the challenging role of an infection control nurse

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The Challenging Role of an Infection Control Nurse: Victoria D. Villanueva, RN Infection Control Consultant Chong Hua Hospital Cebu City, Philippines The Philippine Experience

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Page 1: The Challenging Role of an Infection Control Nurse

The Challenging Role of an Infection Control Nurse:

Victoria D. Villanueva, RNInfection Control ConsultantChong Hua HospitalCebu City, Philippines

The Philippine Experience

Page 2: The Challenging Role of an Infection Control Nurse

Proven Effective Infection Control Strategies

INFECTIONS

EDUCATION INFECTION CONTROL POLICIES

BUNDLES OF CARE

ISOLATION PRECAUTION

OUTBREAK CONTROL/MANAGEMENT

RENOVATION / CONSTRUCTION

RESEARCH

DISINFECTION & STERILIZATION

HAND HYGIENE

SURVEILLANCE CAUTI, VAP/VAE,

CLABSI, SSI, MDROs

NEEDLESTICK INJURIES

ANTIBIOTICS

ENVIRONMENT OF CARE

HAND HYGIENE DISINFECTION

& STERILIZATION

SURVEILLANCE- CAUTI, VAP/VAE, CLABSI, SSI, MDROs

NEEDLESTICKINJURIES

ANTIBIOTIC STEWARDSHIP

PROGRAM

ENVIRONMENTOF CAREINFECTION

CONTROL POLICIES

BUNDLES OF CARE

ISOLATION PRECAUTION

OUTBREAK CONTROL /

MANAGEMENT

RESEARCH

RENOVATION/

CONSTRUCTION

ICN

Activities of a Filipino Infection Control Nurse

Page 3: The Challenging Role of an Infection Control Nurse

Who is a Filipino Infection Control Nurse?

A versatile, creative and innovative person who performs different roles and infection control activities geared towards the reduction and prevention of spread of infections in the healthcare system and in the community.

Page 4: The Challenging Role of an Infection Control Nurse

The Roles Played by anInfection Control Nurse in the Philippines: Educator/Teacher/Trainer Writer/Author Surveillance Officer Outbreak Investigator Hand Hygiene Champion Policy Implementer Antibiotic Steward Researcher Waste Manager Product Evaluator Event/Meeting Organizer Operational Planner And many more…

Page 5: The Challenging Role of an Infection Control Nurse

As an Educator/Teacher/Trainer… First and foremost role of an Infection Control Nurse Gives teachings in basic and advanced Infection Prevention and Control standards and

practices which happen:• At bedside• In the hospital or in the healthcare facility• In the community

Target population:• Healthcare Workers (HCWs)• Patients• Relatives of Patients• Visitors of the hospital• People of the community

My personal advocacy or crusade:• To spread awareness in Infection Control in far-flung areas of the Philippines by

giving talks, lectures and seminars.

A more structured course in infection control: Infection Control Basic Course

Page 6: The Challenging Role of an Infection Control Nurse

As an Educator/Teacher/Trainer…In my role as an educator, I make use of educational materials such as:

Brochures

Posters

Page 7: The Challenging Role of an Infection Control Nurse

As an Educator/Teacher/Trainer… Checklists (specially helpful for infection control bundles)

Date of Hospital Admission: Date Discharged from the Hospital:

Diagnosis:

Date/Time Mechanically Ventilated: Date/Time Mechanical Ventilation Ended:

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).

DATE

DAYS

VAP BUNDLE AM PM N AM PM N AM PM N AM PM N AM PM N

Head of Bed (30-45 degrees) Chlorhexidine Oral Prophylaxis

Stress Ulcer Prophylaxis Remarks Remarks Remarks Remarks Remarks

DVT Prophylaxis Remarks Remarks Remarks Remarks Remarks

Sedation Holiday Remarks Remarks Remarks Remarks Remarks

Spontaneous Breathing Trial

Initials of NIC

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC) or Pulmonology

Fellow on Duty (PFOD).

VAE SCORING

DATE

DAYS

Step 1 VAC

A PEEP (min) B FiO2 (min)

Step 2 IVAC

Temp <36°C >38°C

WBC Count

≥12k ≤4k

New Antimicrobial Started

Step 3 PVAP

Positive Cultures?

