______________________________ Infection Control for New York Health Care Professionals ‒ 2024 Update
Occupational Health Strategies : As applied to infection con- trol, a set of activities intended to assess, prevent, and control infections and communicable diseases in healthcare workers. ELEMENT VII GLOSSARY For the purposes of hospital data collection, the following terms are used [35]: Sepsis : a confirmed or suspected infection accompanied by two system inflammatory response syndrome (SIRS) criteria; Severe Sepsis : sepsis complicated by organ dysfunction; Septic Shock (Adults ): sepsis-induced hypotension persisting despite adequate IV fluid resuscitation and/or evidence of tissue hypoperfusion; Septic Shock (Pediatrics ): sepsis and cardiovascular organ dysfunction The following is taken from the New York State Report on Sepsis Care Improvement Initiative: Hospital Quality Performance [33]. 1-Hour Bundle (Pediatric ): this is a composite measure that represents the percentage of pediatric patients with severe sepsis or septic shock who received blood cultures up to 48 hours before to one (1) hour after severe sepsis or septic shock start time; fluid administration up to six (6) hours before to one (1) hour after severe sepsis or septic shock start time; and broad-spectrum antibiotics up to 24 hours before to one (1) hour after severe sepsis or septic shock start time. This mea- sure is not calculated for patients who were excluded from the hospital’s protocol or from specific care interventions within one (1) hour of start time, who were transferred from or to another acute care hospital, or who died within one (1) hour of start time. 3-Hour Bundle (Adult ): this is a composite measure that represents the percentage of adult patients with severe sepsis or septic shock who received blood cultures up to 48 hours before to three (3) hours after severe sepsis or septic shock start time; initial lactate level collection up to six (6) hours before to three (3) hours after severe sepsis or septic shock start time; and broad-spectrum antibiotics up to 24 hours before to three (3) hours after severe sepsis or septic shock start time. This measure is not calculated for patients who were excluded from the hospital’s protocol or from specific care interventions within three (3) hours of start time, who were transferred from or to another acute care hospital, or who died within three (3) hours of start time. 6-Hour Bundle (Adult) : this is a composite measure that rep- resents the percentage of adult patients with severe sepsis or septic shock who received all the recommended interventions in the 6-Hour Bundle (Adult), including interventions in the 3-Hour Bundle (Adult) within measure timeframes, a repeat lactate level within six (6) hours of severe sepsis or septic shock start time if initial lactate level is elevated, resuscitation with
crystalloid fluids up to six (6) hours before to within three (3) hours of septic shock start time or initial hypotension time (whichever is earlier), fluid status assessment within six (6) hours of septic shock start time after fluid resuscitation is pres- ent, and vasopressor therapy within six (6) hours of septic shock start time if persistent hypotension after fluid resuscitation is present. This measure is not calculated for patients who were excluded from the hospital’s protocol or from specific care interventions within three (3) hours or six (6) hours of start time (depending on measure component timeframe), who were transferred from or to another acute care hospital, or who died within three (3) hours or six (6) hours of start time (depending on measure component timeframe). The following definitions are from the CDC and WHO. Colonization Screening : When an emerging MDRO is identi- fied, colonization screening is recommended by CDC as an essential component of the public health response. Coloniza- tion screening identifies unrecognized carriers so that infec- tion control measures can be targeted to prevent the spread of antimicrobial resistance. The colonization screening recom- mendations apply to all healthcare facility types and might be recommended for community settings in some cases [3]. Infectious disease [41]: Infectious diseases are caused by patho- genic microorganisms, such as bacteria, viruses, parasites, or fungi; the diseases can be spread directly or indirectly, from one person to another. Zoonotic diseases are infectious diseases of animals that can cause disease when transmitted to humans.
RESOURCES
Section 239 of the New York State Public Health Law The full text of Section 239 of the New York State Public Health Law, which specifies course work or training in infec- tion control practices for specific professions and students, can be viewed at the following: http://www.health.state.ny.us/ regulations/public_health_law/section/239/ New York Department of Health Infection Control Training The full New York Department of Health Infection Control Training guidelines may be reviewed at the New York State Department of Health website: https://www.health.ny.gov/ professionals/diseases/reporting/communicable/infection/ hcp_training.htm#info_for_providers New York State Education Department Rules of the Board of Regents, Section 29.2(a) (13)1 The New York State Education Department Rules of the Board of Regents, Section 29.2(a) (13)1, states that unprofessional conduct includes the following components of infection control [8]:
71
MDNY1026
Powered by FlippingBook