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The APIC/JCR Infection Prevention and Control Workbook, Third Edition
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The APIC/JCR Infection Prevention and Control Workbook, Third Edition

Best-selling workbook co-published with APIC!

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Named as a Doody’s Core Title for 2017, 2018, 2019, 2020


Release Date: January 2017. 230 pages.


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Product Description

Product Description

Edited by infection prevention and control experts Barbara M. Soule, RN, MPA, CIC, FSHEA, FAPIC, and Kathleen Meehan Arias, MS, MT(ASCP), SM(AAM), CIC
 
Foreword by Paula Wilson, President and CEO of Joint Commission Resources, and Katrina Crist, MBA, CAE, CEO of the Association for Professionals in Infection Control and Epidemiology
 
This updated version of a JCR best-seller, developed and co-published in partnership with the Association for Professionals in Infection Control and Epidemiology (APIC), addresses infection prevention and control in all types of health care settings. The book discusses and clarifies Joint Commission requirements for infection prevention and control and offers a wealth of tools for organizations to assess and improve their infection prevention and control activities.
 
The workbook format encourages organizations to develop action plans to address infection control issues found in the self-assessment. This new edition features updated chapters and tools, including new chapters on implementing a successful surveillance program; infection prevention and control priorities in ambulatory health care; cleaning, disinfection, and sterilization of equipment, devices, and supplies, and much more.
 
Key Topics: 
  • Designing and Managing An Effective Infection Prevention and Control Program
  • The Role of Leadership in Infection Prevention and Control
  • Planning for and Managing Infectious Disease Emergencies
  • Implementing Clinical Strategies to Reduce Infection Risk
  • Cleaning, Disinfection and Sterilization of Medical Devices and Equipment
  • Integrating Infection Prevention and Control into Patient Safety and Performance Improvement 
Key Features:
  • A wealth of infection prevention and control strategies for standards compliance, performance improvement, and patient safety
  • Expert advice from infection preventionists from The Joint Commission, Joint Commission Resources, and the Associations for Professionals in Infection Control and Epidemiology
  • A variety of tools, forms, and checklists throughout the text, with writable versions available on the included flash drive
  • Coverage of all health care settings accredited by The Joint Commission

Standards: Infection Prevention and Control (IC); National Patient Safety Goals (NPSG)

Settings: All health care settings

Key Audience:
  • Infection preventionists
  • Facilities managers
  • Accreditation professionals
  • Patient safety officers
  • Performance and quality improvement staff
  • Risk managers
  • Emergency managers 
  • Nursing staff
Table of Contents

Table of Contents

 
Foreword by Paula Wilson, President and CEO of Joint Commission Resources, and Katrina Crist, MBA, CAE, CEO of the Association for Professionals in Infection Control and Epidemiology 
 
Setting the Stage: An Introduction to Infection Prevention and Control and Joint Commission Accreditation 
By Barbara M. Soule, RN, MPA, CIC, FSHEA, FAPIC; and Lisa Waldowski, DNP(c), MS, APRN, CIC
 
Background 
Creating a Comprehensive Infection Prevention and Control Program 
The Joint Commission Approach to Infection Prevention and Control  
Using the APIC/JCR Infection Prevention and Control Workbook
 
About the Contributors
 
 
Acknowledgments  Contents of the Flash Drive

Chapter 1: Designing and Managing an Effective Infection Prevention and Control Program 
By Kathleen Meehan Arias, MS, MT(ASCP), SM(AAM), CIC

  • Designing an Effective Infection Surveillance, Prevention, and Control Program
  • Managing the Infection Prevention and Control Program
  • Joint Commission Standards Applicable to the Infection Prevention and Control Program
  • The Joint Commission Deemed Status Option
  • Related Standards
  • Responsibility and Accountability for Preventing Infections
  • Summary
  • Further Resources

Chapter 1: Designing and Managing an Effective Infection Prevention and Control Program

