Compliance Demystified: CMS Guidelines for Hospital Infection Prevention in 2023 - Part B

1
CDC Infection Control Resources, Information for
Professionals and Training
2
CDC Information for Professionals

• Widely read and changing sections is on using
  personal protective equipment (PPE)
• Eye protection
• Gowns
• Facemasks and N95 respirators
• Elastomeric respirators
• Powered air purifying respirators
• Ventilators
• It has a section on infection control guidance
• Section on hand hygiene

3
CDC Section on Infection Control
https//www.cdc.gov/infectioncontrol/guidelines/co
re-practices/index.html
4
Excellent CDC IP Training - Free

• Is nursing home infection preventionist training
• Many of the same issues apply to hospitals
• It has 24 modules
• Includes
• Water management gtLinen management
• TB prevention gtInfection surveillance,
• Injection safety gtInfection control plan
• Point of care testing gtHand hygiene
• Outbreak management gtCough etiquette, etc.

5
CDC IP Training

• https//www.train.org/cdctrain/training_plan/3814.
  

6
CDC Core Elements of an ASP

• Updated November 2019
• Provides examples of leadership commitment to the
  ASP
• Highlights the priority interventions and process
  measures
• Emphasizes the key role of the pharmacists and
  nurse in improving antibiotic use

7
CMS Memos Related to Infection Control
8
Memo on Safe Injection Practices

• Discusses the safe use of single dose medication
  to prevent healthcare associated infections (HAI)
• Notes an exception important especially in
  medications shortages
• General rule single dose vial (SDV) can only be
  used on one patient
• Will allow SDV to be used on multiple patients
• If prepared by pharmacist
• Under laminar hood following USP 797 guidelines

9
Legionellae and Water Borne PathogensJoint
Commission Standards and CMS Memos
10
Legionnaires Disease (LD)

• The bacterium can cause a serious type of
  pneumonia called LD as well as Pontiac fever
• Grows in parts of hospital water systems that are
  continuously wet
• Water heaters and filters, fountains, shower
  heads and hoses, water storage tanks, eyewash
  stations, ice machines, etc.
• Conduct a facility risk assessment - determined
  if it could spread in your facility water system
  and implement a PP

11
ISMP Guidelines on IV Push Medication
12
CDC Vaccine Storage and Handling
13
CDC Health UpdateReview Procedures for Cleaning,
Disinfecting and Sterilizing Reusable Medical
Devices
14
CMS Infection Control Worksheet
15
The End

• Laura A. Dixon, Esq.
• BS, JD, RN, CPHRM
• President, Healthcare Risk Education and
  Consulting, LLC
• 303-955-8104
• ldesq_at_comcast.net

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