ICE I: Regulations and Other Requirements Affecting IC ...



Feb 2014

Regulations, Standards, and Other Requirements

Affecting Infection Prevention and Control Programs

How to Obtain Regulations, Documents and Resources

Centers for Disease Control and Prevention (CDC)

|Document |How to Obtain |

|CDC Infection Control Practices Advisory Committee (HICPAC) |CDC Infection Control in Healthcare Settings website: |

|Guidelines | |

|National Institute for Occupational Safety and Health (NIOSH): |niosh |

|Workplace safety and health information (e.g., respirators) | |

|National Healthcare Safety Network (NHSN) Manual, forms and reports | |

|Clinician Outreach and Communication Activity --system through which|Sign up for the COCA email updates at |

|CDC informs clinicians via weekly e-mail updates of recent changes | |

|to information health issues | |

Centers for Medicare and Medicaid Services (CMS)

|Document |How to Obtain |

|CMS regulations: |

|42 CFR Part 483 – Requirements for States and Long Term Care |-vol5-part483.pdf |

|Facilities (483.65 Infection Control) | |

| |7500 Security Boulevard |

| |Baltimore, MD 21244-1850 |

| |Ph: (877) 267-2323 |

| | |

|CMS Regulation: |

|42 CFR Part 482— Conditions of Participation for Hospitals |-vol5-part482/content-detail.html |

|42 CFR 482.42 Infection control | |

| | |

|State Operations Manual Appendices (contains links to survey | |

|requirements and interpretive guidelines for many healthcare | |

|settings) | |

|CMS Regulation: |

|42 CFR Part 416 Ambulatory Surgery Centers: |&node=42:3.0.1.1.3&idno=42 |

|42 CFR 416.51 Infection control | |

| |

|State Operations Manual |som107ap_l_ambulatory.pdf |

|Appendix L - Guidance for Surveyors: Ambulatory Surgical Centers | |

|(Rev. 99, 01-31-14) | |

|Nursing Home Quality Initiative– requires reporting on infection | |

|rates | |

|Hospital Quality Initiative – several initiatives –requires | |

|reporting of healthcare quality data | |

|Inpatient prospective payment system (IPPS) | |

| | |

Environmental Protection Agency (EPA)

|Document |How to Obtain |

|40CFR Part 60 – Standards of Performance for New Stationary Sources |bookstore. |

|(Air Quality Standards for Incinerators) | |

| |Ph: (800) 438-2474 |

|Disposal of medical sharps in the community | |

|Medical Waste Management |see your state regulations |

|Medical Waste Tracking Act | |

Food and Drug Administration (FDA)

|Document |How to Obtain |

|Medwatch FDA’s Medical Reporting Program (problems with drugs, | |

|devices, biologics except vaccines, medical foods) | |

|You can subscribe to FDA MedWatch email alerts and Safety Alert RSS |Ph: (800) 332-1088 |

|feeds | |

|Vaccine Adverse Event Reporting (VAERS) | |

|CPG Sec. 300.500 *Reprocessing of Single Use* Devices (CPG 7124-016) |

Occupational Safety and Health Administration (OSHA)

|Document |How to Obtain |

|Regulations: |OSHA Home Page: has links to compliance assistance, laws & |

|Respiratory Protection 29 CFR. 1910.134 |regulations, compliance directives, training programs, slide sets, and |

|Respiratory Protection for TB 29 FR. 1910.139 |other topics |

|Bloodborne Pathogens 29 CFR. 1910.1030 | |

|Ethylene Oxide 29 CFR. 1910.1047 | |

|Formaldehyde 29 CFR. 1910.1048 |For OSHA regulations and compliance links: |

|Hazard Communication 29 CFR. 1910.1200 |

|Occupational Injury and Illness Recording and Reporting (29 CFR |&p_toc_level=2&p_keyvalue=CPL |

