_______________________________________ Emergency Procedure?  YES  NO Was subclavian or IJ vein the site for insertion?  YES  NO Specify: ________________________ Is the indication for insertion appropriate?  YES  NO Date of Patient Discharged: Surveillance of Healthcare Associated Infection Central Line Associated Bloodstream Infection Insertion and Maintenance Bundles

1. The Challenging Role of an
Infection Control Nurse:
Victoria D. Villanueva, RN
Infection Control Consultant
Chong Hua Hospital
Cebu City, Philippines
The Philippine Experience

2. Proven Effective
Infection Control Strategies
INFECTIONS
EDUCATION INFECTION CONTROL
POLICIES
BUNDLES
OF CARE
ISOLATION
PRECAUTION
OUTBREAK CONTROL/
MANAGEMENT
RENOVATION /
CONSTRUCTION
RESEARCH
DISINFECTION &
STERILIZATION
HAND
HYGIENE
SURVEILLANCE
 CAUTI, VAP/VAE,
CLABSI, SSI, MDROs
NEEDLESTICK
INJURIES
ANTIBIOTICS
ENVIRONMENT
OF CARE
HAND
HYGIENE DISINFECTION
&
STERILIZATION
SURVEILLANCE
- CAUTI, VAP/VAE, CLABSI, SSI, MDROs
NEEDLESTICK
INJURIES
ANTIBIOTIC
STEWARDSHIP
PROGRAM
ENVIRONMENT
OF CAREINFECTION
CONTROL
POLICIES
BUNDLES
OF CARE
ISOLATION
PRECAUTION
OUTBREAK
CONTROL /
MANAGEMENT
RESEARCH
RENOVATION
/
CONSTRUCTION
ICN
Activities of a Filipino
Infection Control Nurse

3. Who is a Filipino Infection Control Nurse?
 A versatile, creative and innovative
person who performs different roles
and infection control activities
geared towards the reduction and
prevention of spread of infections in
the healthcare system and in the
community.

4. The Roles Played by an
Infection Control Nurse in the Philippines:
 Educator/Teacher/Trainer
 Writer/Author
 Surveillance Officer
 Outbreak Investigator
 Hand Hygiene Champion
 Policy Implementer
 Antibiotic Steward
 Researcher
 Waste Manager
 Product Evaluator
 Event/Meeting Organizer
 Operational Planner
 And many more…

5. As an Educator/Teacher/Trainer…
 First and foremost role of an Infection Control Nurse
 Gives teachings in basic and advanced Infection Prevention and Control standards and
practices which happen:
• At bedside
• In the hospital or in the healthcare facility
• In the community
 Target population:
• Healthcare Workers (HCWs)
• Patients
• Relatives of Patients
• Visitors of the hospital
• People of the community
 My personal advocacy or crusade:
• To spread awareness in Infection Control in far-flung areas of the Philippines by
giving talks, lectures and seminars.
 A more structured course in infection control: Infection Control Basic Course

6. As an Educator/Teacher/Trainer…
In my role as an educator, I make use of educational materials such as:
 Brochures
 Posters

