Guidelines for INFECTION CONTROL POLICY - Safdarjung Hospital

HOSPITAL GUIDELINES FOR PREVENTION AND CONTROL OF INFECTIONSNo. Topic Details1. Infection control policy Started in 1998; revised in 2001,(Ensuring adequate and trained human March and August 2010.resources for infection control e.g. aminimum of one infection control nurseper 250 beds)Infection Control committeeChairperson: Medical superintendent(The details of the responsibilities are Secretary: HOD Microbiologyenclosed in Annexure -1)Members:Addl. MS, SJHHeads of all clinical departmentsNursing Superintendent(NS), SJHExecutive Engineer, Civil, CPWDExecutive Engineer, Electrical, CPWDStore OfficerInfection Control Nurses(ICN) -2ICO: MicrobiologistICN: 2 Staff NursesBiomedical Waste Management Addl. MS, SJH(BMW) TeamMS, SJHExecutive engineer, Civil, CPWDExecutive engineer, Electrical, CPWDStore OfficerDDAICN2. Standard precautions Followed in all health care areas3. Hand hygiene guidelines Strictly observed to be and monitored4. Safe injection practices There is a model Injection Centre inSJH as a patient safety initiative.5. Minimize invasive procedures Invasive procedures are done when essential.6. Patient isolation policy Isolation policy in place at SJH7. Disinfection and sterilization policy Practiced and monitored regularly.8. Antimicrobial policy Attached as Annexure 19. Safe environment (including Ensured to the best possible extentwater, air, temperature &under the limited resources.housekeeping) monitoring10. Maintenance & Cleanliness / Housekeeping guidelines followed byInfrastructurethe designated staff11. Biomedical Waste Management Practiced as per government regulations,(BMWM) guidelinesand waste audit done at monthly intervals.(Annexure 2)6