§ 567.3. Policies and procedures.

 (a)  Only authorized persons, who are properly attired, shall be allowed in the surgical area.

 (b)  Current written policies and procedures to assure definite and valid infection control shall include the following:

   (1)  Medical asepsis.

   (2)  Surgical asepsis.

   (3)  Sterilization and disinfection, including suitable equipment for routine and rapid sterilization.

   (4)  Sterilized materials are packaged, labeled and dated in a consistent manner.

   (5)  Housekeeping.

   (6)  Cleaning of surgical suites prior to each operation.

   (7)  Clean and soiled linen and utility rooms.

   (8)  Linen.

   (9)  Traffic flow patterns.

   (10)  Isolation protocols.

   (11)  Staff health status requirements.

   (12)  Infection control in-service education for personnel.

   (13)  Recording and reporting of potential infection.

   (14)  Bacteriological testing of potential infections, recording results and reporting to the quality assurance committee.

   (15)  Admission criteria for patients with specific or suspected infections.

   (16)  Patient postdischarge investigation.

   (17)  Reporting of communicable diseases as required by §  27.2 (relating to specific identified reportable diseases, infections and conditions).

Source

   The provisions of this §  567.3 amended October 22, 1999, effective November 22, 1999, 29 Pa.B. 5583. Immediately preceding text appears at serial pages (256588) to (256589).

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