  • 1-1. Infection Preventionist Job Description
  • 1-2. Infection Preventionist Orientation Checklist

Chapter 2: The Role of Leadership in Infection Prevention and Control
By Mary Lou Manning, PhD, CRNP, CIC, FNAP, FAAN

  • Leadership Influence on IPC Performance
  • Related Joint Commission Leadership Standards
  • Summary
  • Further Resources

Chapter 2: The Role of Leadership in Infection Prevention and Control

  • 2-1. Strategies for Engaging Physicians

Chapter 3: A Risk-Based Approach to Infection Prevention: Creating an Infection Prevention and Control Plan 
By Barbara M. Soule, RN, MPA, CIC, FSHEA, FAPIC

  • Using a Risk-Based Approach to Infection Prevention
  • Exploring Standard IC.01.03.01
  • Creating an Infection Prevention and Control Plan
  • Critical Steps in Performing a Risk Assessment 
  • Reevaluating the Risk Assessment
  • Exploring Standard IC.01.05.01: The [Organization]
  • Has an Infection Prevention and Control Plan
  • Evaluating the IPC Plan and Program
  • Developing an Infection Prevention and Control Plan
  • Summary
  • Further Resources

Chapter 3: A Risk-Based Approach to Infection Prevention: Creating an Infection Prevention and Control Plan

  • 3-1. Sample Quantitative Risk Assessment
  • 3-2. Risk Assessment Grid, Blank
  • 3-3. Risk Assessment Matrix MDROs
  • 3-4. Risk Assessment Considerations
  • 3-5. Creating SMART Goals
  • 3-6. IC Risk Assessment Tool
  • 3-7. IC Risk Analysis, Sky Ridge
  • 3-8. IC Risk Assessment Hazard Scoring Matrix, St Luke Hospital
  • 3-9. IC Risk Assessment, Riverview Medical Center
  • 3-10. Risk Assessment
  • 3-11. Infection Prevention and Control Plan, Mayo Clinic
  • 3-12. Infection Prevention and Control Plan, Meriter Unity Point
  • 3-13. Infection Control Plan, Sky Ridge
  • 3-14. Risk Assessment Template, Banner Health
  • 3-15. Infection Prevention Plan, Banner Health
  • 3-16. Sample Infection Control Plan Template
  • 3-17. Infection Risk Assessment Analysis

Chapter 4: Implementing an Effective Surveillance Program
By Kathleen Meehan Arias, MS, MT(ASCP), SM(AAM), CIC

  • Background
  • Joint Commission Standards Related to Developing and Implementing the Surveillance Program
  • Joint Commission Standards Related to Using Surveillance Data
  • Joint Commission Standard Related to Investigating Outbreaks of Infectious Disease
  • Summary
  • Further Resources

Chapter 4: Implementing an Effective Surveillance Program

  • 4-1. Checklist for Assessing Compliance with Best Practices for Surveillance of Health Care-Associated Infection
  • 4-2. Checklist for Developing and Evaluating a Surveillance Program
  • 4-3. Infection Prevention Checklist for Outpatient Settings: Minimum Expectations for Safe Care, CDC
  • 4-4. Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care, CDC
  • 4-5. Hospital Infection Control Worksheet, CMS
  • 4-6. Ambulatory Surgical Center Infection Control Surveyor Worksheet, CMS
  • 4-7. Infection Control & Immunizations, CMS
  • 4-8. Developing an Interpretive Surveillance Report
  • 4-9. Daily Infection Prevention & Control Surveillance Tool for Long Term Care Facilities, Vancouver Island Health Authority

Chapter 5: Planning for and Managing Infectious Disease Emergencies
By Ruth M. Carrico, PhD, MSN, APRN, FNP-C, FSHEA, CIC; and Terri Rebmann, PhD, RN, CIC, FAPIC

  • Planning for an Influx of Infectious Patients
  • Exploring the Standards
  • Addressing the Cornerstones of Preparedness
  • Ensuring That the Physical Plant Is Ready
  • Summary
  • Further Resources

