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Home Care Infection Prevention & Control Program

Mary McGoldrick, MS, RN, CRNI®

This comprehensive, evidenced-based infection prevention and control program includes policies and procedures, forms and checklists that:

  • Address care provided to home health and hospice patients in the home, as well as hospice care provided in an inpatient hospice unit and residential hospice facility and meet:
    • Accrediting body standards (i.e., The Joint Commission (TJC), Community Health Accreditation Program (CHAP), and Accreditation Commission for Home Care (ACHC));
    • Federal regulations (e.g., Occupational Safety and Health Administration (OSHA), Medicare Home Health and Hospice Conditions of Participation (CoPs)); and
    • Centers for Disease Control and Prevention (CDC) and other professional, evidenced-based guidelines.

By purchasing and adopting the content within the Home Care Infection Prevention and Control Program manual, you will:

  • Save hours of time from doing research, reading new evidenced-based guidelines, and interpreting regulatory and accrediting body requirements and writing policies and developing forms.
  • Have a complete template to develop and implement an infection prevention and control program, specifically designed for care in the home and hospice facility.
  • Have peace of mind knowing that the author of the program is credible as a source of current information and is the co-author of the APIC-endorsed books on Infection Control in Home Care and Hospice and former Joint Commission surveyor
  • Receive updates annually to meet the home health and hospice Medicare CoPs and keep your patient care practices current to improve outcomes.

Preview the Table of Contents and the Conditions of Purchase.

List Price: $379.00
Product: #IC1017
ISBN: 978-0-9798743-1-4
Pages: 478
3 Ring Binder: 11.665" L x 3.224" W x 11.432" H
CD-ROM with the text in My PolicyMaker© software for easy customization.

Updated Annually: Preview a Summary of Changes from the 2014 to the 2015 Edition of the Home Care Infection Prevention and Control Program manual.

 

 

The twelve sections of the Home Care Infection Prevention and Control Program, 2015 include:

1. Infection Prevention and Control Plan

A written infection prevention and control plan, risk assessment and goals are required by organizations that are accredited by The Joint Commission. This Infection Prevention and Control Plan can be used to conduct the infection control risk assessment, identify the risks for acquiring and spreading infection, and to conduct the infection prevention and control program evaluation.

2. Surveillance, Identification and Reporting of Infections

Accrediting body standards and the hospice Conditions of Participation (CoPs) require monitoring and measuring the occurrence of home care-onset healthcare-associated infections…to determine whether the infection prevention and control plan, and practices implemented by staff were effective. The surveillance policies, procedures and forms provide you with a ready-to-implement framework to collect numerator and denominator data. In addition, the methodology used and the "how to" instructions on collecting and aggregating the data will assist the organization's management in determining if a patient's infection would be considered home care-onset, and the organization's infection rate(s).

3. Hand Hygiene

The Joint Commission has continued to include hand hygiene compliance in its publicly reported 2015 National Patient Safety Goals (NPSG.07.01.01). You’ll receive two sets of hand hygiene policies, specific to the category 1A, 1B and 1C recommendations from the CDC's Guideline for Hand Hygiene in Health-Care Settings AND the World Health Organizations’ (WHO) Guidelines on Hand Hygiene in Health Care. Pick one set of the Hand Hygiene Guidelines to implement in practice.

4. Cleaning and Disinfection

Minimizing the risk of transmitting infections associated with the use of equipment, devices and procedures during home care is key to preventing the transmission of potentially infectious organisms from home to home. The cleaning and disinfection policies and procedures guide your staff on measures to prevent and control the transmission of microorganisms by appropriately cleaning and disinfecting equipment used in patient care, including bag technique.

5. Patient Care Practices

Preventing infections while provide patient care is critical to patient safety. The Patient Care Practices section includes evidence-based procedures for performing infusion therapy, wound care, medication management, indwelling catheter care and management, enteral, therapy, ventilator management, animal assisted activities, the care and handling of animals in a hospice facility, and preventing the transmission of bed bugs.

6. Isolation Precautions

Adhering to standard and transmission-based precautions is an important component to patient safety. You can improve your patient's outcomes by preventing the acquisition and transmission of potentially infectious agents by following transmission-based precautions in the home. Included is an algorithm to walk your staff through when to implement Standards Precautions versus Contact Precautions to prevent the transmission of C. difficile and multidrug-resistant organisms, such as MRSA and VRE. Procedures specific to caring for a patient in the home or hospice facility with suspected or confirmed pandemic influenza, drug-resistance organisms, and C. difficile, as well as Ebola Virus Disease screening procedures are included.

7. Medical Waste Management Plan

The Joint Commission requires that organizations create and maintain an inventory of hazardous materials and waste used, stored, or generated. Home care and hospice organizations are required to establish and implement processes for selecting, handling, storing, transporting, using, and disposing of infectious and regulated medical wastes, including sharps. This Medical Waste Management Plan guides your staff's practices to assure they meet federal OSHA requirements and accrediting body standards for medical waste generated by staff in the course of providing care in the home.

8. Bloodborne Pathogen Exposure Control Plan

OSHA requires that each home care and hospice organization have a written Bloodborne Pathogen Exposure Control Plan that is evaluated and updated on an annual basis. This plan meets CDC Guidelines, federal OSHA requirements, and contains the OSHA required content and forms for evaluating safety devices and recording needlesticks.

9. Respiratory Protection Plan

OSHA requires that each home care and hospice organization have a written Respiratory Protection Plan to protect its employees. The Respiratory Protection Plan is based on the CDC's Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, and has been adapted for care in the home and hospice facility setting. Conduct your TB risk assessment using the TB risk assessment tool and determine if annual TB testing is required. Follow the procedures and record your fit testing activities using an N95 respirator.

10. Occupational Health Program

Screening your staff's health can serve as a patient safety strategy by preventing the transmission of infections to homebound patients. The Occupational Health Program section contains a full influenza vaccination program, including policies, consent/declination forms, and forms to aggregate and analyze the influenza vaccination rate data. In addition, a full occupational health surveillance program is included with tuberculosis screening, health screening, and staff work restrictions. Forms to document competence assessment activities for staff administering and reading the TST.

11. Patient and Staff Education

The section is split into two. The first section addresses patient education and includes suggested topics and content. The second section addresses staff education and includes both mandated education topics and suggested education topics for staff to prevent and control the transmission of infections. In addition, there is a comprehensive infection prevention and control skills review (competence assessment form) to evaluate the staff’s performance to see if they can put their knowledge into practice. You can also test your staff’s critical thinking skills by having them take the Knowledge Assessment test.

12. Quality Assessment and Performance Improvement

The Medicare Conditions of Participation currently require hospices to have a Quality Assessment and Performance Improvement (QAPI) program to collect, aggregate and analyze performance data. This section contains a comprehensive QAPI plan focused on the topic of infection prevention and control, along with a risk assessment tool. There is also a matrix that defines what infection prevention and control data needs to be collected and when, and a list of goals and how to determine if the targeted goals were met. There are data aggregation and analysis forms for all of the data collected, which is a component of the annual infection prevention and control program evaluation.

 

For more information, preview the comprehensive Table of Contents to the Home Care Infection Prevention and Control Program, 2015