7. As an Educator/Teacher/Trainer…
 Checklists (specially helpful for infection control bundles)
Date of Hospital Admission: Date Discharged from the Hospital:
Diagnosis:
Date/Time Mechanically Ventilated: Date/Time Mechanical Ventilation Ended:
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).
DATE
DAYS
VAP BUNDLE AM PM N AM PM N AM PM N AM PM N AM PM N
Head of Bed (30-45 degrees)
Chlorhexidine Oral Prophylaxis
Stress Ulcer Prophylaxis Remarks Remarks Remarks Remarks Remarks
DVT Prophylaxis Remarks Remarks Remarks Remarks Remarks
Sedation Holiday Remarks Remarks Remarks Remarks Remarks
Spontaneous Breathing Trial
Initials of NIC
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC) or Pulmonology
Fellow on Duty (PFOD).
VAE SCORING
DATE
DAYS
Step 1
VAC
A PEEP (min)
B FiO2 (min)
Step 2
IVAC
Temp
<36°C
>38°C
WBC
Count
≥12k
≤4k
New Antimicrobial
Started
Step 3
PVAP
Positive
Cultures?
Quanti
Semi-
Quanti
Purulent Respiratory
Secretions
Pleural Fluid
Lung Histopathology
Legionella species
Viral
Diagnosis
VAE
(VAC/IVAC/PVAP)
Initials of RIC/PFOD
Initials of ICN
* Do not proceed to step 2 or 3 if step 1 is not met
SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION
VENTILATOR ASSOCIATED EVENTS-ADULT Reviewed 01072015 Page 1 of 2
Patient Name:
Last Name First Name MI
Date of Birth: mm/dd/yy Patient Identification No. (PIN)
Age Sex Rm#: Attending Physician/s:
Attending Pulmonologist:
Surveillance of Healthcare
Associated Infection
Ventilator Associated Events
ADULT
Form PCI-HOS-016 ver01
Patient Name:
Last Name First Name MI
Date of Birth: mm/dd/yy Patient Identification No. (PIN)
Age Sex Rm#: Attending Physician/s:
Date Admitted: Date Discharged:
Diagnosis:
Date and Time Catheter was inserted: Date and Time Catheter was removed:
Inserted by:
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).
Date
Days
CAUTI BUNDLE AM PM N AM PM N AM PM N AM PM N AM PM N
Insertion and re-insertion using aseptic technique
Daily perineal care
Proper securement of urinary catheter
Drainage bag kept below bladder level at all times
Daily review of catheter necessity
Initials of NIC
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC).
CLINICAL CRITERIA
ADULT
Fever (≥ 38°C)
Urgency
Costovertebral pain/tenderness
Frequency
Dysuria
Suprapubic tenderness
PEDIA
Fever (≥ 38°C)
Hypothermia (> 36.5°C )
Apnea
Bradycardia
Lethargy
Vomiting
Dysuria
Asymptomatic Bacteremic UTI
Symptomatic UTI
LABORATORY CRITERIA
Urinalysis
1.(+) Leukocyte exudates/nitrite
2.Pyuria
Urine gram stain
Urine culture
Blood Culture
Initials of RIC
SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION
CATHETER ASSOCIATED URINARY TRACT INFECTION Reviewed 01052015 Page 1 of 2
Surveillance of Healthcare
Associated Infection
Catheter Associated
Urinary Tract Infection
Form PCI-HOS-023 ver01
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC) assisting the insertion.
CENTRAL LINE INSERTION BUNDLE YES NO REMARKS
Was sublcavian or IJ vein the site for insertion?
Has inserter and assistant performed hand hygiene procedures, either by washing hands with liquid soap
and water or with alcohol-based hand rubs (ABHR)?
Was 70% alcohol and > 0.5 % CHG used in cleaning site of insertion?
Have both the operator and assistant practiced maximal sterile barrier precautions (wearing a sterile gown,
sterile gloves, and cap) and using a full body drape for patient?
Initials of NIC
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).
Date
Days
CENTRAL LINE MAINTENANCE BUNDLE
Review done for central line necessity
Hand hygiene practiced before all
maintenance/access procedures
Alcohol used to disinfect hub
Dressing changed using aseptic technique
 Transparent dressing every 7 days
 Sterile gauze every 24 hours
Administration (Intravenous) set replaced every 4-7
days
Initials of NIC
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC).
CLINICAL CRITERIA
ADULT
Fever (≥ 38°C)
Chills
Hypotension
PEDIA (≤ 1 yr. old)
Fever (≥ 38°C)
Hypothermia (> 36.5°C )
Apnea
Bradycardia
LABORATORY CRITERIA
Blood culture 1
Blood culture 2
Initials of RIC
SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION
CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTION Reviewed 01202015 Page 1 of 2
Patient Name:
Last Name First Name MI
Date of Birth: mm/dd/yy Patient Identification No. (PIN)
Age Sex Rm#: Attending Physician/s:
Date Admitted: Diagnosis: Date and Time Inserted: Date and Time Removed:
Type of Central Venous Catheter:
 Tunneled  Non-tunneled
 PICC line  Others:
 Chemoport ___________________
Inserter:
_______________________________________
Emergency Procedure?  YES  NO
Was subclavian or IJ vein the site for insertion?
 YES  NO
Specify: ________________________
Is the indication for insertion appropriate?  YES  NO
Date of Patient Discharged:
Surveillance of Healthcare
Associated Infection
Central Line Associated
Bloodstream Infection
Insertion and Maintenance Bundles

