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NATIONAL STANDARDS IN INFECTION PREVENTION AND CONTROL FOR HEALTH FACILITIES 3rd Edition DEPARTMENT OF HEALTH HEALTH FACILITY DEVELOPMENT BUREAU NATIONAL STANDARDS IN INFECTION PREVENTION AND CONTROL FOR HEALTH FACILITIES THIRD EDITION 2021
NATIONAL STANDARD IN INFECTION PREVENTION AND CONTROL FOR HEALTH FACILITIES Copyright 2020 by the Department of Health. All rights reserved. Subject to the acknowledgement of the Health Facility Development Bureau (HFDB), Department of Health, the Manual may be freely abstracted, reproduced or translated in part or in whole for noncommercial purposes only. If the entire Manual or substantial portions will be translated or reproduced, permission should be requested from the HFDB. Printed in the Republic of the Philippines. National Library Cataloging-in-Publication Data ISBN Published by Department of Health San Lazaro Compound Rizal Avenue, Sta. Cruz, Manila 1003 PHILIPPINES PRODUCTION CREDITS Project Leader: Charissa Fay Corazon Tabora, MD Terence John Antonio, MD, MBA Copy Editor: Camille Ann C. Ople Development of this Manual was initiated, completed and subsequently published through the HFDB. For inquiries, contact the Bureau: Phone: +63 2 8651 7800 locals 1401, 1403, 1408 Email Address: [email protected].
iv TABLE OF CONTENTS MESSAGES ................................................................................................ v FOREWORD ............................................................................................. vii PREFACE ................................................................................................viii ACKNOWLEDGEMENT...............................................................................ix LIST OF ABBREVIATIONS .........................................................................xii DEFINITION OF TERMS ............................................................................xiii LIST OF ANNEXES.................................................................................... xv MANUAL OF STANDARDS IN INFECTION PREVENTION AND CONTROL FOR HEALTH FACILITIES STANDARDS ON MANAGEMENT, STRUCTURE, FUNCTIONS, AND RESPONSIBILITIES..................................................................................... 1 STANDARDS ON GUIDELINES, POLICIES, AND PROCEDURES.....................8 INFECTION PREVENTION AND CONTROL EDUCATION AND TRAINING ...... 14 STANDARDS ON HEALTHCARE-ASSOCIATED INFECTION SURVEILLANCE.17 STANDARDS ON MULTIMODAL STRATEGIES............................................ 19 STANDARDS ON MONITORING, AUDIT AND FEEDBACK OF INFECTION PREVENTION AND CONTROL.................................................................... 22 STANDARDS ON WORKLOAD, STAFFING, AND BED OCCUPANCY AT THE FACILITY LEVEL.......................................................................................24 STANDARDS ON BUILT ENVIRONMENT, MATERIALS, AND EQUIPMENT FOR IPC........................................................................................................... 27 ANNEXES..................................................................................................31 Annex A: Organizational Chart ..............................................................................31 Annex B: Duties and Responsibilities of IPC Unit Members................................ 32 Annex C: The Five-Step Approach to IPC............................................................40 Annex D: Five Elements of Multimodal Strategies............................................... 42 Annex E: Sample Observational Tools................................................................. 45 Annex F: Hospital Ventilation and Air Exchange.................................................. 54 Annex F: Infection Prevention and Control Program Tool ....................................61 Annex G: Minimum Requirements for Infection Prevention and Control Programme ............................................................................................................................... 65 REFERENCES........................................................................................... 72

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