Header:
KANSAS ADMINISTRATIVE REGULATIONS
AGENCY 28 DEPARTMENT OF HEALTH AND ENVIRONMENT
ARTICLE 34. HOSPITALS
PART 2.--AMBULATORY SURGICAL CENTERS
Date:
08/31/2009
Document:
28-34-58a. Infection control.
(a) Each ambulatory surgical center shall establish and maintain an ongoing infection control program. The program shall be based upon guidelines established by the centers for disease control and the licensing department. The program shall include the following:
(1) Measures for the surveillance, prevention, and control of infections;
(2) the assignment of the primary responsibility for the program, as well as medical staff participation and review of findings, to an individual;
(3) written policies and procedures outlining infection control measures and aseptic techniques;
(4) orientation and ongoing education provided to all personnel on the cause, effect, transmission, and prevention of infections;
(5) policies and procedures that require all employees to adhere to universal precautions to prevent the spread of blood-borne infectious diseases;
(6) policies and procedures related to employee's health;
(7) review and evaluation, according to the facility's policies and procedures, of the quality and effectiveness of infection control throughout the ambulatory surgical center; and
(8) provisions for reporting, to the licensing department, infectious or contagious diseases in accordance with K.A.R. 28-1-2.
(b) Personnel health requirements. Upon employment, each individual shall have a medical examination consisting of examinations appropriate to the duties of the employee, including a tuberculin skin test. Subsequent medical examinations or health assessments shall be given periodically in accordance with the facility's policies. Each ambulatory surgical center shall develop policies and procedures for the control of communicable diseases, including maintenance of immunization histories and the provision of educational materials for patient care staff. Cases of employees with tuberculin skin test conversion shall be reported to the Kansas department of health and environment.
(c) Any personnel having a condition detrimental to patient well-being, or suspected of having such a condition, shall be excluded from work until the requirements of K.A.R. 28-1-6are met.
(d) Sanitation and housekeeping. Each ambulatory surgical center shall comply with the following procedures:
(1) Be kept neat, clean, and free of rubbish;
(2) develop written housekeeping procedures;
(3) provide hand-washing facilities; and
(4) develop written procedures for the laundering of linen and washable goods.
(e) Soiled and clean linen shall be handled and stored separately.
(f) All garbage and waste shall be collected, stored, and disposed of in a manner that does not encourage the transmission of contagious disease. Containers shall be washed and sanitized before being returned to work areas, or the containers may be disposable.
(g) Staff shall make periodic checks, according to the facility's policies and procedures, throughout the premises to enforce sanitation procedures.
(h) Sterilizing supplies and equipment. The governing authority shall establish written policies and procedures for the storage, maintenance, and distribution of supplies and equipment.
(1) Sterile supplies and equipment shall not be mixed with unsterile supplies and shall be stored in dustproof and moisture-free units. These sterile units shall be labeled.
(2) Sterilizers and autoclaves shall be provided, of the appropriate type and necessary capacity, to sterilize instruments, utensils, dressings, water, and operating and delivery room materials, as well as laboratory equipment and supplies. The sterilizers shall have approved control and safety features. The accuracy of instruments shall be checked, and surveillance methods, according to the facility's policies and procedures, for checking sterilization procedures shall be employed.
(3) The date of sterilization or date of expiration shall be marked on all sterile supplies, and unused items shall be resterilized in accordance with written policies.
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