Demonstrate to your accreditation organization’s inspector that your infection control program is monitored on a continuous basis and that it is a direct link to the quality improvement program.
It is extremely important to make references in your policy that the center follows nationally recognized guidelines. I use the Center for Disease Control and Prevention http://www.cdc.gov/. You can always access free information on the CDC website. You also need to include this information in your Governing Body minutes along with who have you designated in charge of the infection control program & provide a job description for this individual. It is usually a RN, Medical Director or can be a lead certified surgical technician. This individual must have documented training. There are several ways you can comply to this standard however one of the easiest ways is to go online to APIC website (Association for Professionals in Infection Control). Proceed to the webinars section http://webinars.apic.org/ and purchase a webinar. The webinars can be viewed by the entire staff during an In-service. Make sure you document this and save the receipts of purchase to demonstrate ongoing training.
Here’s to your success,