Utah Admin. Code R432-100-11 - Infection Control

(1) The licensee shall implement a hospital-wide infection control program that includes the following:

(a) definitions of nosocomial infections;

(b) a system for reporting, evaluating, and investigating infections;

(c) review and evaluation of aseptic, isolation, and sanitation techniques;

(d) methods for isolation depending on the medical condition involved;

(e) preventive, surveillance, and control procedures;

(f) laboratory services;

(g) an employee health program;

(h) orientation of new employees; and

(i) documented in-service education for departments and services related to infection control.

(2) The licensee shall incorporate infection control reporting data into the hospital quality improvement process.

(3) The licensee shall ensure that:

(a) there are written infection control policies and procedures for each area of the hospital, including requirements dictated by the physical layout, personnel and equipment involved;

(b) there are written policies for the selection, storage, handling, use and disposition of disposable or reusable items;

(c) single-use items may be reused according to the policy;

(d) there are specific policies and procedures for each type of reusable item;

(e) reuse data is incorporated into the quality improvement process; and

(f) reuse data is incorporated into the hospital infection control identification and reporting processes.

Notes

Utah Admin. Code R432-100-11

Amended by Utah State Bulletin Number 2023-14, effective 7/6/2023 Amended by Utah State Bulletin Number 2025-01, effective 12/27/2024