8. As a Writer/Author…
1. Writes articles or news bulletins on infection control topics such as emerging
and reemerging infections (references: CDC, WHO and DOH).
Ebola Virus MERS-CoV Dengue Leptospirosis Zika Virus
3. Publishes researches in infection control
• Locally in the Philippines
• Internationally in infection control journals
2. Constructs infection control policies and guidelines (Hand Hygiene, Isolation
Precautions, Disinfection and Sterilization, Needle Stick Injuries)

9. As a Surveillance Officer…
Monitors Healthcare Associated Infections (HAIs) such as:
 CAUTI
 CLABSI
 VAP/VAE
 SSIs
 MDROs
Colonized
Infected
Date of Hospital Admission: Date Discharged from the Hospital:
Diagnosis:
Date/Time Mechanically Ventilated: Date/Time Mechanical Ventilation Ended:
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).
DATE
DAYS
VAP BUNDLE AM PM N AM PM N AM PM N AM PM N AM PM N
Head of Bed (30-45 degrees)
Chlorhexidine Oral Prophylaxis
Stress Ulcer Prophylaxis Remarks Remarks Remarks Remarks Remarks
DVT Prophylaxis Remarks Remarks Remarks Remarks Remarks
Sedation Holiday Remarks Remarks Remarks Remarks Remarks
Spontaneous Breathing Trial
Initials of NIC
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC) or Pulmonology
Fellow on Duty (PFOD).
VAE SCORING
DATE
DAYS
Step 1
VAC
A PEEP (min)
B FiO2 (min)
Step 2
IVAC
Temp
<36°C
>38°C
WBC
Count
≥12k
≤4k
New Antimicrobial
Started
Step 3
PVAP
Positive
Cultures?
Quanti
Semi-
Quanti
Purulent Respiratory
Secretions
Pleural Fluid
Lung Histopathology
Legionella species
Viral
Diagnosis
VAE
(VAC/IVAC/PVAP)
Initials of RIC/PFOD
Initials of ICN
* Do not proceed to step 2 or 3 if step 1 is not met
SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION
VENTILATOR ASSOCIATED EVENTS-ADULT Reviewed 01072015 Page 1 of 2
Patient Name:
Last Name First Name MI
Date of Birth: mm/dd/yy Patient Identification No. (PIN)
Age Sex Rm#: Attending Physician/s:
Attending Pulmonologist:
Surveillance of Healthcare
Associated Infection
Ventilator Associated Events
ADULT
Form PCI-HOS-016 ver01
Patient Name:
Last Name First Name MI
Date of Birth: mm/dd/yy Patient Identification No. (PIN)
Age Sex Rm#: Attending Physician/s:
Date Admitted: Date Discharged:
Diagnosis:
Date and Time Catheter was inserted: Date and Time Catheter was removed:
Inserted by:
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).
Date
Days
CAUTI BUNDLE AM PM N AM PM N AM PM N AM PM N AM PM N
Insertion and re-insertion using aseptic technique
Daily perineal care
Proper securement of urinary catheter
Drainage bag kept below bladder level at all times
Daily review of catheter necessity
Initials of NIC
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC).
CLINICAL CRITERIA
ADULT
Fever (≥ 38°C)
Urgency
Costovertebral pain/tenderness
Frequency
Dysuria
Suprapubic tenderness
PEDIA
Fever (≥ 38°C)
Hypothermia (> 36.5°C )
Apnea
Bradycardia
Lethargy
Vomiting
Dysuria
Asymptomatic Bacteremic UTI
Symptomatic UTI
LABORATORY CRITERIA
Urinalysis
1.(+) Leukocyte exudates/nitrite
2.Pyuria
Urine gram stain
Urine culture
