Grant -- 29th Annual TSICP Conference 2006

  16. Questions ? Patti Grant -- 29th Annual TSICP Conference 2006