Quanti Semi- Quanti

Purulent Respiratory Secretions

Pleural Fluid Lung Histopathology Legionella species Viral

Diagnosis VAE

(VAC/IVAC/PVAP)

Initials of RIC/PFOD

Initials of ICN

* Do not proceed to step 2 or 3 if step 1 is not met

SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION VENTILATOR ASSOCIATED EVENTS-ADULT Reviewed 01072015 Page 1 of 2

Patient Name:

Last Name First Name MI

Date of Birth: mm/dd/yy Patient Identification No. (PIN)

Age

Sex Rm#: Attending Physician/s:

Attending Pulmonologist:

Surveillance of Healthcare Associated Infection

Ventilator Associated Events

ADULT

Form PCI-HOS-016 ver01

Patient Name: Last Name First Name MI

Date of Birth: mm/dd/yy Patient Identification No. (PIN)

Age Sex Rm#: Attending Physician/s:

Date Admitted: Date Discharged:

Diagnosis:

Date and Time Catheter was inserted: Date and Time Catheter was removed:

Inserted by:

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).

Date

Days

CAUTI BUNDLE AM PM N AM PM N AM PM N AM PM N AM PM N

Insertion and re-insertion using aseptic technique

Daily perineal care

Proper securement of urinary catheter

Drainage bag kept below bladder level at all times

Daily review of catheter necessity

Initials of NIC

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC).

CLINICAL CRITERIA

ADULT

Fever (≥ 38°C)

Urgency

Costovertebral pain/tenderness

Frequency

Dysuria

Suprapubic tenderness

PEDIA

Fever (≥ 38°C)

Hypothermia (> 36.5°C )

Apnea

Bradycardia

Lethargy

Vomiting

Dysuria

Asymptomatic Bacteremic UTI

Symptomatic UTI

LABORATORY CRITERIA

Urinalysis

1.(+) Leukocyte exudates/nitrite

2.Pyuria

Urine gram stain

Urine culture

Blood Culture

Initials of RIC

SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION CATHETER ASSOCIATED URINARY TRACT INFECTION Reviewed 01052015 Page 1 of 2

Surveillance of Healthcare Associated Infection

Catheter Associated Urinary Tract Infection

Form PCI-HOS-023 ver01

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC) assisting the insertion.

CENTRAL LINE INSERTION BUNDLE YES NO REMARKS

Was sublcavian or IJ vein the site for insertion?

Has inserter and assistant performed hand hygiene procedures, either by washing hands with liquid soap and water or with alcohol-based hand rubs (ABHR)?

Was 70% alcohol and > 0.5 % CHG used in cleaning site of insertion?

Have both the operator and assistant practiced maximal sterile barrier precautions (wearing a sterile gown, sterile gloves, and cap) and using a full body drape for patient?

Initials of NIC

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).

Date

Days

CENTRAL LINE MAINTENANCE BUNDLE

Review done for central line necessity

Hand hygiene practiced before all maintenance/access procedures

Alcohol used to disinfect hub

Dressing changed using aseptic technique

Transparent dressing every 7 days

Sterile gauze every 24 hours

Administration (Intravenous) set replaced every 4-7 days

Initials of NIC

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC).

CLINICAL CRITERIA

ADULT

Fever (≥ 38°C)

Chills

Hypotension

PEDIA (≤ 1 yr. old)

Fever (≥ 38°C)

Hypothermia (> 36.5°C )

Apnea

Bradycardia

LABORATORY CRITERIA

Blood culture 1

Blood culture 2

Initials of RIC

SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTION Reviewed 01202015 Page 1 of 2

Patient Name:

Last Name First Name MI

Date of Birth: mm/dd/yy Patient Identification No. (PIN)

Age Sex Rm#: Attending Physician/s:

Date Admitted: Diagnosis:

Date and Time Inserted: Date and Time Removed:

Type of Central Venous Catheter: Tunneled Non-tunneled

PICC line Others: Chemoport ___________________

Inserter: _______________________________________

Emergency Procedure? YES NO

Was subclavian or IJ vein the site for insertion? YES NO

Specify: ________________________ Is the indication for insertion appropriate? YES NO

Date of Patient Discharged:

Surveillance of Healthcare

Associated Infection

Central Line Associated

Bloodstream Infection

Insertion and Maintenance Bundles

Page 8: The Challenging Role of an Infection Control Nurse

As a Writer/Author…1. Writes articles or news bulletins on infection control topics such as emerging

and reemerging infections (references: CDC, WHO and DOH).