Chapter 5: Planning for and Managing Infectious Disease Emergencies

  • 5-1. Employee/Occupational Health Considerations in Emergency Preparedness
  • 5-2. Notification Procedures for Health Care Professionals to Report Known or Potential Bioterrorism Incidents
  • 5-3. Laboratory Testing for Acute Generalized Vesicular or Pustular Rash Illness—High Risk
  • 5-4. Laboratory Testing for Acute Generalized Vesicular or Pustular Rash Illness—Low/Moderate Risk
  • 5-5. Infectious Substance Potential Exposure Response Form
  • 5-6. Clinical Evaluation of Patients with Possible Inhalational Anthrax
  • 5-7. Clinical Evaluation of Patients with Possible Cutaneous Anthrax
  • 5-8. Managing an Exposure to Bordetella pertussis
  • 5-9. Managing an Exposure to Measles Virus
  • 5-10. Managing an Exposure to Varicella-Zoster
  • 5-11. Guide for Preventing Transmission of Selected Infections
  • 5-12. Guidelines for Reusing Respiratory Protection (N95 Respirators and Surgical/Procedure Masks) During an Infectious Disease Disaster
  • 5-13. Inventory Checklist of Infection Prevention Equipment/Supplies Stockpiled
  • 5-14. Guidelines for Calculating Stockpile of Personal Protective Equipment Needed
  • 5-15. Improvising Isolation for an Influx of Infectious Patients not Requiring Negative Pressure

Chapter 6: Implementing Clinical Strategies to Reduce Infection Risk
By Loretta L. Fauerbach, MS, FSHEA, FAPIC, CIC; and Elizabeth E. Tremblay, MPH, CPH, CIC

  • Exploring Standard IC.02.01.01
  • Summary
  • Further Resources

Chapter 6: Implementing Clinical Strategies to Reduce Infection Risk

  • 6-1. Tool for Measuring Compliance with Institute for Healthcare Improvement Prevention Bundles
  • 6-2. Competency Checklist for Use of High-Level Disinfectant 
  • 6-3. Compliance Check Sheet for Isolation Precautions
  • 6-4. National Patient Safety Goal Assessment Form: Goal 7
  • 6-5. Key Considerations for Reducing Risk Associated with Animals in Health Care Settings

Chapter 7: Maintaining a Safe Environment of Care
By Karen Martin, RN, MPH, CIC; and Kathleen Meehan Arias, MS, MT(ASCP), SM(AAM), CIC

  • The Impact of the Environment on Infection Prevention and Control Efforts
  • Exploring the Infection Prevention and Control and Environment of Care Standards
  • Demolition, Renovation, and Construction
  • Monitoring and Improving Conditions in the Environment
  • Summary
  • Further Resources

Chapter 7: Maintaining a Safe Environment of Care

  • 7-1. Infection Control Risk Assessment
  • Matrix of Precautions for Construction and Renovation
  • 7-2. Infection Control Construction Permit
  • 7-3. Construction and Renovation:  Infection Control Checklist, San Ramon Regional Medical Center
  • 7-4. Infection Control Construction Rounds Compliance Monitor
  • 7-5. Renovation and New Construction Projects: Infection Control Risk Assessment, Infection Control Permit, Construction Rounds, and Construction Policy, University Medical Center Hospital
  • 7-6. Daily Monitoring: ILSM/ICRA Precautions, University of Louisville
  • 7-7. Infection Control and Safety Construction Compliance Monitor
  • 7-8. Infection Control Program Construction Signs, Meriter
  • 7-9. Construction Risk Assessment and Management Plan
  • 7-10. Infection Control Physician Office/Clinic Checklist
  • 7-11. Infection Prevention Unit Checklist
  • 7-12.  Infection Control OR Checklist
  • 7-13. Environmental Rounds: Infection Control, West Virginia University Hospitals
  • 7-14. Environmental Tour Checklist, Sky Ridge
  • 7-15. Environmental Tour Checklist, Sky Ridge
  • 7-16. Air Sampling Algorithm

