Hospital I Patient Focused Functions

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Please find below some help with a guide that addresses the questions on patient focused functions (i.e Section I - Surveillance, Prevention, and Control of Infection and Part II on Organization Functions).
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PART I
Hospital I Patient Focused Functions
1. Please elaborate, explain and present examples as to how in practicum you provide evidence of performance to Standards: IC 1.10, and IC 2.10
1.1 Standard IC 1.10-The risk of development of a health care associated infection (HAI) is minimized through an organization wide infection control program
2. The number of people who are sickened or die and the financial impact from HAIs are unacceptably high(Cardo et.al 2010)
2.1.1 The starting point for the performance of this standard must be a demonstration of existence of the following:
2.1.2 There must be an Infection Control Programme whose goals are:
2.1.3 To identify and reduce risks of infections in patients and healthcare workers, as well as coordinate all activities related to surveillance, prevention, and control of infections
2.1.4 To control and reduce costs ( for example by elimination of non-value add activities, or remove product that do not contribute to infection prevention
2.1.5
2.1.5.1 To be effective in improving clinical outcomes, the infection control program must use a multidisciplinary team approach.
2.1.6 There must be an Infection Control Professional (ICP) whose responsibilities are to coordinate the functions of the Infection Control Programme. Their functions include the following:
2.1.6.1.1 surveillance,
2.1.6.1.2 specific environmental monitoring,
2.1.6.1.3 continuous quality improvement,
2.1.6.1.4 consultation,
2.1.6.1.5 committee involvement,
2.1.6.1.6 outbreak and isolation management,
2.1.6.1.7 regulatory compliance and education
3. There must be an infection Control Committee which facilitates the multidisciplinary approach to infection prevention efforts. This committee gives administrative power to the infection control program.
3.1 Functions of the Infection Control Committee:
3.1.1 Surveillance for nosocomial(hospital acquired) infections
3.1.2 Outbreak Investigations-where groups of patients are found to have outbreaks of infections, investigations are conducted.
3.1.3 Communicable disease reporting
3.1.4 Communicable disease reporting- The infection control programme submits the communicable diseases report on behalf of the institution as required by state law
3.1.5 Education-ensures implementation of infection control practices by employees and volunteers. Tools used include newsletter, posters and videos including video conferencing and telephone conferences
3.1.6
Mission statement
4. There must be a Mission statement which provides guidance about the institution, the core business of the institution i.e. what the institution does, and maps out a strategic framework to show how the goals stated above will be achieved.
5. There must be evidence that goals are part of the Mission Statement. Refer to The University of North Carolina Healthcare System Infection Control Program mission statement which states that "Hospital Epidemiology is a department with expertise in infection control and related disciplines. Our mission is to promote a healthy and safe environment by preventing transmission of infectious agents among patients, staff and visitors. This will be accomplished in an efficient and cost effective manner by a continual assessment and modification of our services based on regulations, standards, scientific studies, internal evaluations and guidelines." (Hoffmann 2000)
6. Review of existing Infection Control Programme
6.1 Where the institution already has an infection control programme, a review to improve performance to standards may include the following:
6.1.1 Making an ...