Ebola Virus MERS-CoV Dengue Leptospirosis Zika Virus

3. Publishes researches in infection control• Locally in the Philippines• Internationally in infection control journals

2. Constructs infection control policies and guidelines (Hand Hygiene, Isolation Precautions, Disinfection and Sterilization, Needle Stick Injuries)

Page 9: The Challenging Role of an Infection Control Nurse

As a Surveillance Officer…Monitors Healthcare Associated Infections (HAIs) such as: CAUTI CLABSI VAP/VAE SSIs MDROs

Colonized

Infected

Date of Hospital Admission: Date Discharged from the Hospital:

Diagnosis:

Date/Time Mechanically Ventilated: Date/Time Mechanical Ventilation Ended:

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).

DATE

DAYS

VAP BUNDLE AM PM N AM PM N AM PM N AM PM N AM PM N

Head of Bed (30-45 degrees) Chlorhexidine Oral Prophylaxis

Stress Ulcer Prophylaxis Remarks Remarks Remarks Remarks Remarks

DVT Prophylaxis Remarks Remarks Remarks Remarks Remarks

Sedation Holiday Remarks Remarks Remarks Remarks Remarks

Spontaneous Breathing Trial

Initials of NIC

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC) or Pulmonology

Fellow on Duty (PFOD).

VAE SCORING

DATE

DAYS

Step 1 VAC

A PEEP (min) B FiO2 (min)

Step 2 IVAC

Temp <36°C >38°C

WBC Count

≥12k ≤4k

New Antimicrobial Started

Step 3 PVAP

Positive Cultures?

Quanti Semi- Quanti

Purulent Respiratory Secretions

Pleural Fluid Lung Histopathology Legionella species Viral

Diagnosis VAE

(VAC/IVAC/PVAP)

Initials of RIC/PFOD

Initials of ICN

* Do not proceed to step 2 or 3 if step 1 is not met

SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION VENTILATOR ASSOCIATED EVENTS-ADULT Reviewed 01072015 Page 1 of 2

Patient Name:

Last Name First Name MI

Date of Birth: mm/dd/yy Patient Identification No. (PIN)

Age

Sex Rm#: Attending Physician/s:

Attending Pulmonologist:

Surveillance of Healthcare Associated Infection

Ventilator Associated Events

ADULT

Form PCI-HOS-016 ver01

Patient Name: Last Name First Name MI

Date of Birth: mm/dd/yy Patient Identification No. (PIN)

Age Sex Rm#: Attending Physician/s:

Date Admitted: Date Discharged:

Diagnosis:

Date and Time Catheter was inserted: Date and Time Catheter was removed:

Inserted by:

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).

Date

Days

CAUTI BUNDLE AM PM N AM PM N AM PM N AM PM N AM PM N

Insertion and re-insertion using aseptic technique

Daily perineal care

Proper securement of urinary catheter

Drainage bag kept below bladder level at all times

Daily review of catheter necessity

Initials of NIC

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC).

CLINICAL CRITERIA

ADULT

Fever (≥ 38°C)

Urgency

Costovertebral pain/tenderness

Frequency

Dysuria

Suprapubic tenderness

PEDIA

Fever (≥ 38°C)

Hypothermia (> 36.5°C )

Apnea

Bradycardia

Lethargy

Vomiting

Dysuria

Asymptomatic Bacteremic UTI

Symptomatic UTI

LABORATORY CRITERIA

Urinalysis

1.(+) Leukocyte exudates/nitrite

2.Pyuria

Urine gram stain

Urine culture

Blood Culture

Initials of RIC

SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION CATHETER ASSOCIATED URINARY TRACT INFECTION Reviewed 01052015 Page 1 of 2

Surveillance of Healthcare Associated Infection

Catheter Associated Urinary Tract Infection

Form PCI-HOS-023 ver01

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC) assisting the insertion.

CENTRAL LINE INSERTION BUNDLE YES NO REMARKS

Was sublcavian or IJ vein the site for insertion?

Has inserter and assistant performed hand hygiene procedures, either by washing hands with liquid soap and water or with alcohol-based hand rubs (ABHR)?

Was 70% alcohol and > 0.5 % CHG used in cleaning site of insertion?

Have both the operator and assistant practiced maximal sterile barrier precautions (wearing a sterile gown, sterile gloves, and cap) and using a full body drape for patient?

Initials of NIC

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).

Date

Days

CENTRAL LINE MAINTENANCE BUNDLE

Review done for central line necessity

Hand hygiene practiced before all maintenance/access procedures

Alcohol used to disinfect hub

Dressing changed using aseptic technique

Transparent dressing every 7 days

Sterile gauze every 24 hours

Administration (Intravenous) set replaced every 4-7 days

Initials of NIC

Instructions: Place a if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC).

