ORIENTATION PATHWAY FOR



|ORIENTATION PATHWAY FOR INFECTION PREVENTION SPECIALIST |Orientee Name | |

|Infection Prevention | | |

|(Name of Department) | | |

| | | |

|Patient Focus: Transmission based precautions, infection prevention, and safe environment of care | | |

| |Date of Hire/Transfer to IP | |

| |Module # | #1 Basic IP Training |

| |Preceptor Name | |

|COMPETENCY |LEARNING ACTIVITIES |METHODS OF EVALUATION |

| | |(Preceptor Initials & date) |

|Generic Administrative | |__________/_____Verbalize understanding of department environment, |

|Demonstrates knowledge of : |Tour of main IP office environment and location of office supplies |routines, communication methods (including out of office |

|Main IP office environment, communication methods, |Preceptor will instruct on phone, email, and pager or cell communication including standardized |messaging), & how to obtain needed supplies. |

|supplies, available resources, IPAD use. |messages and signatures. |__________/____Completes “about me” form and emails back to |

|Where to locate IP policies |Preceptor will review how to find IP policies and assign specific policies to find/print/review |preceptor to file in I-drive |

|How to locate/use I-drive/view HAI data. |throughout orientation. |__________/____Demonstrates use of badge reader and door codes to |

|How to complete and submit mileage forms for |Preceptor will educate on use of I-drive and how to view HAI data. |enter Northwood building and IP suite ( must use badge readers |

|reimbursement |Preceptor will explain how to request PAL and demonstrate process to enter PAL hours at Kronos |after hours) |

|PAL Request Process |clock |__________/____Sets up email with appropriate standardized |

|On Call Kronos submission process |Preceptor will explain the call schedule and how to enter on call hours at Kronos clock. |signature |

|Routine revolving IP related meetings all IP’s must |Preceptor will educate on use of Amion to see physicians on call calendar. Go to and |__________/____Sets up VM using standardized message with pager or |

|attend (i.e. IP Team meeting, IP Committee) |use log in TRH1 to see calendar. |cell number to be reached for urgent issues. |

|Remote desktop access |Attend IP Team meetings and IP Committee meetings and accept revolving invites on outlook |__________/_____Verbalizes understanding of how to find, fill out, |

|Healthstream (HLC) |calendar. |and submit travel/mileage forms for reimbursement. |

|Heath at Work (HAW) requirements for IP Specialists (fit |Set up remote desktop access. Then practice from home with assistance from preceptor. |__________/_____Verbalizes understanding of PAL request process |

|testing, etc.) |Watch the HealthStream (HLC) Intro tutorial on Elective Learning in the help section. Then |__________/_____Verbalizes understanding of call requirements and |

|How to schedule and participate in Skype meetings and |complete the following HLC courses in and print certificates: |can access call schedule on I-drive |

|conference calls |_____Bed Bugs: Managing a Patient when Confirmed or Suspected |_________/______Demonstrates appropriate use of to see on|

|Meeting management |_____Handling & Transporting Contaminated Instruments |call calendars for ID physicians |

|Infection Control Risk Assessment (ICRA) inbox and blank |_____Enteric Precautions-Equipment Cleaning |__________/_____Demonstrates at Kronos machine how to input PAL and|

|ICRA forms |_____High-Level Disinfection for Semi-Critical Patient Care Items |on call hours |

| | |__________/_____Attends required meetings and has accepted them on |

| |Sign up for other HealthStream (HLC) courses as needed (ILead, etc.) |Outlook Calendar |

| |Contact Health at Work to schedule fit testing and any other needed requirements as needed |__________/_____Remote desktop is working from home and verbalizes |

| |Attend and participate in Skype meetings and conference calls |understanding of how to use it. |

| |Review meeting management checklist and agenda/minutes template. | |

| |Add ICRA email inbox in Outlook and review blank ICRA forms in I-drive. |_________/______Demonstrates understanding of use of HLC. (Prints |

| |Locate blank templates for guidelines and policy/procedures. This is found on SharePoint (Cone |tutorial completion certificates and/or transcript for specified |

| |Connect) page under policies/procedures. Print a copy of a blank guideline and blank policy |courses) |

| |template to give to preceptor. |_________/______Fit testing completed |

| |Use the following resources to learn and/or enhance computer skills as needed depending on |_________/______Successfully facilitate a Skype meeting |

| |previous experience with Outlook email/calendars, PowerPoint, Excel, etc. |________/______Verbalized understanding of meeting management |

