Infection Prevention Policy and Procedure Manual for Hospitals

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Infection Prevention Policy and Procedure Manual for Hospitals

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Infection Prevention Policy and Procedure Manual for Hospitals

Customize and implement ready-made infection control policies and procedures

With more than 300 pages, this manual provides worksheets, job descriptions, policies, forms, and other helpful tools for new and veteran infection preventionists in all areas of the hospital.From HAI surveillance plans and bloodborne pathogens policies to hand hygiene procedures and pandemic guidelines, this all-inclusive toolkit supplies you with fully customizable files you can modify to fit your needs.


  • Reduce time spent searching online for infection control policies and procedures that prepare you for CMS, Joint Commission, CDC, OSHA, and APIC scrutiny
  • Get policies and procedures on every topic covered in a hospital infection control plan
  • Gain instant electronic access to all forms in the book using the “My downloads” section of your HCPro account.
  • Receive an easy-to-flip-through binder that allows you to add your own files

Take a look at the table of contents:

Section 1: Infection Prevention and Control Program Overview

      Sample Outline for an Infection Prevention and Control Plan


      Infection Prevention Plan (Sample 1)


      Infection Prevention, Surveillance and Control Program Plan (Sample 2)


      Infection Control Committee


      Infection Control Coordinator Job Description

Section 2: Surveillance and Reporting
Sample IC Committee Goals and Strategies
HAI Outbreak Policy
Infection Control Patient Care and Isolation Tracer
Infection Control Plan Risk Assessment
Sentinel Events Policy
Reporting Communicable Diseases

Section 3: Employee Education and Health
New Employee OSHA Orientation Checklist
CDC Suggested Work Restrictions for Personnel
Competency Validation Guideline for Negative Pressure Rooms
Prevention of HIV/HBV/HCV Transmission
Prevention of MRSA Transmission

Section 4: Isolation
Isolation Techniques and Requirements
Airborne Precautions/Respiratory Isolation Policy
Protective Precautions
Droplet Precautions

Section 5: Sterilization and Disinfection
Cleaning and Disinfection Guidelines
Sterilization Guidelines and General Information
Sterilization Monitoring
Steam Sterilization
Packaging for Reprocessable Items to be Sterilized
Recall of Sterilized Items

Section 6: Patient Care Standard Precautions & Protocol
Standard Precautions
Contact Precautions
Glove Use Guidelines
Hand Hygiene Policy
Hand Hygiene Compliance Worksheet
Hand Hygiene Monitoring Tool
Visitation Policies
Animals Visitation Policy
Hospital Precautions for Creutzfeldt-Jakob
Healthcare-Associated Pneumonia Prevention
Ventilator-Associate Pneumonia Bundle Monitoring Tool
Invasive Pressure Monitoring
Sample Letter to MRSA patient
Vancomycin-resistant Staphylococcus aureus Policy
Invasive Surgical Procedures Performed at the Bedside
Intravenous Peripheral Catheters Policy
Urinary Catheter Care Policy
Central Line Policy

Section 7: Bloodborne Pathogens
Bloodborne Pathogens Policy
Exposure-prone Activities List
Bloodborne Pathogens Post-Exposure Checklist

Section 8: Tuberculosis
Tuberculosis Infection Prevention Plan

Section 9: Environment of Care
Infection Control Monitoring Tool for EoC
Construction and Renovation Policy
Waterborne Disease Policy
Environmental Sanitation Policy
Sterile Processing Department Traffic Control Policy

Section 10: Influenza Outbreak and Biodisaster
Infection Control Measures for Pandemic Influenza/Avian Influenza
Biodisaster Policy

Meet the Author :

Reviewer Peggy Prinz Luebbert MS, MT (ASCP), CIC, CHSP, consultant and owner of Healthcare Interventions in Omaha, NE, consults with healthcare facilities throughout the United States. A medical technologist with a master's degree, she has worked in infection control and healthcare safety for more than 20 years and has published and lectured extensively on a national level. She is certified in infection control and healthcare safety.


Policies come from multiple expert sources, including the University of Michigan Health System, which has spent 15 years on the honor roll of "America's Best Hospitals" compiled by U.S. News & World Report.

Published: September 2010