Identification and Reporting of Notifiable Infections


 
POLICY:
 
An infection log will be maintained; all reported patient 
infections will be entered onto the log.  The log will be 
reviewed by the Medical Director, Clinical Coordinator, and 
the Quality Assessment/Performance Improvement Committee on a 
quarterly basis.
 
PROCEDURE:
 
1.  All cases of suspected or active infection shall be 
    recorded.  Only culture-proven infections will be 
    considered to be 'notifiable'.
 
2.  Reports shall be filed with the local regulatory agency 
    for all notifiable disease (sample form and list of 
    notifiable diseases is attached).
 
3.  All surgeons will be regularly queried on the incidence 
    of infection for those patients receiving treatment at 
    this organization.
 
4.  For each infection reported, a member of the staff shall 
    contact the appropriate staff member to complete an 
    Infection Control Report Form.
 
5.  This data will be forwarded to the Clinical Coordinator 
    and the Medical Director and, as appropriate, considered 
    for review by the Quality Assessment/Performance   
    Improvement Committee.
 
6.  Reportable symptoms of infection include:
    A.  Temperature of 101.5 degrees for more than 48 
        hours.
    B.  WBC greater than 12,000.
    C.  Redness, swelling and/or drainage at site of wound.
 
7.  The ultimate outcome will be reported for every infection
    entered on the infection log.
 
See the 'POST-SURGICAL INFECTION CONTROL' form.

Approved By Governing Board    
MC.5
Control #132.1
GUPTA GASTRO