Chapter 8: Cleaning, Disinfection, and Sterilization of Medical Devices and Equipment
By Sylvia Garcia-Houchins, RN, MBA, CIC

  • Exploring Standard IC.02.02.01
  • High-Level Disinfection
  • Summary
  • Further Resources
  

Chapter 9: Meeting Infection Prevention and Control Challenges in Ambulatory Health
Care Settings
By Libby F. Chinnes, RN, BSN, CIC; and Kathleen Meehan Arias, MS, MT(ASCP), SM(AAM), CIC

  • Joint Commission Standards Related to Ambulatory Health Care Settings
  • Strategies and Interventions for Meeting the Standards 
  • Exploring Standard IC.02.01.01.
  • Assigning Responsibility and Accountability for Infection Prevention and Control
  • Summary
  • Further Resources
  

Chapter 10: Communication Strategies for Infection Prevention and Control Programs
By Shannon Oriola, RN, BSN, CIC; and Linda R. Greene, RN, MPS, CIC, FAPIC 

  • Reporting and Communicating About Infections
  • Exploring Standard IC.02.01.01
  • Summary
  • Further Resources
  

Chapter 11: Occupational Health Issues 
By Vicki Gillie Allen, MSN, RN, CIC, FAPIC

  • Exploring Standard IC.02.03.01
  • Exploring Standard IC.02.04.01
  • Summary
  • Further Resources
  

Chapter 12: Evaluating the Effectiveness of an Infection Prevention and Control Program
By Joan M. Ivaska, BS, MPH, CIC; and Barbara M. Soule, RN, MPA, CIC, FSHEA, FAPIC

  • Evaluating Program Effectiveness
  • Exploring Standard IC.01.03.01
  • Cost Evaluation
  • Taking a Multidisciplinary Approach to Evaluation
  • Summary
  • Further Resources
  

Chapter 13: Integrating Infection Prevention and Control into Patient Safety and Performance Improvement
By Kathleen Gase, MPH, CIC, FAPIC

  • NPSG.07.01.01: Hand Hygiene
  • NPSG.07.03.01: Multidrug-Resistant Organisms
  • NPSG.07.04.01: Central Line–Associated Bloodstream Infections 
  • NPSG.07.05.01: Surgical Site Infections
  • NPSG.07.06.01: Catheter-Associated Urinary Tract Infections
  • Managing Sentinel Events Related to Health Care–Associated Infections
  • Infection Prevention, Patient Safety, and Performance Improvement
  • Summary
  • Further Resources
  

Chapter 14: The Joint Commission Accreditation Process
By Lisa Waldowski, DNP(c), MS, APRN, CIC; Barbara M. Soule, RN, MPA, CIC, FSHEA, FAPIC; and
Karen Hoffmann, RN, MS, CIC, FSHEA

  • Intracycle Monitoring (ICM) Profile
  • Initial and Unannounced Surveys
  • Tracer Methodology
  • The New Joint Commission Survey Process
  • The Joint Commission and CMS Relationship
  • Summary
  • Further Resources
  

Index

  

 

Contributors

Contributors

About the Editors

 
Barbara M. Soule, RN, MPA, CIC, FSHEA, FAPIC, is a consultant for Joint Commission Resources and Joint Commission International specializing in infection prevention and control. She received her bachelor of arts in psychology/sociology from Washington University, her master of public administration in health policy from The Evergreen State College, and her nursing degree from The Jewish Hospital School of Nursing. Previously, Soule was the director of Infection Control and Epidemiology at Providence St. Peter Hospital. She has published numerous journal articles in infection control.
 
