Download IP Resource List 2012

Regulations and Other Requirements Affecting IC Programs
Jan 2012
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
CDC Infection Control in Healthcare Settings website
Committee (HICPAC) Guidelines
http://www.cdc.gov/hai/
National Institute for Occupational Safety and
Health (NIOSH): Workplace safety and health
information (e.g., respirators)
National Healthcare Safety System Manual, forms
and reports
http://www.cdc.gov/niosh/
http://www.cdc.gov/nhsn
Centers for Disease Control and Prevention
National Healthcare Safety Network
MS-A24
1600 Clifton Rd
Atlanta, GA 30333
Clinician Outreach and Communication Activity -system through which CDC informs clinicians via
weekly e-mail updates of recent changes to
information health issues
Sign up for the COCA email updates at
http://www.bt.cdc.gov/coca
HAI Prevention Tool-Kits: includes Policy, C.dif,
CLABSI, Environmental cleaning, Long Term
Care, MRSA, Norovirus, SSI, and CA-UTI
http://www.cdc.gov/HAI/prevent/prevention_tools.html
Centers for Medicare and Medicaid Services (CMS)
Document
How to Obtain
CMS regulations:
http://www.access.gpo.gov/nara/cfr/waisidx_01/42cf
42 CFR Part 483 – Requirements for States and
r483_01.html
Long Term Care 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
42 CFR 482.42 Infection control
www.cms.gov
http://www.access.gpo.gov/nara/cfr/waisidx_01/42cf
r482_01.html
www.cms.gov
State Operations Manual Appendices (contains
links to survey requirements and interpretive
guidelines for many healthcare settings)
http://www.cms.hhs.gov/manuals/downloads/som10
7_appendicestoc.pdf
Survey & Certification Focus on Patient Safety
and Quality - Draft Surveyor Worksheets -
https://www.cms.gov/Surveycertificationgeninf
Regulations, Standards, and Other Requirements Page 2 of 5
Hospitals
o/downloads/SCLetter12_01.pdf
CMS Regulation:
42 CFR Part 416 Ambulatory Surgery Centers:
42 CFR 416.51 Infection control
http://ecfr.gpoaccess.gov/cgi/t/text/textidx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3
&idno=42
State Operations Manual (SOM) Appendix L,
Ambulatory Surgical Centers (ASC)
Comprehensive Revision - Includes Surveyor
Infection Control Worksheet
https://www.cms.gov/SurveyCertificationGenIn
fo/downloads/SCLetter09_37.pdf
Flash Sterilization usage
https://www.cms.gov/SurveyCertificationGenIn
fo/downloads/SCLetter09_55.pdf
California Department of Public Health (CDPH)
Document
Medical Waste Management
How to Obtain
Hospital Pollution Prevention Program
Medical Waste Management - Nevada
http://www.cdph.ca.gov/certlic/medicalwaste/P
ages/default.aspx
http://www.cdph.ca.gov/certlic/medicalwaste/P
ages/HospitalPollutionPrevention.aspx
http://ndep.nv.gov/bwm/special.htm
Nevada Administrative Code 444.646 and
444.662
Department of Resources and Recycling (CA only)
Document
How to Obtain
Disposal of pharmaceutical waste (multidose,
http://www.calrecycle.ca.gov/HomeHazWaste/
etc)
Medications/
Disposal of medical sharps in the community
Food and Drug Administration (FDA)
Document
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 feeds
http://www.calrecycle.ca.gov/HomeHazWaste/
Sharps/
How to Obtain
http://www.fda.gov/Safety/MedWatch/default.htm
Ph: (800) 332-1088
Vaccine Adverse Event Reporting (VAERS)
http://vaers.hhs.gov/index
CPG Sec. 300.500 *Reprocessing of Single
Use* Devices (CPG 7124-016)
http://www.fda.gov/ICECI/ComplianceManuals/Comp
liancePolicyGuidanceManual/ucm073887.htm
Occupational Safety and Health Administration (OSHA) * Both CA and NV are independent states
and must meet or exceed the NIOSH standards.
Regulations, Standards, and Other Requirements Page 3 of 5
Document
Regulations:
 Respiratory Protection 29 CFR. 1910.134
 Respiratory Protection for TB 29 FR.
1910.139
 Bloodborne Pathogens 29 CFR. 1910.1030
 Ethylene Oxide 29 CFR. 1910.1047
 Formaldehyde 29 CFR. 1910.1048
 Hazard Communication 29 CFR. 1910.1200
 Occupational Injury and Illness Recording
and Reporting (29 CFR 1904)
How to Obtain
OSHA Home Page: www.osha.gov has links to
compliance assistance, laws & regulations,
compliance directives, training programs, slide sets,
and other topics
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)
California specific information: http://www.ca-
OSHA Training e tools
See Hospital training e tool:
http://www.osha.gov/SLTC/etools/hospital/index.html
For OSHA regulations and compliance links:
http://www.osha.gov/comp-links.html
and click on the letter for the desired topic (e.g., click
on "B" for bloodborne pathogens standard)
osha.com/
http://www.dir.ca.gov/title8/5199.html
Nevada specific information:
http://dirweb.state.nv.us/OSHA/osha.htm
See Nursing Home training e Tool:
http://www.osha.gov/SLTC/etools/nursinghome/index.
html
See OSHA eTools and Electronic Products for
Compliance Assistance:
http://www.osha.gov/dts/osta/oshasoft/index.html#Po
werPoint%20Presentations
Disease Specific Recommendations
RECOMMENDATIONS FOR THE PREVENTION
AND CONTROL OF INFLUENZA CALIFORNIA
LONG-TERM CARE FACILITIES
Clostridium difficile Infections
http://www.cdph.ca.gov/programs/hai/Document
s/Influenza-Recommendations-LTCF-v.1211.pdf
http://www.cdc.gov/mmwr/pdf/wk/mm61e0306.
pdf
Professional and Practice Standards
APIC/CHICA-Canada Professional and Practice Standards Task Force. APIC/CHICA-Canada infection
control and epidemiology: Professional and practice standards. American Journal of Infection Control
2008;36:385-9. Available at: www.apic.org 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. American Journal of Infection
Control 1999;27:418-30.
Scheckler et al. Requirements for infrastructure and essential activities of infection control
Regulations, Standards, and Other Requirements Page 4 of 5
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)
 http://www.aaahc.org
 Accreditation program and resources for a variety of ambulatory care settings
Advisory Committee on Immunization Practices (ACIP)
 http://www.cdc.gov/vaccines/recs/acip/default.htm
 Epidemiology and Prevention of Vaccine Preventable Diseases (“the Pink Book”) can be downloaded
free of charge at : http://www.cdc.gov/vaccines/pubs/pinkbook/default.htm#download
 Vaccine Information Statements (VIS): http://www.cdc.gov/vaccines/pubs/vis/default.htm
American Academy of Pediatrics (AAP)

