Infection Prevention and Control Best Practices for Long Term Care, Home and Community Care including Health Care Offices and Ambulatory Clinics June, 2007

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Table of Contents

• Introduction, Purpose and Scope of Document
• Guiding Principles and Levels of Evidence
• Infection Prevention and Control Best Practices
  • Basic Infection Prevention Measures
  • Routine Practices
  • Summary of Best Practices
• Appendix I – Definitions
• Appendix II – Fact Sheets
  1. Hand Hygiene
  2. Routine Practices Poster
  3. Sample Screening Poster
  4. Sample Screening Questionnaire
  5. Respiratory Etiquette Poster
  6. Infection Control Criteria for Purchase of Personal Protective Equipment for Routine Practices
  7. Laundry
  8. Personal Care Supplies
  9. Sterilization and Disinfection
  10. The Use of Gowns, Aprons and Lab Coats
  11. Medication Safety Poster
• Appendix III – Audit Tools
  1. Long Term Care
  2. Emergency Response Facilities (EMS)
  3. Health Care Office
  4. Home Health Care
• Appendix IV – Core Competencies for Health Care Providers
• References

Disclamer

This best practices document is intended to guide clinical practice only and provide decision-making on infection prevention and control issues. Its use should be flexible to accommodate family/client wishes and local circumstances while ensuring best practice in infection prevention and control. They neither constitute a liability nor discharge from liability. While every effort has been made to ensure accuracy of the contents at the time of publication, neither the authors nor CCAR give any guarantee as to the accuracy of information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omission in the contents of this work.

Copyright

This document is in the public domain and may be used and reprinted without special permission except for those copyrighted materials noted for which further reproduction is prohibited without specific permission of copyright holders.

CCAR would appreciate citation as to source. The suggested format is indicated below: Canadian Committee on Antibiotic Resistance (2007) Infection Prevention and Control Best Practices for Long Term Care, Home and Community Care including Health Care Offices and Ambulatory Clinics

First Printing, June, 2007. It is the intent of the authors to update this document every five years.

Canadian Committee on Antibiotic Resistance (CCAR)

The Canadian Committee on Antibiotic Resistance (CCAR) was formed in 1998 to co-ordinate Canadian efforts to control the development and spread of antimicrobial resistance. Working together on activities identified in the National Action Plan to Address Antibiotic Resistance, CCAR’s main areas of interest are resistance surveillance, infection prevention and control, and optimal antibiotic use. We provide outreach to the health care and agricultural communities through a variety of activities, including professional seminars, a series of reports and informational documents for specific target audiences and managing one of the most comprehensive websites on resistance in Canada ( www.ccar-ccra.org (External link)).

CCAR also works with various levels of government to develop policy and identify human and financial resources to address resistance. The Public Health Agency of Canada provides considerable financial support through a three-year contract for services which expires in March, 2008. Whenever possible, CCAR leverages these resources to undertake activities and specific projects with those partners dedicated to the same interest in reducing antimicrobial resistance.

Prepared By

Clare Barry, Ministry of Health and Long Term Care

Nora Boyd, Bluewater Health, Canadian Committee on Antibiotic Resistance

Nan Cleator, Victorian Order of Nurses, Canada

Brenda Dyck, Winnipeg Regional Health Authority

Agnes Morin Fecteau, Veterans Affairs Canada, Ste Anne’s Hospital

Dr. Elizabeth Henderson, Calgary Regional Health Authority

Linda Kingsbury, Vancouver Costal Health

Linda Kingsbury, Vancouver Costal Health

Marg McKenzie, Emergency Response, Edmonton Alberta

Judy Morrison, Public Health Agency of Canada

Patsy Rawding, Infection Control, Nova Scotia

Liz Van Horne, Ministry of Health and Long Term Care

Rick Wray, Hospital for Sick Children

Clean Care is Safer Care’ WHO

To fight the spread of health careassociated infections, the World Health Organization and its partners launched the Global Patient Safety Challenge with the theme “Clean Care is Safer Care” in October, 2005. As part of the launch, the WHO Guidelines on Hand Hygiene in Health Care were made available. For more information about these guidelines, please visit:

 http://www.who.int/en/http://www.who.int/en/ (External link)

Stakeholder Review List

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