Cover,Preface and Introduction

Message from the Chief Executive Officer

Message from the Director of the

Executive Board of Health Ministers’ for GCC States

Preface

Introduction: User Guide

 

Section 1: POLICY

ICM - I-01 Joint Commission International Accreditation (JCIA) Standards for Hospitals- Prevention and Control of Infections (PCI)

ICM - I-02 Infection Control Committee Responsibilities

ICM – I-03 Statement of Authority

ICM – I-04 Infection Prevention and Control Program

ICM – I-05 Reporting Communicable Diseases to the Ministry of Health

ICM – I-06 Infection Prevention and Control Core Components (New)

 

Section 2: STANDARD INFECTION CONTROL POLICIES

ICM – II-01 Reporting Infections and Infection Concerns

ICM – II-02 Requesting Infection Control Review and Consultation

ICM – II-03 Standard Precautions

ICM – II-04 Hand Hygiene

ICM – II-05 Aseptic Technique

ICM – II-06 Therapeutic Procedures

ICM – II-07 Annual Infection Control Competency Training for all Healthcare Workers “Right  care Right now”(New)

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Section 3: ISOLATION PROCEDURES

ICM - III-01 Epidemiology of Infections

ICM - III-02 Isolation (Expanded) Precautions

ICM - III-03 Contact Isolation Precautions

ICM - III-04 Droplet Isolation Precautions

ICM - III-05 Airborne Isolation Precautions

ICM - III-06 Isolation System: A Quick Reference Guide

ICM - III-07 Initiating and Discontinuing Isolation

ICM - III-08 Single Room Use for Isolation Precautions

ICM - III-09 Transporting Patients on Isolation Precautions

ICM - III-10 Patients and Sitters in Isolation: Infection Control Education and Compliance

ICM – III-11 Negative Pressure Room Monitoring

ICM – III-12 Management of Influx of Airborne Infectious Diseases (New)

 

Section 4: INFECTION CONTROL POLICIES RELATED TO SPECIFIC DISEASES

ICM – IV-01 Multidrug Resistant Organisms (MDRO) Management

ICM – IV-02 Methicillin Resistant Staphylococcus Aureus (MRSA) Management

ICM – IV-03 Vancomycin Resistant Enterococcus (VRE) Management

ICM – IV-04 Hepatitis A Virus Exposure Management

ICM – IV-05 Viral Hemorrhagic Fever Management

ICM – IV-06 Pediculosis / Scabies Management

ICM – IV-07 Rabies Exposure Management

ICM – IV-08 Rabies Specimen Acquisition Handling and Shipment to Ministry of Agriculture Laboratory

ICM – IV-09 Management of Patients with Suspected Severe Acute Respiratory Syndrome (SARS)

ICM – IV-10 Rapid MRSA Surveillance

ICM – IV-11 Clostridium Difficile Management (New)

ICM – IV-12 Carbapenem-Resistant Enterobacteriaceae (CRE) Management and Patient Transfer (New)

ICM – IV-13 Management of Patients in Isolation in the Operating Room(New)

 

Section 5: POLICIES RELATED TO TUBERCULOSIS

ICM – V-01 Diagnosing Latent Tuberculosis Infection (LTBI): Tuberculin Skin Testing or Interferon-Gamma Release Assays (IGRAs)

ICM – V-02 Contact Tracing, Screening, and Treatment of Mycobacterium Tuberculosis in Healthcare Workers

ICM – V-03 Management of Suspected/Confirmed Cases of Infectious Mycobacterium Tuberculosis

ICM – V-04 Management of Patients with Infectious Mycobacterium Tuberculosis in the Operating Room

ICM – V-05 Tracing Contacts of Infectious Mycobacterium Tuberculosis for Non-Healthcare Workers

 

Section 6: EMPLOYEE AND OCCUPATIONAL HEALTH POLICIES

ICM - VI-01 Employee Occupational Health Program

ICM - VI-02 Pre-Employment Assessment

ICM - VI-03 Immunization Guidelines for Healthcare Workers

ICM - VI-04 Work Restrictions for Infected Healthcare Workers

ICM - VI-05 Pregnant Healthcare Workers

ICM - VI-06 Hepatitis A Immunization for Healthcare Workers

ICM - VI-07 Hepatitis B Immunization for Healthcare Workers

ICM - VI-08 Varicella Immunization for Healthcare Workers

ICM - VI-09 Management of Selected Airborne and Droplet Infectious Disease Exposures in Health Care Workers

ICM - VI-10 Management of Pediculosis and Scabies Exposure for Healthcare Workers

 

Section 7: INFECTION CONTROL POLICIES IN SPECIAL SITUATIONS

ICM - VII-01 Management of Infectious Diseases Outbreaks

ICM - VII-02 Management of Intravascular (IV) Lines and Therapy

ICM - VII-03 Antimicrobial Surgical Prophylaxis

ICM - VII-04 Management of Sharps Injury and Exposure to Bloodborne Pathogens (New)

ICM - VII-05 Immunocompromised Patients (Non-Hematopoietic Stem Cell Transplantation Patients)

ICM - VII-06 Hematopoietic Stem Cell Transplantation (HSCT)

CM - VII-07 Prevention of Transmission of Infection among Chronic Dialysis Patients

ICM - VII-08 Antimicrobial Stewardship Program)(New)

 

Section 8: DEPARTMENTAL POLICIES AND PROCEDURE (DPP)

ICM - VIII-01 Nutrition Services

ICM - VIII-02 Laundry

ICM - VIII-03 Pharmacy

ICM - VIII-04 Endoscopy

ICM - VIII-05 Ophthalmology Services and Clinics

ICM - VIII-06 Respiratory Therapy

ICM - VIII-07 Rehabilitation Services

ICM - VIII-08 Dental Clinic and Dental Laboratory

ICM - VIII-09 Burn Unit

ICM - VIII-10 Mortuary Care

ICM - VIII-11 Animal Research

ICM - VIII-12 Ambulatory Care (New)

ICM - VIII-13 Emergency Medical Services/Ambulance Services (New)

ICM - VIII-14 Home Care (New)

ICM - VIII-15 Interventional Radiology and Radiation Oncology (New)

ICM - VIII-16 Laboratory Services (New)

 

Section 9: SUPPORT SERVICES

ICM - IX-01 Sterile Supplies and Equipment Management

ICM - IX-02 Management of Infectious Wastes

ICM - IX-03 Single Use Devices (SUD)

 

Section 10: ENVIRONMENTAL HEALTH

ICM - X-01 Water Quality Monitoring Program and Requirements

ICM - X-02 Hemodialysis Water Quality Monitoring

ICM – X-03 Hazardous Chemical Gases and Sampling

ICM – X-04 Microbial Air Sampling in Patients’ Areas

ICM – X-05 CSSD Health Challenges

ICM – X-06 Food Hygiene

ICM – X-07 Housekeeping

ICM – X-08 Pest Control

ICM – X-09 Construction and Renovation Measures in the Healthcare Facility

ICM – X-10 Multidisciplinary Environmental Rounds (New)

ICM – X-11 Prevention of Legionella in the Healthcare Setting (New)