Date of Last Review 3/16/10
Date of Last Review 10/18/10
Date of Last Review 10/31/11
SME: Infection Control Manager
This topic provides information about the actions taken in response to extraordinary
infection conditions.
The Infection Control Officer has the authority to institute infection control measures.
The Infection Control Nurse documents and follows-up on extraordinary infection control measures taken.
Actions taken to control infectious disease situations may include the following areas:
 | Patient care |
| Staff |
The following lists some, but not all, of the sources of evidence of extraordinary infection conditions:
| Quality and Standards Department review |
| Nursing units' routine surveillance data |
| Laboratory reports |
| Results of studies requested by the Infection Control Committee Chart Review |
Consultation
The Infection Control Officer may choose to consult with the Director of HSC Health Services about any infection control situation involving staff members.
Documentation
The Infection Control Nurse maintains documentation of the education and special requirements of any infection control measures involving staff in the Human Resources or Nursing personnel file.
When: There is no concurrent involvement of staff infection control measures.
This table describes the process for dealing with extraordinary infection conditions:
Stage |
Description | |||||||||||||||
1 |
Anyone finding evidence of extraordinary infection conditions in the hospital, immediately notifies the Infection Control Officer or designee. | |||||||||||||||
2 |
This table describes what happens next:
| |||||||||||||||
3 |
The Infection Control Officer prescribes immediate measures to the staff directly involved. | |||||||||||||||
4 |
The Infection Control Officer presents the measures taken to the concerned clinical and administrative personnel at the first possible opportunity. | |||||||||||||||
5 |
The Infection Control Nurse oversees documentation and follow-up. Note: Nursing progress notes reflect the implementation response to treatment. | |||||||||||||||
The Joint Commission : Surveillance, Prevention, and Control of Infection
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