Code of Colorado Regulations
1000 - Department of Public Health and Environment
1011 - Health Facilities and Emergency Medical Services Division (1011, 1015 Series)
6 CCR 1011-1 Chapter 13 - FREESTANDING EMERGENCY DEPARTMENTS
Part 11 - INFECTION PREVENTION AND CONTROL AND ANTIBIOTIC STEWARDSHIP PROGRAMS
Universal Citation: 1000 CO Code Regs 11
Current through Register Vol. 47, No. 5, March 10, 2024
11.1 Infection Prevention and Control Program
(A) The FSED
shall have an infection control program based on national standards for
infection control and shall ensure the adequate investigation, control, and
prevention of infections.
(B) The
infection prevention and control program shall reflect the scope and complexity
of the services provided by the FSED.
(C) The program shall be overseen by at least
one individual trained in infection prevention and control who shall be
employed by or regularly available to the FSED.
(D) The FSED shall develop and implement
written policies regarding:
(1) Training of
provider, nursing, ancillary, and all other staff on infection control
practices. The policy shall address training provided upon orientation to the
FSED as well as ongoing annual training.
(2) Patient isolation precautions in response
to communicable disease.
(3) Hand
hygiene, which shall be performed as often as necessary using soap and water or
alcohol-based hand sanitizer and shall be performed according to nationally
recognized guidelines.
(4)
Maintenance of a sanitary environment.
(5) Mitigation of risks associated with
patient infections present upon arrival.
(6) Coordination with other federal, state,
and local agencies, as necessary.
11.2 Antibiotic Stewardship Program
(A) The FSED shall have an antibiotic
stewardship program responsible for the optimization of antibiotic use through
stewardship.
(B) The program shall
be overseen by an individual who is qualified through education, training, or
experience in infectious disease, infection prevention and control, pharmacy,
and/or antibiotic stewardship.
(C)
The program shall document the evidence-based use of antibiotics in all
services of the FSED and any improvements in proper antibiotic use.
(D) The program shall adhere to nationally
recognized guidelines, as well as best practices, for improving antibiotic
use.
(E) The program shall reflect
the scope and complexity of the services provided at the FSED.
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