www.aap.org
 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)
 Guidelines for the Design and Construction of Hospitals and Health Care Facilities, 2010 – is
available on their website. The 2010 is available for $168, and available in 3 formats. Public
comment is open for the 2014 edition.
 Order from http://www.fgiguidelines.org/2010guidelines.html
Association for Advancement of Medical Instrumentation (AAMI)
 Guidelines for decontamination and sterilization in hospitals and ambulatory care
 www.aami.org
 1110 North Glebe Road, Suite 220, Arlington, VA 22201-4795| 703-525-4890
 3M Infection Prevention Division Sterile U website http://3M.com/AttestSterileU online training for
sterile processing personnel.
Association for Professionals in Infection Control and Epidemiology (APIC)
 www.apic.org
 see links to resources
 1275 K Street, NW, Suite 1000, Washington, DC 20005-4006 phone:202-789-1890
APIC Sierra – Chapter #44
 Serving Northern CA from Turlock to Yreka and Northern Nevada in Reno, Sparks, Carson City,
Gardnerville, Minden, Ely, and Elko areas.
 www.apicsierra.org
California APIC Coordinating Council (CACC)
 Obtain State and local education activities
 Obtain status of State mandated regulations
 www.caapic.org
Association of Perioperative Registered Nurses (AORN)
 Standards, recommended practices and guidelines for operating room practice
 www.aorn.org
 2170 S Parker Road, Suite 300, Denver, CO 80231 (800) 755-2676 or (303) 755-6304
Commission on Accreditation of Rehabilitation Facilities
Regulations, Standards, and Other Requirements Page 5 of 5


Independent accrediting association for rehabilitation facilities, home health care and substance
abuse centers.
http://www.carf.org/
Code of Federal Regulations
To obtain federal regulations: http://www.firstgov.gov/
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: www.epa.gov
The Joint Commission
 http://www.jointcommission.org/
 Sign up for E-newsletters (Ambulatory Care Advisor, BHC Accreditation News, Home Care Bulletin,
http://www.jointcommission.org/daily_update/joint_commission_daily_update.aspx, LTC Update,
news releases) The jointcommission online is published every Wednesday.
 Accreditation program and resources for a variety of healthcare settings
 2012 Survey Activity Guide http://www.jointcommission.org/assets/1/18/2012_Organization_SAG.pdf
National Commission on Correctional Health Care
 http://ncchc.org
 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 (too numerous to list
here)
 State and local health departments can be accessed through CDC Website at
http://www.cdc.gov/other.htm
Information on Safe Needle Disposal for Home Care
 http://www.safeneedledisposal.org (Interactive map. Nevada map has an error and references
Montana regulations); California information is accurate.
NOTE: All websites accessed Dec. 31, 2011
Compiled by K. Arias, and updated by Harriette Carr