Infection Control Committee
Introduction
Date
of Last Review 9/5/08
SME: Infection Control Manager
This topic explains who makes up the Infection Control Committee and its responsibilities.
Committee members
The following people make up the Infection Control Committee:
 | Chairman
|
| Representatives from the following departments:
|
 | Medical staff
|
| Administration
|
| Nursing
|
|
Residential Unit |
| Representatives from the following departments, as necessary:
|
| Staff
|
| Pharmacy
|
| Food and Nutrition
|
| Housekeeping
|
| Patient Clinical Programming
|
| Facility Management
|
| Infection control practitioner
Qualifications: A staff member with documented training and experience in infectious disease prevention and control.
Attendance Goal: 85% of committee members at each meeting |
Responsibilities
The Infection Control Committee has the following responsibilities:
Responsibility
|
Description
|
General
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| Define the authority of the Infection Control Plan in writing
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| Obtain approval from the administration and medical staff for the Infection Control Plan
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| Determine and describe, in the form of policies and procedures, the type of surveillance necessary to prevent and/or control infections in hospital staff and patients
|
| Determine policies, procedures, materials, and/or equipment necessary to mitigate disease transmission within the facility
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| Monitor the results of surveillance
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| Report all infection control concerns to the Performance Improvement Council |
|
Reporting mechanisms
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The Infection Control Committee determines the reporting mechanisms for the following:
| Patient identification and location
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| The following dates:
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| Admission
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| Onset of infection
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| The following diagnosis information:
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| Type of infection
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| Cultures taken
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| Findings
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| Antibiotics administered
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| Identification of attending physician |
|
Designate authority
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The Infection Control Committee designates the individual(s) responsible for the following actions:
| Surveillance activities:
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| Collecting data
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| Analyzing data
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| Reaching conclusions regarding surveillance data
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| Control activities:
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| Taking action
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| Assessing action taken
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| Reviewing Infection Control policies and procedures annually, or more frequently as needed. |
|
Related Standards
The Joint Commission : Surveillance, Prevention, and Control of Infection
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