Breadcrumb Home Nurse Checklists Infection Control Form Information Info Name * Last 4 digits of SSN * Contact Phone * Email * Proficiency Scale 1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently Surveillance Performs Targeted Surveillance * Outbreak Investigations * Collaboration with Infection Control Committee * Collaboration with Hospital Epidemiologist * Performance Improvement Projects Related to Communicable Diseases * Collects, Monitors, and Maintains Data Using Facility HER * Utilize Center for Disease Control (CDC) * Infection Criteria (TB, AIDS) * Documentation and Investigation Techniques * Rounds of Hospital Units * Case Definition and Related Patient Care Issues * Monitor Infection Control Practices * Nosocomial Infections (AHIs, MRSAs) * Health Care Workers Exposures * Tracing Possible Sources of Infection or Transmission * Identification of Problems Regularly Meet with the Hospital Epidemiologist * Risk Reduction Among Patients and Staff * Understand the Transmission and Break of Infections * Identify Epidemiologically Important Issues for Infection Control Committee * Hospital Epidemiologist and Administration Design COA Including Surveillance, Outbreak Investigations, and Performance Improvement Projects * Communicable Diseases Reporting as Required * Compliance with Federal and State Laws Regarding Medical Wastes * OSHA NIOSH Standards * Blood Borne Pathogens and Respiratory Pathogens * Chart Review * Policies and Procedures Infection Control Policies * Staff Practices Associated with Infection Control * Professional Guidelines (CDC, APIC, etc.) * The Joint Commission Guidelines on Infection Control * Infection Control Plan to Meet Required Changes * Coordination Acts as Department Liaison for Infection Control Department * Act as Consultant for the Facility Infection Control Activities * Interdepartmental Coordination on Risk Reduction * Provide Coordinated Services to Patients for Improvement * Education In-Services of Current Employees on Infection Control * Orientation Programs of New Employees on Infection Control * Infection Control Techniques and Policies * Age Specific Competencies Infant (Birth - 1 year) * Preschooler (ages 2-5 years) * Childhood (ages 6-12 years) * Adolescents (ages 13-21 years) * Young Adults (ages 22-39 years) * Adults (ages 40-64 years) * Older Adults (ages 65-79 years) * Elderly (ages 80+ years) *