CLINICAL CRITERIA

ADULT

Fever (≥ 38°C)

Chills

Hypotension

PEDIA (≤ 1 yr. old)

Fever (≥ 38°C)

Hypothermia (> 36.5°C )

Apnea

Bradycardia

LABORATORY CRITERIA

Blood culture 1

Blood culture 2

Initials of RIC

SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTION Reviewed 01202015 Page 1 of 2

Patient Name: Last Name First Name MI

Date of Birth: mm/dd/yy Patient Identification No. (PIN)

Age Sex Rm#: Attending Physician/s:

Date Admitted: Diagnosis:

Date and Time Inserted: Date and Time Removed:

Type of Central Venous Catheter: Tunneled Non-tunneled

PICC line Others: Chemoport ___________________

Inserter: _______________________________________

Emergency Procedure? YES NO

Was subclavian or IJ vein the site for insertion? YES NO

Specify: ________________________ Is the indication for insertion appropriate? YES NO

Date of Patient Discharged:

Surveillance of Healthcare

Associated Infection

Central Line Associated

Bloodstream Infection

Insertion and Maintenance Bundles

Instructions: Place a if done and × if not done. This form is to be filled out by the Infection Control Nurse (ICN).

Date and time of visit (mm/dd/yy)

Criteria for SSI YES NO YES NO YES NO YES NO YES NO YES NO

Abscess or other evidence of infection found during re-operation through diagnostic and/or laboratory examinations

Aspirated fluid/swab of surgical site yields organisms and pus cells are present

Clinician’s diagnosis

Fever ( temperature 38⁰C or more )

Heat

Incision spontaneously dehisced or opened by Surgeon

Localized swelling

Purulent drainage

Redness

Tenderness

Antibiotic Used

Causative Organism

Surgical Site Infection Yes No Date of Onset:

Yes No Date of Onset:

Yes No Date of Onset:

Yes No Date of Onset:

Yes No Date of Onset:

Yes No Date of Onset:

Type of Surgical Site Infection ( Refer at the back for Surgical Site Infection Criteria )

Superficial Deep Organ / Space

Superficial Deep Organ / Space

Superficial Deep Organ / Space

Superficial Deep Organ / Space

Superficial Deep Organ / Space

Superficial Deep Organ / Space

MD Notified / Date & Time

Initial of ICN SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION SURGICAL SITE INFECTION Page 1 of 2

Patient Name:

Last Name First Name MI

Date of Birth: mm/dd/yy Patient Identification No. (PIN)

Age

Sex Rm#: Attending Physician / Surgeon: Date Admitted: Date Discharged: Date of Surgery:

Address: Contact Number:

Surgical Procedure:

Thyroidectomy Mastectomy CABG Total Hip Arthroplasty Total Knee Arthroplasty TAHBSO Others (Pls. Specify):

ASA Score:

1 2 3 4 5

Is Patient Known as Diabetic?

Yes No

Blood Glucose (24 Hrs. Post CABG):

Type of Surgery:

Elective Emergency

Wound Classification:

Clean Clean-contaminated Contaminated Dirty

Duration of Surgical Procedure:

Time of Incision:

Time of Closure:

Overall Duration (in minutes):

Antimicrobial Prophylaxis: None Yes

If Yes, please specify:

Antibiotic: Dose: Date and Time Given:

Antibiotic extended as treatment: Yes No

Post-Op Temperature not less than

35.5°C

Use of Clippers for hair removal

Page 10: The Challenging Role of an Infection Control Nurse

As an Outbreak Investigator…

3. During outbreaks, the ICN should be a good:• Manager• Collaborator• Epidemiologist

1. Each facility should have in place:• Routine surveillance• Outbreak investigation

2. ICN is responsible for:• Surveillance• Initiation and execution of outbreak investigations

Page 11: The Challenging Role of an Infection Control Nurse

As an Outbreak Investigator…4. Procedure for Epidemiological Investigation:

a. Establish the existence of an outbreakb. Confirm the diagnosisc. Establish the case definition and count casesd. Relate the outbreak to time, place and persone. Determine who is at risk of becoming illf. Formulate a tentative hypothesisg. Compare the hypothesis with established factsh. Plan a detailed epidemiologic investigationi. Prepare a written reportj. Implement control and prevention measures

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As a Hand Hygiene Champion…

HAND HYGIENE is still the single most effective way to prevent infections.