Blood Culture
Initials of RIC
SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION
CATHETER ASSOCIATED URINARY TRACT INFECTION Reviewed 01052015 Page 1 of 2
Surveillance of Healthcare
Associated Infection
Catheter Associated
Urinary Tract Infection
Form PCI-HOS-023 ver01
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC) assisting the insertion.
CENTRAL LINE INSERTION BUNDLE YES NO REMARKS
Was sublcavian or IJ vein the site for insertion?
Has inserter and assistant performed hand hygiene procedures, either by washing hands with liquid soap
and water or with alcohol-based hand rubs (ABHR)?
Was 70% alcohol and > 0.5 % CHG used in cleaning site of insertion?
Have both the operator and assistant practiced maximal sterile barrier precautions (wearing a sterile gown,
sterile gloves, and cap) and using a full body drape for patient?
Initials of NIC
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Nurse-in-Charge (NIC).
Date
Days
CENTRAL LINE MAINTENANCE BUNDLE
Review done for central line necessity
Hand hygiene practiced before all
maintenance/access procedures
Alcohol used to disinfect hub
Dressing changed using aseptic technique
 Transparent dressing every 7 days
 Sterile gauze every 24 hours
Administration (Intravenous) set replaced every 4-7
days
Initials of NIC
Instructions: Place a  if done, × if not done, NA if not applicable. This form is to be filled out by the Resident-in-Charge (RIC).
CLINICAL CRITERIA
ADULT
Fever (≥ 38°C)
Chills
Hypotension
PEDIA (≤ 1 yr. old)
Fever (≥ 38°C)
Hypothermia (> 36.5°C )
Apnea
Bradycardia
LABORATORY CRITERIA
Blood culture 1
Blood culture 2
Initials of RIC
SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION
CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTION Reviewed 01202015 Page 1 of 2
Patient Name:
Last Name First Name MI
Date of Birth: mm/dd/yy Patient Identification No. (PIN)
Age Sex Rm#: Attending Physician/s:
Date Admitted: Diagnosis: Date and Time Inserted: Date and Time Removed:
Type of Central Venous Catheter:
 Tunneled  Non-tunneled
 PICC line  Others:
 Chemoport ___________________
Inserter:
_______________________________________
Emergency Procedure?  YES  NO
Was subclavian or IJ vein the site for insertion?
 YES  NO
Specify: ________________________
Is the indication for insertion appropriate?  YES  NO
Date of Patient Discharged:
Surveillance of Healthcare
Associated Infection
Central Line Associated
Bloodstream Infection
Insertion and Maintenance Bundles
Instructions: Place a  if done and × if not done. This form is to be filled out by the Infection Control Nurse (ICN).
Date and time of visit (mm/dd/yy)
Criteria for SSI YES NO YES NO YES NO YES NO YES NO YES NO
Abscess or other evidence of infection found during re-
operation through diagnostic and/or laboratory
examinations
           
Aspirated fluid/swab of surgical site yields organisms
and pus cells are present            
Clinician’s diagnosis            
Fever ( temperature 38⁰C or more )            
Heat            
Incision spontaneously dehisced or opened by Surgeon
           
