Section 410 IAC 26-11-1 - Infection control administrationAuthority: IC 16-21-1-7; IC 16-21-2-2.5
Affected: IC 16-21-1; IC 16-21-2
Sec. 1.
(a) The clinic must do the following:(1) Provide a safe and healthful environment that minimizes infection exposure and risk to the following:(C) Persons who accompany patients.(2) Maintain a written infection control policy that provides for an active and effective clinic-wide infection control program. The policy must include a system designed for the: (E) prevention; of infections and communicable diseases in patients and health care workers.
(b) The infection control program must identify and evaluate trends or clusters of clinic generated infections or communicable diseases.(c) The clinic must designate a person qualified by training or experience as responsible for the following:(1) Ongoing infection control activities.(2) The development and implementation of policies governing control of infections and communicable diseases.(d) The clinic administrator must do the following:(1) Be responsible for the implementation of successful corrective action plans in affected problem areas and ensure that infection control policies are followed.(2) Provide for appropriate infection control input into plans for renovation and new construction to ensure awareness of federal, state, and local rules that affect infection control practices as well as plan for appropriate protection of patients and employees during construction or renovation.(e) The clinic must establish a committee to monitor and guide the infection control program in the clinic as follows: (1) The infection control committee must meet at least quarterly. Membership must include, but is not limited to, the following: (A) The person directly responsible for management of the infection surveillance, prevention, and control program as established in subsection (c).(B) The medical director.(C) A representative from the nursing staff (if the clinic employs a licensed nurse).(D) Representatives from other appropriate services within the clinic as needed.(2) The infection control committee responsibilities must include, but are not limited to, the following: (A) Establishing techniques and systems for: (iii) reporting; infections in the clinic.(B) Recommending corrective action plans, reviewing outcomes, and assuring resolution of identified problems.(C) Reviewing employee exposure incidents and making appropriate recommendations to minimize risk.(D) Written reports of quarterly meetings.(E) Reviewing and recommending changes in procedures, policies, and programs that are pertinent to infection control. These include, but are not limited to, the following:(i) Sanitation, including proper disposal of removed tissue.(ii) Universal precautions, including infectious waste management.(iii) Cleaning, disinfection, and sterilization.(iv) Aseptic technique, invasive procedures, and equipment usage.(v) Reuse of disposables.(vi) A system for handling patients with communicable diseases.(vii) A system, which complies with state and federal law, to monitor the immune status of health care workers exposed to communicable diseases.(viii) An employee health program to determine the communicable disease history of new personnel as well as an ongoing program for current personnel as required by state and federal agencies.(ix) Requirements for personal hygiene and attire that meet acceptable standards of practice.(x) A program of linen management.Indiana State Department of Health; 410 IAC 26-11-1; filed May 11, 2006, 9:36 a.m.: 29 IR 3365; readopted filed Jul 12, 2012, 12:08 p.m.: 20120808-IR-410120196RFAReadopted filed 9/26/2018, 2:48 p.m.: 20181024-IR-410180328RFA