Fla. Admin. Code Ann. R. 59A-5.011 - Surveillance, Prevention, and Control of Infection
(1) Each center shall establish an Infection
Control Program involving members of the medical staff, nursing staff, other
professional and administrative staff as appropriate. The program shall provide
for:
(a) The surveillance, prevention, and
control of infection among patients and personnel;
(b) The establishment of a system for
identification, reporting, evaluating and maintaining records of
infections;
(c) Ongoing review and
evaluation of aseptic, isolation and sanitation techniques employed by the
center; and,
(d) Development and
coordination of training programs in infection control for all center
personnel.
(2) Each
center shall have written policies and procedures reflecting the scope of the
infection control program outlined in subsection (1). The written policies and
procedures shall be reviewed at least every two years by the infection control
program members, dated at the time of each review, revised as necessary, and
enforced.
(3) The policies and
procedures devised by the infection control program shall be approved by the
governing board, and shall contain at least the following:
(a) Specific policies for the shelf life of
all stored sterile items.
(b)
Specific policies and procedures related to occupational exposure to blood and
body fluids.
(c) Specific policies
related to the handling and disposal of biomedical waste in accordance with
Chapter 64E-16, F.A.C. and, OSHA 29 CFR Part 1910.1030, Bloodborne
Pathogens.
(d) Specific policies
related to the selection, storage, handling, use and disposition of disposable
items.
(e) Specific policies
related to decontamination and sterilization activities performed at the
center, including but not limited to a requirement that steam, gas (ETO) and
hot air sterilizers be tested with live bacterial spores at least
weekly.
(f) Specific policies
regarding the indications for universal precautions, body substance isolation,
CDC isolation guidelines, or equivalent and the types of isolation to be used
for the prevention of the transmission of infectious diseases.
(g) A requirement that soiled linen be
collected in such a manner as to minimize microbial dissemination into the
environment.
(h) A requirement that
all cases of communicable diseases as set forth in Chapter 64D-3, F.A.C., be
promptly and properly reported in accordance with the provisions of that
rule;
(4) The
individuals involved in the infection control program shall meet at least
quarterly, shall maintain written minutes of all meetings, and shall make a
report at least annually to the quality assurance committee and the governing
board.
(5) Each center shall
establish an employee health policy to minimize the likelihood of transmission
of communicable disease by both employees and patients. Such policies shall
include, but not be limited to, work restrictions for an employee whenever it
is likely that communicable disease may be transmitted, until such time as a
medical practitioner certifies that the employee may return to work.
Notes
Rulemaking Authority 395.1055 FS. Law Implemented 395.1055 FS.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.