|1904) | |

| | |

|Compliance Directives: | |

|Compliance Directives Directory | |

|CPL 2-2.69 Enforcement Procedures for the Occupational Exposure to | |

|Bloodborne Pathogens (Nov. 27, 2001) | |

|CPL 2.106 - Enforcement Procedures and Scheduling for Occupational | |

|Exposure to Tuberculosis (Feb. 9, 1996) | |

|OSHA Training e tools |See Hospital training e tool: |

| | |

| | |

| |See Nursing Home training e Tool: |

| | |

| | |

| |See OSHA eTools and |

| |Electronic Products for Compliance Assistance: |

| |

| |s |

Professional and Practice Standards

Competency in infection prevention: A conceptual approach to guide current and future practice. Am J Infect Control 2012; 40(4): 296-303. Available at: (12)00165-4/fulltext

APIC/CHICA-Canada Professional and Practice Standards Task Force. APIC/CHICA-Canada infection control and epidemiology: Professional and practice standards. Am J Infect Control 2008;36:385-9. Available at: under Guidelines and Standards section

Freidman C et al. Requirements for infrastructure and essential activities of infection control

and epidemiology in out-of-hospital settings: A Consensus Panel report. Am J Infect Control 1999;27:418-30.

Scheckler et al. Requirements for infrastructure and essential activities of infection control

and epidemiology in hospitals: A Consensus Panel report. Am J Infect Control 1998;26:47-60 .

Other Standards, Accreditation Organizations and Resources

Accreditation Association for Ambulatory Health Care (AAAHC)

•

• Accreditation program and resources for a variety of ambulatory care settings

Advisory Committee on Immunization Practices (ACIP)

▪

▪ Epidemiology and Prevention of Vaccine Preventable Diseases (“the Pink Book”) can be downloaded free of charge at:

▪ Vaccine Information Statements (VIS):

American Academy of Pediatrics (AAP)

▪

▪ Report of the Committee on Infectious Diseases (“Red Book”)

▪ order from above or 141 Northwest Point Boulevard, Elk Grove Village, IL 60007-1098

American Institute of Architects (AIA)/ Facilities Guidelines Institute

▪ Guidelines for Design and Construction of Health Care Facilities

▪ Order from

Association for Advancement of Medical Instrumentation (AAMI)

▪ Guidelines for decontamination and sterilization in hospitals and ambulatory care

▪

▪ 1110 North Glebe Road, Suite 220, Arlington, VA 22201-4795| 703-525-4890

Association for Professionals in Infection Control and Epidemiology (APIC)

▪

▪ see links to resources

▪ 1275 K Street, NW, Suite 1000, Washington, DC 20005-4006 phone:202-789-1890

Association of periOperative Registered Nurses (AORN)

▪ Standards, recommended practices and guidelines for operating room practice

▪

▪ 2170 S Parker Road, Suite 300, Denver, CO 80231 (800) 755-2676 or (303) 755-6304

Commission on Accreditation of Rehabilitation Facilities (CARF)

•

Code of Federal Regulations

To obtain federal regulations:

State regulations also available through this site

Department of Transportation (DOT)

▪ Medical Waste Infectious Substance Packaging 49CFR.173.196

▪ 173.196 Category A infectious substances

▪ Exceptions 49CFR.173.134

▪ Regulated Medical Waste Packaging 49CFR.173.197

To obtain:

Joint Commission

•

• Sign up for E-newsletters (Ambulatory Care Advisor, BHC Accreditation News, Home Care Bulletin, JCAHOnline, LTC Update, news releases)

• Accreditation program and resources for a variety of healthcare settings

National Commission on Correctional Health Care

•

• Provides Standards for Health Services, Position Statements and Clinical Guidelines

State and Local Regulations

▪ Obtain from legal department in your organization

▪ Medical waste handling and disposal falls under state and local regulations

▪ Many available on State Government and State Health Department Websites

▪ State and local health departments can be accessed through CDC Website at its Public Health Resources: State or Territorial Health Departments at:

Information on Safe Needle Disposal for Home Care

▪

NOTE: All websites accessed Feb 12, 2014

Compiled by K. Arias

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