Kathleen Meehan Arias, MS, MT(ASCP), SM(AAM), CIC, is the director of Arias Infection Control Consulting, LLC. She authored the textbook Outbreak Investigation, Prevention and Control in Health Care Settings: Critical Issues in Patient Safety, 2nd edition. She earned her bachelor of science in medical technology from the Philadelphia College of Pharmacy and Science and her master of science in clinical microbiology from Thomas Jefferson University.

 

About the Foreword Writers

 
Paula Wilson is president and chief executive officer of Joint Commission Resources (JCR) and its international division, Joint Commission International (JCI). JCR and JCI are not-for-profit organizations working to improve health care quality and patient safety in more than 90 countries around the world. JCI is leading health care improvement worldwide through development of international standards for quality and safety and International Patient Safety Goals, and by offering domestic and international consulting, international accreditation, education, publications, and e-Learning. Wilson has more than 35 years of experience in the health care industry.
 
Katrina Crist, MBA, CAE, chief executive officer at Association for Professionals in Infection Control and Epidemiology (APIC), was instrumental in developing the APIC Strategic Plan 2020 to organize the association’s mission and goals around a plan to advance infection preventionist competencies and certification, implementation science, advocacy, data standardization, and patient safety. Crist has more than 15 years of experience in executive leadership and elevating professional associations. She has a master of business administration from Boston University and a bachelor of arts from Purdue University. She is a certified association executive.

 

About the Authors

 
The following authors contributed to The APIC/JCR Infection Prevention and Control Workbook:
  • Ruth M. Carrico, PhD, MSN, APRN, FNP-C, FSHEA, CIC, associate professor and family nurse practitioner with the University of Louisville School of Medicine, Division of Infectious Diseases, and is the founding associate director of the School of Medicine Global Health Initiative
  • Libby F. Chinnes, RN, BSN, CIC, infection prevention and control consultant with IC Solutions, LLC, in Mount Pleasant, South Carolina
  • Loretta L. Fauerbach, MS, FSHEA, FAPIC, CIC, lead infection preventionist, Fauerbach & Associates, LLC.
  • Sylvia Garcia-Houchins, RN, MBA, CIC, infection prevention and control consultant, Joint Commission Resources (JCR), Joint Commission International (JCI)
  • Kathleen Gase, MPH, CIC, FAPIC, manager of Infection Prevention at BJC HealthCare in St. Louis; member of the APIC Annual Conference Committee; editorial board of the American Journal of Infection Control; and adjunct professor for Fontbonne University in Public Health Administration
  • Linda R. Greene, RN, MPS, CIC, FAPIC, infection prevention manager for the University of Rochester/ Highland Hospital in Rochester, New York
  • Karen Kessler Hoffman, RN, MS, CIC, health information specialist and infection preventionist with the US Centers for Medicaid and Medicare Services’ Survey and Certification Group and clinical instructor and infection control consultant with the Division of Infectious Diseases of the University of North Carolina, Chapel-Hill, School of Medicine
  • Joan M. Ivaska, BS, MPH, CIC, consultant, Joint Commission Resources and senior director of Infection Prevention, Banner Health
  • Mary Lou Manning, PhD, CRNP, CIC, FNAP, FAAN, professor of Nursing, Thomas Jefferson University
  • Karen Martin, RN, MPH, CIC, consultant, Joint Commission Resources, and manager of Infection Prevention, Advocate Christ Medical Center and Children’s Hospital, Oak Lawn, Illinois
  • Shannon Oriola, RN, BSN, CIC, manager of Epidemiology and Infection Prevention, Scripps Memorial Hospital, La Jolla, California.
  • Terri Rebmann, PhD, RN, CIC, FAPIC, professor and director, Institute for Biosecurity, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri.
  • Elizabeth E. Tremblay, MPH, CPH, CIC, infection control practitioner, University of Florida Health Shands Hospital, Gainesville, Florida
  • Lisa Waldowski, DNP(c), MS, APRN, CIC, infection control specialist, The Joint Commission

 

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