Home Care Infection Prevention and Control Program, 2019 edition

Written by Mary McGoldrick, MS, RN, CRNI®

Home Care Infection Prevention and Control Program

Outsource the development and update of your infection prevention and control program by adopting the Home Care Infection Prevention and Control Program as your infection prevention and control program. This evidence-based, infection prevention and control program is the most comprehensive infection prevention and control publication for care provided in the home and hospice inpatient unit. The Home Care Infection Prevention and Control Program includes guidelines, procedures, forms and checklists that:

    • Meet accrediting body standards (i.e., The Joint Commission [TJC], Community Health Accreditation Partner [CHAP], and the Accreditation Commission for Home Care [ACHC]);
    • Meet federal regulations (e.g., CMS Emergency Management, Occupational Safety and Health Administration [OSHA], Medicare Home Health and Hospice Conditions of Participation [CoPs]); and
    • Have been adapted for care in the home from the Centers for Disease Control and Prevention's (CDC) guidelines and other evidence-based guidelines.

Know that the author of the Home Care Infection Prevention and Control Program is credible, knowledgeable, and experienced. As a former Joint Commission home care and hospice surveyor, the language is carefully crafted to meet accrediting organization and federal regulations, but not exceed performance expectations. For more information, refer to the About page. 

Outsource the development and update, and save hundreds of hours (literally) from conducting a comprehensive literature research on current guidelines and regulations, reading the literature, interpreting regulatory and accrediting organization requirements, and writing guidelines, policies and developing forms.


          Preview the Table of Contents and the Conditions of Purchase.

          List Price: $475.00

          Product: #IC1017
          ISBN: 978-0-9974050-8-8 
          Pages: 556
          3 Ring Binder: 11.665" L x 3.224" W x 11.432" H

          Preview a Summary of Changes from the 2018 to the 2019 edition of the Home Care Infection Prevention and Control Program manual.


           

          The Home Care Infection Prevention and Control Program, 2019 has 12 comprehensive sections that include:

          Infection Prevention and Control Plan

          The Joint Commission requires a written Infection Prevention and Control Plan. The Infection Control Plans outlines the structure and framework for the infection prevention and control program and includes the Infection Prevention and Control Program goals, objectives, and strategies, the components of the Infection Prevention and Control Risk Assessment, strategies to minimize, reduce, or eliminate the prioritized risk, and the structure and resources for the Home Care Infection Prevention and Control Program.

          Surveillance, Identification, and Reporting of Infections

          Collecting data, analyzing infections, and identifying a home care-onset healthcare-associated infection is key to improving your infection prevention and control program. The Surveillance, Identification, and Reporting of Infections section provides a ready-to-implement framework to collect process and outcome data and meet accrediting organization standards and the QAPI Condition in the home health and hospice Medicare CoPs.  In addition, the methodology used and the "how-to" instructions for collecting and aggregating the data will assist management in determining if a patient's infection would be considered having a home care-onset and in calculating the organization's infection rate(s). The Surveillance, Identification, and Reporting of Infections section includes how to identify a home care-onset infection, calculating the metrics for a home care-onset infection incidence rate, collecting denominator data for device-associated infections, outbreak surveillance activities, criteria for internal and external reporting of infections, and much more. The Surveillance, Identification, and Reporting of Infections section also includes home care and hospice surveillance definitions, worksheets, line lists, and process and outcome measure formulas to calculate a home care-onset infection. 

          Hand Hygiene

          Hand hygiene is the cornerstone of a solid infection prevention and control program. The Hand Hygiene section has two sets of policies (for you to select one). One set of policies is based on the Centers for Disease Control and Prevention's (CDC) Guideline for Hand Hygiene in Health-care Settings, and the second set is based on the World Health Organization's (WHO) Guidelines on Hand Hygiene in Health Care.

          Cleaning and Disinfection

          The Cleaning and Disinfection section includes how to sanitize, clean, disinfect equipment and supplies, how to manage the electronic equipment and supplies brought into the home and stored in the staff's vehicle, how implement bag technique, how and when to clean the nursing bag, when to use a surface barrier, what's required to be in nursing bag,  how to clean spills in the home, manage linens and staff's attire, waived Point-of-Care device management, refrigerator management, medical bed mattresses, and much more. This section also includes a checklist for staff to self-inspect their vehicles to ensure proper equipment and supplies storage. 

