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GUIDELINES
Document No.
IFH-InfectionControl 2015-014
PHARMACY DEPARTMENT
Page No.
Page 1 of 5
1.0
OBJECTIVE:
1.1
To ensure that the activities are conducted in a manner that will comply with
the current standards and guidelines for operation relative to infection control.
1.3
procedures to ensure that these policies and procedures are in accordance with
pertinent standards and guidelines to initiate action to improve or update them
as needed.
1.4
1.7
2.0
b.
c.
Education
SCOPE:
Document No.
IFH-InfectionControl 2015-014
PHARMACY DEPARTMENT
Page No.
Page 2 of 5
This procedure applies for Infection Control Policy for Pharmacy Department
3.0
RESPONSIBILITY:
PROCEDURES:
Document No.
IFH-InfectionControl 2015-014
PHARMACY DEPARTMENT
Page No.
Page 3 of 5
(if used)
4.2 Promotion of Rational Use of Antimicrobial Agents
This responsibility extends to the establishment of measures for minimizing the
development of resistant strains of microorganism as well as maximizing the
chance of successful therapeutic outcomes in individual patients. Functions related
to this responsibility include the following:
a. Work within the PTC structure to control the number and types of antibiotics and
other antimicrobial agents. Both therapeutic and microbiological factors and
cost-containment considerations should justify such decisions.
b. Collaborate with the medical staff in establishing policies related to prophylactic
antibiotic use, restricted use of specific antibiotic and other microbial agents.
c. Establish and operate (in coordination with the medical staff) an ongoing
concurrent prospective antibiotic use review program or assessing and
improving the quality of antimicrobial therapy.
d. Generate and analyze quantitative data on antimicrobial drug use.
e. Work with the concerned individuals and committees within the institution
responsible for selecting and controlling IV sets, infusion devices and other
equipment related to IV and antibiotic administration.
4.3 Educational Activities
This responsibility extends to other professionals, patients and the public. Specific
functions include the following:
a. Conduct in-service educational programs, clinical conferences and other types
of presentations for health professionals on appropriate topics including (but not
limited to) the following:
1. Antimicrobial therapy
2. Decontaminating agents (disinfectant, antiseptic, sterilizers)
3. Aseptic technique procedures and procedures
Document No.
IFH-InfectionControl 2015-014
PHARMACY DEPARTMENT
Page No.
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4. Sterilization methods
b. Educational and counseling in-patients, ambulatory care patients in the
following areas:
1. Importance of compliance with prescribed directions for antibiotics and other
drugs.
2. Other information necessary for safe and appropriate drug use (e.g. whether
or not to take drugs with meals)
3. Instruction on storage conditions, including drug administered through home
care programs.
4. Other infection control proc
c. Establish and conduct ongoing quality assurance activities and in-service
presentations to pharmacy staff on appropriate topics including but not limited
to:
1. Aseptic techniques and procedures
2. Sterilization methods
d. Participate in public health education and awareness campaign concerning
control of the spread of infectious diseases
5.0 QUALITY OF RECORDS
5.1
6.0
End of Document
Prepared by:
Revision
0
Issue No.:
1
Document No.
IFH-InfectionControl 2015-014
PHARMACY DEPARTMENT
Page No.
Page 5 of 5
Date Issued:
February 20, 2015
Date Effective:
February 20, 2015