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Comprehensive Infection Control Program (ICP) in LTCF: Key Guidelines and Requirements

Explore the essential components and recommendations for an effective Infection Control Program in Long-Term Care Facilities (LTCF), including infection prevention strategies, surveillance systems, isolation precautions, environmental controls, employee health protocols, and sterilization practices. Stay compliant with regulations and ensure the safety of residents and staff.

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Comprehensive Infection Control Program (ICP) in LTCF: Key Guidelines and Requirements

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  1. Infection Control Program In LTCF Infectious Disease Epidemiology Section Office of Public Health Louisiana Dept of Health & Hospitals 800-256-2748 www.infectiousdisease.dhh.louisiana.gov Your taxes at work

  2. Requirements /Reommendations for Infection Control Program • Skilled Nursing: 1987 Omnibus Reconciliation Budget Act (OBRA) • Nursing Homes: Medicare & Medicaid. Requirements for LTCF -HCFA. Final rule. Fed. Register 1991; 56:48826-80 • Occupational exposure to bloodborne pathogens—OSHA. Final rule. Fed Regist 1991;56:64004-182. • Friedman C et al 1999. Requirements for infrastructure and essential activities of infection control and epidemiology in out-of-hospital settings: a consensus panel report. APIC/SHEA. Infect Control Hosp Epidemiol 1999;20: 695-705.

  3. Scope of Infection ControlPrevention of Hospital Acquired (Nosocomial) Infections IC COMMITTEE IC POLICIES • STANDARD PRECAUTIONS • Handwashing • Barrier precautions • Sharps disposal • SURVEILLANCE • Nosocomial infection • Surveillance system • Antibiotic sensitivity ISOLATION PRECAUTIONS • COMMUNICABLE DISEASE CONTROL IN HOSPITAL • Reporting of disease • MRSA…. • Preventive treatment of exposed • ENVIRONMENTAL • CONTROL • Physical facility • Patient care equipment • Water, Air, Food • Solid waste, Liquid waste • SPECIAL PROCEDURES • Cardiovascular access lines • Wound care • Urinary catheterArtificialventilation …. • EMPLOYEE HEALTH • CD Reporting • HBV screening & immunization • BBFE • TB • MMR, Varicella • Work restriction • Prophylactic Rx: Mng, Pert, TB, HAV, HBV, HIV STERILIZATION IC supports CSS (Central Sterilization & Supply) HOUSEKEEPING LINEN

  4. Infection Preventionist& IC Committee • Responsible for directing infection control • Familiar with LTCF & resident care problems • Written job description of IC duties • With sufficient time and administrative support • Sufficient IC knowledge base to carry out responsibilities • Canada’s recommends 1 IP /150 to 250 long term beds

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