Page 13: The Challenging Role of an Infection Control Nurse

As a Policy Implementer…

Making policy is one thing but implementation is another thing

Uses monitoring checklists (Hand Hygiene, Bundles of Care, and Isolation Precautions)

Logbooks (reuse of Single Use Devices, Biological Indicator monitoring, monitoring of OR temperature and humidity)

Page 14: The Challenging Role of an Infection Control Nurse

As an Antibiotic Steward…

Coordinates with the Pharmacy and Therapeutics Committee Audits, analyzes and reports antibiotic prescribing and

resistance patterns Educates staff on the importance of appropriate antibiotic use Implements strategies to optimize the use of antibiotics Helps in the formation of hospital antibiogram

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As a Researcher…

Provides information to the management on recent advances in Infection Prevention and Control

Applies research process and research findings to infection control practice

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As a Waste Manager…

Oversight on waste management program Ensures compliance with hospital waste

management policy through audit checklists

Page 17: The Challenging Role of an Infection Control Nurse

As a Product Evaluator…

Participates in evaluation of hospital equipment and products

Page 18: The Challenging Role of an Infection Control Nurse

As an Event/Meeting Organizer…

Organizes Infection Control Committee meetings Organizes coordination meetings with different

departments Organizes trainings and seminars in Infection

Prevention and Control

Page 19: The Challenging Role of an Infection Control Nurse

As an Operational Planner…

Plans budget for infection control operation

Page 20: The Challenging Role of an Infection Control Nurse

Mental and Emotional Requirements of an ICN There are mental and emotional requirements of all positions

working in a hospital due to the nature of the services provided. The requirements included the ability to:• Handle multiple priorities• Make decisions independently• Make decisions under pressure• Works in close proximity to others and/or in a distracting

environment• Manage anger/fear/hostility• Manage stress appropriately• Works alone effectively

Page 21: The Challenging Role of an Infection Control Nurse

Required Skills, Knowledge & Abilities of an ICN

Infection control nurses shared a common background in basic clinical educational and some years of bedside patient care experience, but were now confronted with demands for computer skills, report generation, application of infection definitions, and a far more sophisticated understanding of epidemiology that had ever been necessary in the past.

Page 22: The Challenging Role of an Infection Control Nurse

Required Skills, Knowledge & Abilities of an ICN

1. Demonstrates effective interpersonal skills necessary tointeract in a professional manner with customers.

2. Demonstrates leadership, creativity, and management skills.3. Language- ability to read, analyze, interpret contracts,

technical procedures, or governmental regulations. Ability towrite reports and other forms of correspondence. Ability toeffectively present verbal and/or written information. Abilityto respond to the most sensitive inquiries or complaints.

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Required Skills, Knowledge & Abilities of an ICN

4. Mathematical – ability to apply mathematical concepts such asfractions, percentages, rates and proportions to practicalsituations. Ability to work with mathematical concepts such asprobability and statistical tools for analysis and problemsolving. Ability to create and interpret various charts andgraphs to present in understandable format.

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Required Skills, Knowledge & Abilities of an ICN

5. Information Management and Systems- This job requirescomputer and systems competency in the following areas:Enters data, retrieves data, assembles and organizes data, usesand analyzes data. Integrates diverse sources of data.

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Required Skills, Knowledge & Abilities of an ICN

6. Reasoning- ability to define problems, collect data, establishfacts, and draw valid conclusions. Ability to interpretinstructions furnished in written, oral, diagram, or scheduleform. Ability to apply principles of logical or scientific thinkingto a wide range of intellectual and practical problems. Abilityto deal with nonverbal symbolism (formulas, scientificequations, graphs).

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Job Description

JOB DESCRIPTION Position Title: Infection Control Nurse/ Officer

Assists in the general operations of the Infection Control Committee (ICC). Provides assistance on matters related to infection prevention and control to hospital staff, divisions and departments. Monitors Healthcare Associated Infections (HAIs) in the hospital and implements measures to lower them.

Main Duties and Responsibilities

1. Helps plan, develop and implement the infection prevention and control program and policies in the hospital.

2. Helps develop and implement infection prevention and control educational modules for staff in the hospital.

3. Helps develop and implement Healthcare Associated Infections surveillance program. 4. Helps develop hospital antibiogram. 5. Investigates and manages outbreak of infections in the hospital. 6. Monitors and manages cases involving multidrug resistance organisms (MDROs) such as

Methycillin Resistance Staphylococcus Aureus (MRSA), Extended Spectrum Beta Lactamase (ESBL), Vancomycin Resistance Enterococcus (VRE), etc.

