Ohio Admin. Code 3701-17-11 - Infection control; tuberculosis control plan
(A) Each nursing home shall establish and
implement appropriate written policies and procedures to assure a safe,
sanitary and comfortable environment for residents and to control the
development and transmission of infections and diseases. Each nursing home
shall establish an infection control program to monitor compliance with home's
infection control policies and procedures, to investigate, control and prevent
infections in the home, and to institute appropriate interventions. The home
shall designate an appropriate licensed health professional with competency in
infection control to serve as the infection control coordinator.
(B)
Each nursing
home shall develop and follow a tuberculosis control plan that is based on the
home's assessment of the facility. The control and assessment shall be
consistent with the United States centers for disease control and prevention
"Guidelines for Preventing the Transmission of My cobacterium tuberculosis in
Health Care Settings, 2005," MMWR 2005, Volume 54, No. RR-17. The home shall
retain documentation evidencing compliance with this paragraph and shall
furnish such documentation to the director upon request.
(1) Wash their hands vigorously with soap and
water for at least ten to fifteen seconds or, if hand-washing facilities are
not readily available, with an alcohol-based product used according to
manufacturer's directions or other alternative methods accepted by the United
States centers for disease control and prevention, as being an effective
alternative, but not as a substitute for regular hand-washing:
(a) After using the toilet;
(b) Before direct contact with a resident,
dispensing medication, or handling food;
(c) Immediately after touching body
substances;
(d) After handling
potentially contaminated objects;
(e) Between direct contact with different
residents; and
(f) After removing
gloves.
(2) Place
disposable articles contaminated with body substances (other than sharp items)
in a container impervious to moisture and manage them in a fashion consistent
with Chapter 3734. of the Revised Code. Reusable items contaminated with body
substances shall be contained until cleaning and decontamination occurs using
products that are approved by the United States food and drug
administration;
(3) Wear disposable
gloves for contact with any resident's body substances, non-intact skin or
mucous membranes. The gloves shall be changed before and after contact with
another resident and disposed of in accordance with state law;
(4) Wear an impervious cover gown or other
appropriate protective clothing if soiling of clothing with body substances is
likely to occur;
(5) Wear a mask
and protective goggles or a face shield if splashing of body substances is
likely or if a procedure that may create an aerosol is being
performed;
(6) Dispose of all
hypodermic needles, syringes, scalpel blades and similar sharp wastes by
placing them in rigid, tightly closed puncture-resistant containers before they
are transported off the premises of the home, in a manner consistent with
Chapter 3734. of the Revised Code. The nursing home shall provide instructions
to all individuals who use sharps in the home on the proper techniques for
disposal; and
(7) Disposable
equipment and supplies shall not be re-used.
For the purposes of paragraph (C) of this rule, "body substance" means blood, semen, saliva, vaginal secretions, feces, urine, wound drainage, emesis and any other secretion or excretion of the human body except tears and perspiration.
Notes
Promulgated Under: 119.03
Statutory Authority: 3721.04
Rule Amplifies: 3721.04
Prior Effective Dates: 11/15/1976, 9/30/88, 12/21/92, 10/20/01, 4/1/12, 12/8/14
Promulgated Under: 119.03
Statutory Authority: 3721.04
Rule Amplifies: 3721.04
Prior Effective Dates: 11/15/1976, 9/30/88, 12/21/92, 10/20/01; 4/1/12
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