Acute Care Manual

The IP&C manual is listed in its entirety below in individual sections. If you wish to have a printed copy please print off all the sections listed below. The IP&C manuals are living documents and as such is continually being updated to reflect changes in best practice, current knowledge and research. IP&C strongly recommends that you check this area for updates, especially if you have and use a printed copy of any of these materials

Revisions

2020	2019	2018	2017	2016	2015	2014
August	January	March	July	February	July	March
				December		November

	2006	2008	2010	2011	2012	2013
	November	February	May	November	July	September
			April	July		January
			March	April

Introduction

Purpose of the WRHA Infection Prevention & Control Manual, After Hour Coverage

Document Development, Review & Stakeholders Consultation Record

WRHA Infection Prevention and Control Operational Directives

Admission Screening for Antibiotic Resistant Organisms (AROs)

Cleaning and Disinfection of Non-Critical Reusable Equipment/Items for Patients in Hospital

Animals in Acute Care Facilities Operational Directive

Facility Approved Disinfectants

Gels, Ultrasound and Medical

Infection Prevention and Control for Construction, Renovation and Maintenance

Emergency Water Contingency for WRHA Facilities

Medical Device Reprocessing:

Transportation, Distribution, and Storage of Contaminated, Clean and Sterile Medical Devices (on and off-site)

Single Use Medical Devices

Pre-Purchase Assessment of Multi-use Medical Devices (Instruments and Equipment)

Nursing Foot Care Infection Prevention & Control Management in Hospitals

Outbreak Management for Infection Prevention & Control In Hospital Settings

Reporting of a Communicable Disease to Manitoba Health by Infection Prevention & Control in Hospitals

Pediatric Gastric Aspirate Collection for Tuberculosis Diagnosis

Spill Management

Tuberculin Skin Test (TST) Operational Directive

Tuberculosis in the Maternal and Newborn Population

Waste Management Operational Directive

Routine Practices

Routine Practices

Routine Practices Preamble

1. Point of Care Risk Assessment PCRA

2. Hand Hygiene

3. The 4 Moments of Hand Hygiene

4. Source Control

5. Accommodation and Placement

6. Flow

7. Aseptic Technique

8. Personal Protective Equipment PPE

9. Specimen Collection

10. Sharps Safety and Prevention of Bloodborne Transmission

11. Management of the Patient Care Environment

12. Visitor Management and Education

Additional Precautions

Additional Precautions

Introduction

Airborne Precautions

Airborne Infection Isolation Room (AIIR) Prioritization

Contact Precautions

Containment Precautions

Droplet Precautions

Protective Precautions

Modified Protective Precautions

Airborne/Contact Precautions

Droplet/Contact Precautions

Enhanced Droplet/Contact Precautions

Clinical Presentation and Empiric Precautions Table

Clinical Presentation and Empiric Precautions Table

Microorganism Infectious Disease Table

Microorganism Infectious Disease Table

Specific Disease Protocols

AMR GNB (Antimicrobial Resistant Gram Negative Bacilli)

Cimex Lectularius (Bed Bugs)

Candida auris (Multi Drug Resistant)

Carbapenemase-Producing Enterobacteriaceae (CPE)

Creutzfeldt-Jakob Disease (CJD)

Cystic Fibrosis Protocol

ESBL (Extended Spectrum Beta-Lactamase)

Group A Streptococcus

Immunocompromised Condition

Influenza Outbreak Management Protocol

(Seasonal) Influenza Protocol

Lice (Pediculosis)

Measles/Rubeola Protocol

MRSA (Methicillin Resistant Staphylococcus aureus)

Pandemic Influenza

Rubella (German Measles)

Severe Acute Respiratory Infection (SARI)

Tuberculosis (TB)

Varicella-Zoster Virus (VZV); Chickenpox (Varicella) & Shingles (Herpes Zoster)

VRE (Vancomycin Resistant Enterococci)

IP&C Communication Forms

Chlorhexidine Gluconate Concentration for Hand Hygiene

Cardboard Usage Transport & Unit Storage of Supplies

Clean Supply Movement

Cleaning and Disinfection of Jetted Tubs

Management of Shared Reading Materials in Hospital Waiting Rooms

Portable Fans-Cleaning and Use Restrictions

Reuse of Razors

Sharing of personal items

Pull Cords and Call Bells

Urinary catheter change frequency

Topping up Bottles, Reusing Trigger Spray Nozzles and ElephantEarWash™System

Upper Extremity Supportive Devices

Definitions

Appendices

Air Changes Table

Adult and Pediatric Point of Entry Respiratory Infection Screening

Regional Health Authorities Infection Prevention and Control Policies

90.00.005 Infection prevention & Control (IP&C) Manuals

90.00.035 Loaned, Shared or Leases Sterile Devises for Surgical Procedure (Critical or Semi-Critical) Management of

90.00.050 Sterilizer Quality Assurance Monitoring

90.00.060 Routine Practices for Reducing the Risk of Infection Transmission

90.00.080 Flexible Endoscopes, Reprocessing (undergoing High Level Disinfection)

January 2019 Revisions - Single Pages

Contact Precautions Protocol - pg. 5.3.8

Seasonal Influenza Protocol - pg.7.12.4

Portable Fans - Cleaning and Use Restrictions - pg.8.5.1

March 2018 Revisions - Single Pages

Enhanced Droplet/ Contact Precautions Appendix A

Clinical Presentation & Empiric Precautions Table - TB entry pp 6.1.2

Microorganism, Infectious Disease Table –Influenza (Seasonal) entry pp 6.2.11

Microorganism, Infectious Disease Table– Lice entry pp 6.2.12

Microorganism, Infectious Disease Table–Mumps entry pp 6.2.14

July 2017 Revisions - Single Pages

Enhanced Droplet Contact Percaution Appendix A-AGMPs

Clinical Presentation and Empiric Precautions Table pp. 6.1.1-6.1.2

Microorganism Infectious Disease Table Diptheria - pp. 6.2.7-6.2.8

Microorganism Infectious Disease Table Seasonal Influenza Meningococcus Neisseria Meningitidis pp. 6.2.11-6.2.14