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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