Interim deadlines keep you on track to compliance
Interim deadlines keep you on track to compliance
"Milestones" must be met for new infection control
The newest requirement for compliance with Goal 7 of the 2009 Joint Commission National Patient Safety Goals is "Implement best practices or evidence-based guidelines to prevent central line-associated bloodstream infections." The requirement applies to short- and long-term central venous catheters and peripherally inserted central catheter lines. The requirement has a one-year phase-in period that includes specific milestones with defined expectations for planning, development, and testing. Full implementation of a process that meets the requirements of the patient safety goal is expected no later than January 1, 2010.
Deadlines throughout the year are: April 1, 2009: The organization's leadership has assigned responsibility for oversight and coordination of the development, testing, and implementation of the goal to reduce healthcare-associated infections related to central lines. July 1, 2009: An implementation work plan is in place that identifies adequate resources, assigned accountabilities, and a timeline for full implementation by January 1, 2010. October 1, 2009: Pilot testing is under way for the requirements. January 1, 2010:
- The elements of performance are fully implemented across the organization.
- The organization educates health care workers who are involved in these procedures about health care associated infections, central line-associated bloodstream infections, and the importance of prevention. Education occurs upon hire, annually thereafter, and when involvement in these procedures is added to an individual's job responsibilities.
- Prior to insertion of a central venous catheter, the organization educates patients, and their families as needed about central line-associated bloodstream infection prevention.
- The organization implements policies and practices aimed at reducing the risk of central line-associated bloodstream infections that meet regulatory requirements and are aligned with evidence-based standards.
- The organization conducts periodic risk assessments for surgical site infections, measures central line-associated bloodstream infection rates, monitors compliance with best practices or evidence-based guidelines, and evaluates the effectiveness of prevention efforts.
- The organization provides central line-associated bloodstream infections rate data and prevention outcome measures to key stakeholders including leaders, licensed independent practitioners, nursing staff, and other clinicians.
- Use a catheter checklist and a standardized protocol for central venous catheter insertion.
- Perform hand hygiene prior to catheter insertion.
- Use a standardized supply cart or kit that is all-inclusive for the insertion of central venous catheters.
- Use a standardized protocol for maximum sterile barrier precautions during central venous catheter insertion.
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