Indiana Administrative Code
Title 410 - INDIANA DEPARTMENT OF HEALTH
Article 27 - BIRTHING CENTERS
Rule 11 - Infection Control Program
Section 11-1 - Infection control administration
Universal Citation: 410 IN Admin Code 11-1
Current through March 20, 2024
Authority: IC 16-21-1-7; IC 16-21-2-2.5
Affected: IC 16-21-1
Sec. 1.
(a) The center must do the following:
(1) Provide a
safe and healthful environment that minimizes infection exposure and risk to
the following:
(A) Patients.
(B) Health care workers.
(C) Persons who accompany patients.
(2) Maintain a written infection
control policy that provides for an active and effective center-wide infection
control program. The policy must include a system designed for the:
(A) identification;
(B) surveillance;
(C) investigation;
(D) control; and
(E) prevention;
of infections and communicable diseases in patients and health care workers.
(b) The infection control program must identify and evaluate trends or clusters of center generated infections or communicable diseases.
(c) The center must designate a person qualified by training or experience as responsible for the following:
(1) Ongoing
infection control activities.
(2)
The development and implementation of policies governing control of infections
and communicable diseases.
(d) The center administrator must do the following:
(1) Be responsible for the
implementation of successful corrective action plans in affected problem areas
and ensure that infection control policies are followed.
(2) Provide for appropriate infection control
input into plans for renovation and new construction to ensure awareness of
federal, state, and local rules that affect infection control practices as well
as plan for appropriate protection of patients and employees during
construction or renovation.
(e) The center must establish a committee to monitor and guide the infection control program in the center as follows:
(1) The infection control committee must meet
at least quarterly. Membership must include, but is not limited to, the
following:
(A) The person directly
responsible for management of the infection surveillance, prevention, and
control program as established in subsection (c).
(B) The staffing physician.
(C) A representative from the nursing staff
(if the center employs a licensed nurse).
(D) Representatives from other appropriate
services within the center as needed.
(2) The infection control committee
responsibilities must include, but are not limited to, the following:
(A) Establishing techniques and systems for:
(i) identifying;
(ii) reviewing; and
(iii) reporting; infections in the
center.
(B) Recommending
corrective action plans, reviewing outcomes, and assuring resolution of
identified problems.
(C) Reviewing
employee exposure incidents and making appropriate recommendations to minimize
risk.
(D) Written reports of
quarterly meetings.
(E) Reviewing
and recommending changes in procedures, policies, and programs that are
pertinent to infection control. These include, but are not limited to, the
following:
(i) Sanitation, including proper
disposal of removed tissue.
(ii)
Universal precautions, including infectious waste management.
(iii) Cleaning, disinfection, and
sterilization.
(iv) Aseptic
technique, invasive procedures, and equipment usage.
(v) Reuse of disposables.
(vi) A system for patients with communicable
diseases.
(vii) A system, which
complies with state and federal law, to monitor the immune status of health
care workers exposed to communicable diseases.
(viii) An employee health program to
determine the communicable disease history of new personnel as well as an
ongoing program for current personnel as required by state and federal
agencies.
(ix) Requirements for
personal hygiene and attire that meet acceptable standards of
practice.
(x) A program of linen
management.
Disclaimer: These regulations may not be the most recent version. Indiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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