Localized swelling            
Purulent drainage            
Redness            
Tenderness            
Antibiotic Used
Causative Organism
Surgical Site Infection  Yes  No
Date of Onset:
 Yes  No
Date of Onset:
 Yes  No
Date of Onset:
 Yes  No
Date of Onset:
 Yes  No
Date of Onset:
 Yes  No
Date of Onset:
Type of Surgical Site Infection
( Refer at the back for Surgical Site Infection Criteria )
 Superficial
 Deep
 Organ / Space
 Superficial
 Deep
 Organ / Space
 Superficial
 Deep
 Organ / Space
 Superficial
 Deep
 Organ / Space
 Superficial
 Deep
 Organ / Space
 Superficial
 Deep
 Organ / Space
MD Notified / Date & Time
Initial of ICN
SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION
SURGICAL SITE INFECTION Page 1 of 2
Patient Name:
Last Name First Name MI
Date of Birth: mm/dd/yy Patient Identification No. (PIN)
Age Sex Rm#: Attending Physician / Surgeon: Date Admitted: Date Discharged: Date of Surgery:
Address: Contact Number:
Surgical Procedure:
 Thyroidectomy  Mastectomy  CABG  Total Hip Arthroplasty  Total Knee Arthroplasty  TAHBSO  Others (Pls. Specify):
ASA Score:
 1  2  3  4  5
Is Patient Known as Diabetic?
 Yes  No
Blood Glucose (24 Hrs. Post CABG): Type of Surgery:
 Elective  Emergency
Wound Classification:
 Clean  Clean-contaminated  Contaminated  Dirty
Duration of Surgical Procedure:
Time of Incision:
Time of Closure:
Overall Duration (in minutes):
Antimicrobial Prophylaxis:  None Yes
If Yes, please specify:
Antibiotic: Dose: Date and Time Given:
Antibiotic extended as treatment:  Yes  No
 Post-Op Temperature not less than
35.5°C
 Use of Clippers for hair removal

10. As an Outbreak Investigator…
3. During outbreaks, the ICN should be a good:
• Manager
• Collaborator
• Epidemiologist
1. Each facility should have in place:
• Routine surveillance
• Outbreak investigation
2. ICN is responsible for:
• Surveillance
• Initiation and execution of outbreak investigations

11. As an Outbreak Investigator…
4. Procedure for Epidemiological Investigation:
a. Establish the existence of an outbreak
b. Confirm the diagnosis
c. Establish the case definition and count cases
d. Relate the outbreak to time, place and person
e. Determine who is at risk of becoming ill
f. Formulate a tentative hypothesis
g. Compare the hypothesis with established facts
h. Plan a detailed epidemiologic investigation
i. Prepare a written report
j. Implement control and prevention measures

12. As a Hand Hygiene Champion…
HAND HYGIENE is still the single most effective way to prevent infections.

13. As a Policy Implementer…
 Making policy is one thing but
implementation is another thing
 Uses monitoring checklists (Hand Hygiene,
Bundles of Care, and Isolation Precautions)
 Logbooks (reuse of Single Use Devices,
Biological Indicator monitoring, monitoring
of OR temperature and humidity)

14. As an Antibiotic Steward…
 Coordinates with the Pharmacy and Therapeutics Committee
 Audits, analyzes and reports antibiotic prescribing and
resistance patterns
 Educates staff on the importance of appropriate antibiotic use
 Implements strategies to optimize the use of antibiotics
 Helps in the formation of hospital antibiogram

15. As a Researcher…
 Provides information to the management on recent
advances in Infection Prevention and Control
 Applies research process and research findings to
infection control practice

16. As a Waste Manager…
 Oversight on waste management program
 Ensures compliance with hospital waste
management policy through audit checklists

17. As a Product Evaluator…
 Participates in evaluation of hospital equipment
and products

18. As an Event/Meeting Organizer…
 Organizes Infection Control Committee meetings
 Organizes coordination meetings with different
departments
 Organizes trainings and seminars in Infection
Prevention and Control

