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The Role of the Infection Preventionist
Crystal Heishman, MSN, RN, ONC, CIC, FAPIC
President, APIC Kentuckiana
Infection Preventionist
University of Louisville Hospital
Infection Control
• Lister, Koch, Nightingale, Semmelweis, Holmes Pasteur, Jenner• 1946: Centers for Disease Control and Prevention (CDC)• 1972: Association for Practitioners in Infection Control (changed 1993-94)• 1976: Joint Commission instituted a requirement that an infection control
program must be in place for hospital accreditation• 1980s: National Nosocomial Infections Surveillance System • 2005: National Health Safety Network (NHSN)• 2008: Infection Preventionist (IP)
Professional Standards Qualifications: • Nurse, Physician, Microbiologist, Public Health • General healthcare knowledge • Willingness to work hard, listen, and question Professional Accountability: • Knowledge and skills • Professional organization membership • Continuing education
The Role of the Infection Preventionist• Leader • Mentor• Subject Matter Expert • Educator • Mediator• Liaison• Collaborator • Evaluator • Customer Service
Your Role: Leader
Regardless of personal perception, you ARE a leader!
• Lead by example
• Mentor/Coach
• Policy & Procedure
• Regulatory requirements
• Goal setting
• Infection Prevention Committee
Your Role: Mentor
• Assist with training of new Infection Preventionists
• Identify and assist front line staff interested in prevention efforts
• Preceptor for students
• Workgroup development
Your Role: Subject Matter Expert
• Standards • Regulations• Healthcare-associated Infection (HAI) prevention • Surveillance • Epidemiology • Data • Emergency Preparedness
Your Role: Educator
• Evidence Based Practice
• HAI prevention (transmission, hand hygiene, etc.)
• Blood-borne pathogens, infection risk
• New employee orientation
• Employees, volunteers, students, contractors
• Patients and families
• Community members
Your Role: Mediator
• IPs are in a special position to bring groups together for discussion
• Influence best practices (pet therapy, construction, patient safety, etc.)
• Provide evidence based information and recommendations
• Antimicrobial Stewardship
• Regulatory standard implementation
• Build bridges to address gaps in practice
Your Role: Liaison
• Public Health • CDC / NHSN• Regulatory bodies• Administration• Staff • Providers • Patients, visitors, and the community
Your Role: Collaborator
Relationships matter! • EVS, Emergency Preparedness, Sterile Processing, Supply Chain/Materials
Management, Engineering, Lab/Microbiology, Employee Health… • Information Technology• Human Resources, Marketing• Management and C-Suite • Public Health • Community
Your Role: Evaluator
• Infection Prevention Plan
• Annual Infection Prevention Risk Assessment
• Environment of Care and Infection Prevention rounds
• Surveillance / HAI prevention
• Outbreak investigations
• Auditing of practices
• Infection Prevention needs/problems
Your Role: Customer Service
• An IP’s customers are anyone that may require their services
• This may include: Staff, physicians, patients, families, visitors, volunteers, the community, EMS, public health, emergency preparedness coordinators…
• Service recovery through education and investigation
• The most important thing we can do is LISTEN!