| |_____ and agenda/minutes template. Blocks no meeting zones on |

| |90-a5eb-494512343cca?ui=en-US&rs=en-US&ad=US |outlook calendar. |

| |_____ |_________/_____Demonstrates basic understanding of how to access |

| |_____ |ICRA inbox and blank ICRA forms on I-drive. |

| | |__________/______Demonstrates how to access HAI data on I-drive and|

| | |creates a personal folder. |

| | |_________/_______Prints copy of blank guideline and policy template|

| | |from SharePoint (Cone Connects) |

|COMPETENCY |LEARNING ACTIVITIES |METHODS OF EVALUATION |

|Familiarity with Infection Prevention resources: |Print, review, and refer to IP policies/Management plans throughout orientation process to |__________/______Able to print policies independently and |

|IP Dept. Policies & Procedures |include: |demonstrates understanding of them during daily work and |

|Isolation signage |_____Cone IP Plan |discussions. |

|CDC, WHO, & JC Websites |_____Standard & Transmission-Based Precautions |__________/______Prints 2007 Isolation Guidelines Appendix A |

|CDC Isolation Recommendations 2007 |_____Active Surveillance |_________/_______Demonstrates understanding of how to access CDC, |

|APIC text (hard copy and online) |_____C.Diff Management |WHO, JC, APIC, and SPICE websites |

|APIC website |_____Prevention of TB Transmission Management Plan |__________/______Creates resource notebook containing IP team, ID |

|Other IP’s contact information |_____Lice and Scabies Management |physician, and County Health Departments contact info |

|How to contact Infectious Disease Physicians |_____Bloodborne Pathogen Management Plan |__________/______Prints bed bug patient information sheet from |

|CHL web links: Up To Date, Dynamed, Clinical Key for |_____Hand Hygiene |Clinical Keys for Nursing web link and demonstrates understanding |

|Nursing (for patient education) & Clinical skills for |_____Reportable Diseases and Conditions |of how to use other CHL web links. |

|nursing procedures |_____UV Light Room Disinfection |_________/______Prints bed bug algorithm to use at desk for |

|Ready Reference to Microbes |_____Animals in Healthcare Setting |reference. |

|Control of Communicable Diseases Manual |_____Cleaning & Disinfection of Environmental Surfaces |__________/______Demonstrates understanding of how to use reference|

|Common Acronyms used in IP (HAI, CAUTI, CLABSI, SSI, VAE,|_____Food Storage |materials (CDC Isolation Guidelines, Ready Reference to Microbes, |

|CDC, WHO, etc.) |_____Linen Storage & Handling |Control of Communicable Disease Manual, and APIC Text) |

|MDRO flagging rules |_____Refrigerator & Freezer Temp Monitoring |_________/______Demonstrates understanding of common IP acronyms in|

|Guilford, Rockingham, Alamance, and Randolph County |_____Sterile Supply Storage & Handling |meetings/conversations. |

|Infection Control (GCIC)Team Phone Directories |_____Toy Cleaning |_________/______Verbalized understanding of C. diff protocol |

|Cdiff Protocol |_____Use of Fans in Clinical Areas |_________/______Obtains APIC membership |

|APIC Membership and website |_____Viral Hemorrhagic Infection Control & Emergency Management |_________/______Verbalizes basic understanding of Ebola and Viral |

|SPICE Website |_____Other IP policies should be reviewed and referred to PRN |Hemorrhagic Infection Control & Emergency Management Plan |

|ICE (Infection Control Expert)Training | |__________/______Demonstrates ability to access APIC Online text. |

|EBOLA info on CDC and CH Intranet |Obtain and review a set of the four laminated isolation signs used for transmission based |__________/______Verbalizes understanding of how to appropriately |

| |precautions and protective precautions. Keep these available at desk for reference as needed |collect hand hygiene observations |

| | | |

| |Access/browse website and review/print 2007 CDC Isolation Recommendations |__________/______Verbalizes understanding of Cone Health Cdiff |

| |to keep at desk for quick reference as needed |testing methodology and prevention strategies. |

| |Access/browse hard copy/electronic version of APIC text. Make time each week to review pertinent | |

| |chapters to enhance IP Knowledge. | |

| |Review IP department and ID Physician phone list and print copy to refer to as needed | |

| |Practice using Web Links in CHL online resources. | |

| |Locate copies of Ready Reference to Microbes and Control of Communicable Diseases books. Review | |

| |them and reference as needed. | |

| |Review common acronyms hand out and keep copy for reference. | |

| |Review hand out on MDRO flagging rules and keep at desk for reference. | |

| |Review County Infection Control Team Contacts info and keep at desk for reference. | |

| |Apply for APIC membership and browse website | |

| |Browse SPICE website and be familiar with SPICE courses | |

| |Browse WHO website | |

| |Review Ebola info on CDC Website. | |

| |Review hand hygiene observer training slides | |

| |Review Cdiff FAQs handout and grid in Cdiff management policy that explains how to isolate | |