19. As an Operational Planner…
 Plans budget for infection control operation

20. Mental and Emotional Requirements of an ICN
 There are mental and emotional requirements of all positions
working in a hospital due to the nature of the services
provided. The requirements included the ability to:
• Handle multiple priorities
• Make decisions independently
• Make decisions under pressure
• Works in close proximity to others and/or in a distracting
environment
• Manage anger/fear/hostility
• Manage stress appropriately
• Works alone effectively

21. Required Skills, Knowledge & Abilities of an ICN
Infection control nurses shared a common background
in basic clinical educational and some years of bedside
patient care experience, but were now confronted with
demands for computer skills, report generation,
application of infection definitions, and a far more
sophisticated understanding of epidemiology that had
ever been necessary in the past.

22. Required Skills, Knowledge & Abilities of an ICN
1. Demonstrates effective interpersonal skills necessary to
interact in a professional manner with customers.
2. Demonstrates leadership, creativity, and management skills.
3. Language- ability to read, analyze, interpret contracts,
technical procedures, or governmental regulations. Ability to
write reports and other forms of correspondence. Ability to
effectively present verbal and/or written information. Ability
to respond to the most sensitive inquiries or complaints.

23. Required Skills, Knowledge & Abilities of an ICN
4. Mathematical – ability to apply mathematical concepts such as
fractions, percentages, rates and proportions to practical
situations. Ability to work with mathematical concepts such as
probability and statistical tools for analysis and problem
solving. Ability to create and interpret various charts and
graphs to present in understandable format.

24. Required Skills, Knowledge & Abilities of an ICN
5. Information Management and Systems- This job requires
computer and systems competency in the following areas:
Enters data, retrieves data, assembles and organizes data, uses
and analyzes data. Integrates diverse sources of data.

25. Required Skills, Knowledge & Abilities of an ICN
6. Reasoning- ability to define problems, collect data, establish
facts, and draw valid conclusions. Ability to interpret
instructions furnished in written, oral, diagram, or schedule
form. Ability to apply principles of logical or scientific thinking
to a wide range of intellectual and practical problems. Ability
to deal with nonverbal symbolism (formulas, scientific
equations, graphs).