          Patient Care Practices

          When providing patient care in the home setting, preventing breaches in infection prevention practices and controlling the transmission of organisms during patient care is paramount. The Patient Care Practices section includes clinical procedures for indwelling device care and management (e.g., venous access devices, feeding tubes, urinary devices, tracheostomy tube), wound care, waived testing device management, specimen collection and transport, vaccine management and transport, how to prevent the transmission of bed bugs, conduct pet therapy, and more. 

          Isolation Precautions

          Preventing and controlling the transmission of pathogenic organisms is essential, especially in the home setting. The Isolation Precautions section includes a Pandemic Preparedness Plan, a Plan for Managing an Influx of Infectious Illness, caring for a patient with an emerging pathogen (2019 nCoV) in the home and patients with MDROs, Zika virus disease, Ebola, C. difficile and more. There is also an algorithm to determine when to implement Standard versus Contact Precautions in the home setting or Enhanced Barrier Precautions in a facility setting. 

          Medical Waste Management Plan

          Home-generated medical waste is managed differently, depending on who generated the medical waste. This Medical Waste Management Plan addresses how to manage medical waste generated by home care and hospice staff and the patient and their caregiver, how to manage medical waste during transport from the home, and how to manage medical waste in the office.  Occupational Health and Safety Administration (OSHA) requires the Medical Waste Management Plan to be reviewed and updated annually. This Medical Waste Management Plan is reviewed annually and updated to include the latest federal OSHA interpretations and other regulatory changes. 

          Bloodborne Pathogen Exposure Control Plan

          A Bloodborne Pathogen Exposure Control Plan is required by the Occupational Health and Safety Administration (OSHA). OSHA also requires the Bloodborne Pathogen Exposure Control Plan to be reviewed and updated annually. This Bloodborne Pathogen Exposure Control Plan and related forms are reviewed annually and updated to include the latest federal OSHA updates and interpretations, as well as other regulatory changes.

          Respiratory Protection Plan

          A Respiratory Protection Plan is required by the Occupational Health and Safety Administration (OSHA). OSHA also requires that the Respiratory Protection Plan be reviewed and updated annually. This Respiratory Protection Plan and related forms are reviewed annually and updated to include the latest federal OSHA updates and interpretations, as well as other regulatory changes. 

          Occupational Health Program

          Protect your staff and patients from potentially communicable diseases and conditions. The Occupational Health Program section contains what you need to screen and manage the health of your staff throughout their employment. From screening the staff's health after an offer of employment has been made, to TB testing, offering immunizations (e.g., Hepatitis B), implementing a comprehensive influenza vaccination program (as required by TJC),  deciding when to restrict staff from working, taking actions after an occupational exposure to TB, Zika virus, blood and body fluids, or an animal bite in the home, identifying potentially communicable illnesses among staff, this section helps you meet CDC guidelines and OSHA regulations. There is also a collection of forms to implement the Occupational Health Program. 

          Education

          When both patients and staff understand core principles, infections can be prevented. The Education section has two sets of policies. The first component includes the required content to provide patient and caregiver education, and the second component contains the requirements for staff education. The Patient Education topics include home respiratory isolation for nCoV, infusion therapy, storage and disposal of home-generated medical waste, preventing the spread of C. difficile, preventing a home care-onset urinary tract infection, and much more.  The Staff Education section includes the OSHA-required content as well as topics related to Pandemic Preparedness Response Training, antimicrobial stewardship, preventing the spread of antibiotic-resistant organisms, preventing the spread of C. difficile, staff competence assessment, preventing an animal bite in the home, preventing a mosquito-borne illness during home visits, and much more.  There is also a comprehensive infection prevention and control skills review form to assess the staff's competence and test their critical thinking skills in hand hygiene. 

          Quality Assessment and Performance Improvement

          Accrediting organization's standards and the Quality Assessment and Performance Improvement (QAPI) Condition in the home health and hospice Medicare CoPs require organizations to identify, collect, aggregate, and analyze performance data on its infection prevention and control program. The QAPI section includes a Quality Assessment and Performance Improvement Plan, a Home Care Infection Prevention and Control Risk Assessment Tool (to assist in determining the priorities for data collection), a list of targeted goals, an evaluation tool, a matrix of required data collection, forms to aggregate, and analyze the QAPI data collected, and more.


           Preview the Table of Contents to the Home Care Infection Prevention and Control Program, 2019