| |patients r/t Cdiff results (antigen/toxin/pcr) | |

|COMPETENCY |LEARNING ACTIVITIES |METHODS OF EVALUATION |

|General IP Daily Duties |Read daily IP workflow handout |__________/_____ Demonstrates understanding of how to use outlook |

|Demonstrates knowledge of General IP daily work |Work with preceptor to learn Vigilanz program and practice completing tabs, comparing isolation |calendar and email by setting up meetings, accepting meeting |

|activities to include: |compliance tool to CHL and making calls to units as needed until able to independently complete |requests and using email appropriately. |

|Review of outlook calendar & emails |these tasks with minimal assistance. |__________/_____ Demonstrates understanding of daily workflow |

|Completion of Vigilanz isolation, general surveillance |Collaborate with preceptor regularly to prioritize daily workflow. |activities in Vigilanz and prioritizes work by importance. |

|tabs |With preceptor, practice comparing isolation compliance tool to CHL then make any necessary phone|_________/______Demonstrates how to flag and un-flag infections in |

|Daily review of vent report and use of NHSN VAE |and create manual Vigilanz activations as needed |CHL (i.e. MRSA, ESBL, OMDRO, VRE) |

|Calculator |Practice unit rounding twice weekly, document isolation compliance in Vigilanz Isolation | |

|Comparison of isolation compliance tool to CHL Isolation |Compliance tool and communicate with staff as appropriate, initially with preceptor, then |_________/______Demonstrates how to clear MRSA & ESBL patients in |

|orders and Infection flags |progress to independent rounds with minimal need for assistance. |Vigilanz |

|Flag and un-flag pertinent infections in CHL (i.e. MRSA, |Practice flagging and unflagging pertinent infections in CHL (i.e. MRSA, ESBL, OMDRO, VRE) with |__________/_____Demonstrates understanding of use of isolation |

|ESBL, OMDRO, VRE) |preceptor until comfortable doing independently. |compliance tool and how to create manual Vigilanz activations as |

|Calls to unit as needed to assure patients are on correct|Sign up for SZP class if needed. After class, discuss with director to be sure all appropriate |needed. |

|precautions and orders are in. |SZP’s are assigned. |__________/_____Demonstrates appropriate process to call units as |

|Round on assigned units at least twice weekly to compare |Discuss environment of care (EOC) rounding with preceptor and round with IP’s to learn EOC |needed to investigate isolation needs and request nurses to place |

|isolation compliance tool to actual practice on unit |rounding skills. |or d/c orders as appropriate. |

|(signage, PPE available and used, appropriate wipes, hand| |__________/_____Demonstrates understanding of rounding process on |

|hygiene) | |assigned units twice weekly (to assess isolation compliance and |

|Use any spare time to prep for meetings, build | |support staff as needed) |

|relationships on assigned units, and update mileage | |__________/_____Professionally interacts with staff on units during|

|forms, answer emails, read/study IP literature and APIC | |rounds and instructs them as needed regarding appropriate isolation|

|text. | |precautions (i.e. Signage, PPE use, wipes, Hand Hygiene.) |

|End days by checking email and calendar to prep for next | |__________/______ SZP Reviewer class completed |

|day. | |__________/_____ Verbalizes basic understanding of environment of |

|Schedule meetings with Directors of assigned areas | |care (EOC) rounding |

|Safety Zone Portals (SZP) | | |

|Assume responsibility for assigned units by end of this | | |

|training module | | |

|Environment of care (EOC)rounding | | |

| | | |

|Familiarity with individual IP’s, where they are located | | |

|and hospital specifics System-Wide | | |

|Verbalizes knowledge of: |Spend at least 3-4 hours on each campus with each IP to tour their assigned areas, observe their |__________/_____ Has visited all IP’s and all main CH campuses and |

|Location of each main Cone Health Campus (MC, WL, WH, AP,|workflow, and discuss special considerations regarding their patient populations and specified |verbalizes understanding of the respective specialties and nuances |

|ARMC, BH) |areas assigned. |of each campus related to IP. |

|Who the assigned IP’s are for each hospital, their | | |

|specialty areas (i.e. construction, public reporting, | | |

|HLD/sterile processing) and where their offices are | | |

|located | | |

|Differences of each campus patient population that affect| | |

|IP process | | |

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Evaluation:

Preceptor Comments:

Orientee Comments:

* Department Director Comments: ________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

Signature of Preceptor: Date:

Signature of Department Director: ______________________________________Date:

Signature of Orientee: Date:

* When applicable

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