IPC program presentation, Structure and Functions

Infection control program, plans and structures

1. Infection Prevention and Control Program

2. Goal Identifying and reducing the risk of acquiring and transmitting infections among patients, staff, health care professionals, contract workers, volunteers, students and visitors

3. Pillars Current scientific knowledge Accepted practice guidelines Applicable local and national laws and regulations Standards from national or local agencies

4. PROGRAM STRUCTURE

5. IPC Cluster Link Staff Roles Collection and analysis of IPC surveillance data Participate in development and/or review of policies and procedures Education of staff and contract workers Consultation on infection risk assessment, prevention, and control strategies (includes activities related to occupational health, construction, and emergency management) Implementation of program contents Conduct/participate in IPC audits and other measuring and evaluation activities Conduct/participate in investigations on IPC related outcomes and implement action plans

6. Program Function Risk assessment Formulation/review of IPC policies and procedures Training and research Practice monitoring Surveillance

7. Risk assessment Risk matrix is generated annually Widespread environmental contamination risk Risk of exposure to infectious diseases Risk of mucosal splash /Sharps Injury HAI risk – non-compliance to applicable bundles and process indicators Risk of failure to implement current IPC best practices – No policies & procedures/staff education

8. Practice Monitoring Standard and transmission based precautions Cleaning and disinfection of equipment and environment Waste management Safe injection practices Communicable diseases screening Sterile equipment handling storage and reprocessing Linen storage and handling Hand hygiene Aseptic techniques including ANTT

9. Education & Training At minimum, all staff will receive training during orientation and refresher annually An ongoing learning needs assessment will be done through; Monitoring and evaluation activities – audits, spot checks, interviews and from surveillance data reviews Competency test Direct observations e.g. hand washing CQIPS & Quality council meetings Performance appraisal RCA recommendations from safety events

10. Education & Training Mode of delivery Lectures – physical and online Computer based training modules Train- the –trainer (clinic champions) Mentoring program- especially links Posters and fliers – hand hygiene, respiratory hygiene Who gets the training Clinical and non-clinical staff Patients, families and visitors Contract workers –housekeepers & security guards

11. Surveillance Proactively identifying and tracking risks, rates and trends in healthcare-associated infections Compliance to practice – hand hygiene Process indicators- Surgical bundles and PIVC process indicators Detection and reporting notifiable diseases -MOH Blood and body fluid exposure – splash and needle stick injuries IPC events- incidents

12. Monitoring and evaluation IPC program monitoring reports Audit reports Process compliance reports – care bundles Outcomes – Needle stick injuries Strategy reports – training plan adherence/ immunization reports Hand hygiene compliance reports

13. Annual Activity Plan IPC policies and procedures review Training – Plan and execution Develop educational posters Develop checklists – cleaning and disinfection Standardize linen and sterile supplies storage areas and registers Standardize waste bins Develop IPC audit checklist for clinics Streamline housekeeping