26. Job Description
JOB DESCRIPTION
Position Title: Infection Control Nurse/ Officer
Assists in the general operations of the Infection Control Committee (ICC). Provides assistance
on matters related to infection prevention and control to hospital staff, divisions and departments.
Monitors Healthcare Associated Infections (HAIs) in the hospital and implements measures to
lower them.
Main Duties and Responsibilities
1. Helps plan, develop and implement the infection prevention and control program and
policies in the hospital.
2. Helps develop and implement infection prevention and control educational modules for
staff in the hospital.
3. Helps develop and implement Healthcare Associated Infections surveillance program.
4. Helps develop hospital antibiogram.
5. Investigates and manages outbreak of infections in the hospital.
6. Monitors and manages cases involving multidrug resistance organisms (MDROs) such as
Methycillin Resistance Staphylococcus Aureus (MRSA), Extended Spectrum Beta
Lactamase (ESBL), Vancomycin Resistance Enterococcus (VRE), etc.
7. Oversees constructions and renovations in the hospital in relation to infection control
standards and recommendations.
8. Helps in the conduct and interpretation of results of water analysis in the hospital.
9. Monitors compliance to infection prevention and control standards and policies in the
hospital.
10. Represents ICC in the Pharmacy and Therapeutics Committee (PTC), Healthcare Waste
Management Committee, Product Evaluation Committee, Environment of Care (EOC) and
other committees in the hospital.
11. Organizes and leads the Infection Control Committee and ensures that it is composed of
members from multi-disciplinary teams.
12. Reports infection rates and gives recommendations to hospital management and
leadership.
13. Assists and collaborates with the PTC in the implementation of antibiotic stewardship
program in the hospital.
PLANNING-LEADING-ORGANIZING-CONTROLLING
Planning
1. Helps develop Operational Plan of Infection Control Committee.
2. Assists in budgeting for resources allocation for the execution of infection prevention and
control programs.
3. Coordinates with the hospital management and leadership for direction and thrust in the
hospital infection prevention and control programs and projects.
Organizing
1.Organizes and facilitates Infection Control Committee meetings.
2.Implements a structured Healthcare Associated Infection (HAI) Surveillance program which
includes Ventilator Associated Events (VAE), Catheter Associated Urinary Tract Infection
(CAUTI), Central line Associated Blood Stream Infection (CLABSI), and Surgical Site
Infections (SSI).
3.Implements a structured surveillance of needle stick injury and blood and body fluids
exposure incidents.
4. Provides pre and post counseling to patients undergoing Human Immuno-Deficiency
Syndrome (HIV) screening.
5. Leads and serves as resource authority during accreditation activities in relation to
infection prevention and control.
Leading
1.Serves as leader in infection prevention and control program in the hospital, in the region,
in the country and in the international community.
2.Aligns infection prevention and control program with quality and patient safety.
3.Assists in the issuance of memos, guidelines and protocols in relation to matters related
to infection control.
4.Gives feedbacks and reports in relation to high Infection rates and contaminated water
analysis to hospital management and also manages the above situations.
5.Reports notifiable diseases to Department of Health (DOH) utilizing the Philippine
Integrated Disease Surveillance and Response (PIDSR) system of reporting.
Controlling
1.Monitors compliance to infection prevention and control standards and policies in the
hospital such as those related to isolation precautions, wearing of personal protective
equipment (PPEs), hand hygiene, etc.
2.Recommends usage of high quality, efficacious and cost-effective products in the
hospital
backed by evidences and studies.
3.Implements and monitors bundles of care in infection control (ie: VAE Bundle, CAUTI
Bundle, CLABSI Bundle, SSI Bundle, and MRSA Bundle).
Other Responsibilities:
1. Participates actively in organization wide activities and task forces assigned relevant to
the
corporate Vision, Mission and Values, and strategic objectives of the organization.
2. Refines skills through constant training, seminars and various educational tools.
3. Participates and monitors the Section/Department/Division's compliance to the hospital's
Environment of care (EOC) standards.
4. Maintains and adheres to strict confidentiality of all records/documents and patient
information.
5. Collaborates in providing immunizations to the hospital staff.
6. Educates patients, relatives, caregivers, visitors and staff on how to prevent contracting
infections in the hospital.
7. Attends infection control trainings and seminars locally and internationally to be updated
on the latest trends in infection control.
8. Gives recommendations in infection prevention and control based on international
guidelines such as those from Centers for Disease Control and Prevention (CDC),
Society of Healthcare and Epidemiology of America (SHEA), Infectious Disease Society
of America (IDSA), World Health Organization (WHO), Asia Pacific Society of Infection
Control (APSIC).
9. Assists in the publication and distribution of news bulletins regarding Infectious diseases
affecting local and international population.
10. Conducts research activities in relation to infection control.

27. Responsibility of an ICN
To have zero or lowest infections
among patients, visitors and
healthcare workers in the
healthcare facility.

28. *RPAP – Routine Practices and Additional Precautions
Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

29. Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

30. Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

31. Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

32. Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

33. Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

34. Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

35. Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

36. Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

37. Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

38. Reference: https://picnet.ca/uploads/files/ed_modules/01%20Introduction.pdf

39. Chong Hua Hospital
Prevention and Control of Infection Service

40. Chong Hua Hospital
Chong Hua Hospital
Cebu City
Chong Hua Hospital
Mandaue City

41. Even with all the challenges of an Infection
Control Nurse, it is still fun.
Thank you!
However, Infection Control Nursing is…