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发表于 2013-7-5 17:11:21
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Infection prevetion and control doctor :
The IPC doctor/officer must be a registered medical practitioner. In the majority of countries,the role is performed either by a medical microbiologist,hospital epidemiologist,or consultant in infectious diseases. Irrespective of their professional background,the IPC doctor should have knowledge and experience in medical microbiology and infectious diseases,hospital epidemiology and surverillance,asepsis,disinfection, and sterilization.It is recommended that at least one IPC doctor is required for every 1000 beds.However,this may vary greatly depending on their role and responsibility in the organization and type of helth care facility.
The role and responsibility of the IPC doctor /officer are summarized as follow:
Serves as a specialist advisor and takes a leading role in the effective functioning of the IPC team.
Should be an active member of the hospital IPC committee and may act its chairperson.
Assists the hospital IPC committee in drawing up annual plans,policies and longterm programmes for the prevention of HCAIs.
Advises the chief executive/hospital administrator directly on all aspects of HCAIs and on the implementation of agreed policies.
Participates in the preparation of tender documents for the support services and advises on IPC aspects.
Is involved in setting of quality standards,surveillance,and monitoring of HCAIs.
In orders to increase the profile of IPC,in 2003,the post of Director of Infection Prevention and Control(DIPC)was created in the UK to lead the IPC programme.Every hospital is required to appoint a DIPC at board level with driect reporting to the chief executive.Roles,responsibilities,and competencies of the DIPC are available at the UK Department of Health website:http://www.dh.gov.uk.
Infection Control Nurse:
An IPC nurse /practitioner is a registered nurse with an additional academic education and practical training which enables him or her to act as a specialist advisor.A recognized qualification in IPC should be held which allow recognition of the nurse as a specialist practitioner.The role and responsibilities of the IPC nurse are summarized as follows:
Serves as a specialist advisor and take a leading day-to-day role in the effective functioning of the IPC team.
Should be an active member of the hospital IPC committee.
Assists the health care facility IPC committee in drawing up annual plans and policies.
Provides specialist nursing input in surveillance,prevention ,mornitoring,and control of HCAIs.
Identifies,investigates,and take s timely action on all hazardous practice and procedures relating to IPC.
Advises the contribution to the development and implementation of IPC policies and procedures,participating in audit,and monitoringtools related to IPC and infectious diseases.
Presentation of educational programmmes and membership of relevant committees where IPC input is required.
It is essential that the IPC nurse should have an expert knowledge of both general and specialist nursing practice and must also have an understanding not only of the functioning of clinical areas but also operational areas and services.S/he must also be able to commmunicate effectively with all grades of staff,negotiate and effect change,and influence practice.
In order to perform the job effectively,IPC practitionersmust possess a higher level of knowledge in clinical and diagnostic microbiology,epidemiology,and infection prevention and control.In addition ,they must prossess essential skills and understanding of their role and responsibilities.In the UK,the Infection Prevention Society has developed a competency-based framework that will assist IPC nurse to continually expand on their existing knowledge,understanding ,and skills to help IPC staff to address the challenges HCAI presents in our ever changing health care environment(Burnett,2011)
-Manual of Infetion Prevention and Control
NIZAM DAMANI Foreword by Professor Didier Pittet
P20-22
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