Infection Control in Healthcare Personnel: Infrastructure and Routine Practices for Occupational Infection Prevention and Control Services (2019) Show
RecommendationsSee section 1. Leadership and Management for additional related recommendations. For healthcare organization leaders and administratorsRecommendation Regularly meet with occupational health services leaders to review results of risk assessments related to occupational infection prevention and control, set performance goals, and charge relevant healthcare organization departments and individuals to reduce risks. For occupational health services leaders and staffRecommendation Conduct, or collaborate with other healthcare organization departments or individuals in, regular risk assessments and risk reduction activities related to occupational infection prevention and control. Recommendation Notify healthcare organization leaders and departments about hazards identified and risk reduction plans, progress, and priorities for healthcare personnel. Background
HCP are at risk of infectious exposures in the workplace that vary depending on their job duties and other factors.[1,2] Assessments can be conducted to identify actual or potential infection risks for populations of HCP and to inform measures that reduce those risks. Risk assessments can also yield data used for performance measurement, facility accreditation, service improvements, regulatory compliance, and other quality assurance activities (see section 1. Leadership and Management). Risk assessments may be prompted by the desire to create a safer workplace; federal, state, or local requirements; and by incidents, such as reports of exposures or illnesses among HCP, infectious disease outbreaks, and device and equipment failures resulting in HCP exposures or injuries. Approaches to risk assessment and reductionDepending on HCO management structure and type of risk, OHS may lead some risk assessment and reduction activities or collaborate with other HCO departments, such as IPC services, that lead these efforts (see section 2. Communication and Collaboration). Such activities could include improving access to services by providing resources at off-site job locations during work hours, or working with supply management counterparts to ensure HCP access to correct PPE. Box 3. Examples of Hazard Identification, Risk Assessment, and Risk Reduction Activities lists examples of risk assessments and reduction strategies that might commonly involve OHS. Controlling exposures to occupational infections is a fundamental method of protecting HCP. Traditionally, a hierarchy of controls
(Figure 1. Hierarchy of Controls) has been used as a means of determining how to implement feasible and effective control solutions.[3] The hierarchy ranks controls according to their reliability and effectiveness, leading with “Elimination” of a potential
hazard, whereby it is completely removed, and ending with “PPE” that relies on correct, consistent use. Figure 1. Hierarchy of ControlsSource: Centers for Disease Control and Prevention Selected requirements related to the assessment and reduction of occupational infection risksOccupational IPC assessment activities are supported or required by federal, state, or local regulations, payers, and accreditation agencies. Requirements include, but are not limited to:
OSHA further supports risk assessment and reduction activities with online information and tools, including a job hazard analysis booklet and “eTools” about workplace health and safety topics.[10,11] OSHA also offers some employers free consultation on evaluating workplace hazards and control methods without risk of citations or fines, provided that the employer corrects identified hazards.[12] Box 3. Examples of Hazard Identification, Risk Assessment, and Risk Reduction Activities in which Occupational Health Services Might ParticipateExamples of hazards, risk assessment methods, and activities or plans to reduce risk..
How often are infection control audits performed?How often should Infection, Prevention and Control audits be completed? It is an essential CQC requirement that IPC audits are completed at least every 6 months (sooner if needed).
What is an infection control risk assessment?An infection risk assessment considers potential hazards and prioritizes them to better guide goal-setting and strategy development. Infection control risks can stem from a variety of areas in a healthcare organization, and most can lead to significant patient (or staff) harm.
How many infection control procedures are there?There are five key infection control procedures that should be observed.
When should you assess for infection risks?1.1 Patient Placement/Assessment for infection risk
Patients must be promptly assessed for infection risk on arrival at the care area (if possible, prior to accepting a patient from another care area) and should be continuously reviewed throughout their stay.
|