7. Oversees constructions and renovations in the hospital in relation to infection control standards and recommendations.

8. Helps in the conduct and interpretation of results of water analysis in the hospital. 9. Monitors compliance to infection prevention and control standards and policies in the

hospital. 10. Represents ICC in the Pharmacy and Therapeutics Committee (PTC), Healthcare Waste

Management Committee, Product Evaluation Committee, Environment of Care (EOC) and other committees in the hospital.

11. Organizes and leads the Infection Control Committee and ensures that it is composed of members from multi-disciplinary teams.

12. Reports infection rates and gives recommendations to hospital management and leadership.

13. Assists and collaborates with the PTC in the implementation of antibiotic stewardship program in the hospital.

PLANNING-LEADING-ORGANIZING-CONTROLLING

Planning 1. Helps develop Operational Plan of Infection Control Committee. 2. Assists in budgeting for resources allocation for the execution of infection prevention and

control programs. 3. Coordinates with the hospital management and leadership for direction and thrust in the

hospital infection prevention and control programs and projects. Organizing

1. Organizes and facilitates Infection Control Committee meetings. 2. Implements a structured Healthcare Associated Infection (HAI) Surveillance program which

includes Ventilator Associated Events (VAE), Catheter Associated Urinary Tract Infection (CAUTI), Central line Associated Blood Stream Infection (CLABSI), and Surgical Site Infections (SSI).

3. Implements a structured surveillance of needle stick injury and blood and body fluids exposure incidents.

4. Provides pre and post counseling to patients undergoing Human Immuno-Deficiency Syndrome (HIV) screening.

5. Leads and serves as resource authority during accreditation activities in relation to infection prevention and control.

Leading 1. Serves as leader in infection prevention and control program in the hospital, in the region,

in the country and in the international community. 2. Aligns infection prevention and control program with quality and patient safety. 3. Assists in the issuance of memos, guidelines and protocols in relation to matters related

to infection control. 4. Gives feedbacks and reports in relation to high Infection rates and contaminated water

analysis to hospital management and also manages the above situations. 5. Reports notifiable diseases to Department of Health (DOH) utilizing the Philippine

Integrated Disease Surveillance and Response (PIDSR) system of reporting.

Controlling 1.Monitors compliance to infection prevention and control standards and policies in the

hospital such as those related to isolation precautions, wearing of personal protective equipment (PPEs), hand hygiene, etc.

2.Recommends usage of high quality, efficacious and cost-effective products in the hospital

backed by evidences and studies. 3.Implements and monitors bundles of care in infection control (ie: VAE Bundle, CAUTI

Bundle, CLABSI Bundle, SSI Bundle, and MRSA Bundle).

Other Responsibilities:

1. Participates actively in organization wide activities and task forces assigned relevant to the corporate Vision, Mission and Values, and strategic objectives of the organization. 2. Refines skills through constant training, seminars and various educational tools. 3. Participates and monitors the Section/Department/Division's compliance to the hospital's Environment of care (EOC) standards. 4. Maintains and adheres to strict confidentiality of all records/documents and patient information. 5. Collaborates in providing immunizations to the hospital staff. 6. Educates patients, relatives, caregivers, visitors and staff on how to prevent contracting infections in the hospital. 7. Attends infection control trainings and seminars locally and internationally to be updated on the latest trends in infection control. 8. Gives recommendations in infection prevention and control based on international

guidelines such as those from Centers for Disease Control and Prevention (CDC), Society of Healthcare and Epidemiology of America (SHEA), Infectious Disease Society of America (IDSA), World Health Organization (WHO), Asia Pacific Society of Infection Control (APSIC).

9. Assists in the publication and distribution of news bulletins regarding Infectious diseases affecting local and international population. 10. Conducts research activities in relation to infection control.

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Responsibility of an ICN

To have zero or lowest infections among patients, visitors and

healthcare workers in the healthcare facility.

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*RPAP – Routine Practices and Additional Precautions

Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

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Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

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Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

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Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

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Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

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Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

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Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

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Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

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Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

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Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

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Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

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Chong Hua HospitalPrevention and Control of Infection Service

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Chong Hua Hospital

Chong Hua HospitalCebu City

Chong Hua HospitalMandaue City

Page 41: The Challenging Role of an Infection Control Nurse

Even with all the challenges of an Infection Control Nurse, it is still fun.

Thank you!

However, Infection Control Nursing is…