Chapter III
ORGANIZATIONAL SYSTEM, RESPONSIBILITIES AND AUTHORITY
Article 15: Organizational system of infection control in health facilities
1. Hospitals should establish organizational systems of infection control comprising:
a) Infection control councils (committees)
b) Infection control units (teams)
c) Infection control network.
2. Other health facilities should establish organizational systems of infection control in accordance with items 1, a and c of this Article and have staff responsible for infection control.
Article 16. Organization and responsibilities of Infection control councils (committees)
1. Organization:
a) The establishment of infection control councils is decided by Directors or Heads of health facilities. An infection control council is comprised of a chairman, a vice-chairman, a standing executive member and other executive members.
b) The Chairman of the infection control council is a leader or head of the health facility. The vice-chairman and the standing executive member is either head of the infection control unit or one of the leaders of a department/ward who is experienced in infection control.
c) Executive members of the infection control council are representatives for clinical and sub-clinical departments, the general planning department, the nursing department, the administration department, the finance and accounting department, the personnel department, the medical equipment department and other relevant sections.
2. Responsibilities:
a) Reviewing, making proposals and giving counsel to Directors or Heads of the facilities for development of and amendments and supplements to professional technical regulations on infection control appropriate to regulations of the Ministry of Health.
b) Giving advice to Directors or Heads of the facilities on the development plan for infection control and prevention of healthcare associated infections, diseases and epidemics; giving advice on repair, design, new construction of medical facilities in health facilities appropriate with infection control principles.
c) Conducting training, scientific research, direction over lower levels, and promotion on infection control within the management scope of the facilities.
Article 17. Organization and responsibilities of infection control units or teams
1. Organization:
a) Health facilities with from 150 patient beds or more or hospital grade II or higher should establish infection control units; health facilities with less than 150 patient beds should establish infection control teams; general clinics and health stations should have specialized staff responsible for infection control.
b) Depending on the size of the hospital, the infection control unit should be comprised of the following sections: administration and surveillance section, disinfection and sterilization section, laundry section and other sections are decided by Director of the hospital.
c) Leaders of an infection control unit (team) include the Unit Head (Team leader), Unit Deputy-Heads, and Head nurses. The Head of the infection control unit (Team leader) must own a university or higher degree majoring in medicine, nursing or pharmacy and have been trained on specialized infection control.
2. Responsibilities:
a) Developing annual and periodic infection control plans to be submitted to infection control councils (committees) for appraisals prior to approval by Directors (Heads) and implementation.
b) Acting as a focal point in developing infection control regulations and procedures based on common regulations and guidelines of the Ministry of Health to be submitted to Directors (Heads) for approval before implementation.
c) Acting as a focal point in coordinating with relevant departments/wards for conducting infection control surveillance, including:
- Detecting, conducting surveillance and making reports on communicable diseases and epidemics in compliance with the Communicable Disease Prevention and Control Law.
- Detecting and receiving reports on healthcare associated infection cases from clinical departments and bacteria culture results from microbiology departments (laboratories) and proposing timely intervention measures.
- Monitoring and making reports on drug resistant bacteria.
d) Conducting inspections and encouraging permanent and contractual workers and staff, teachers, students, pupils, patients, patients’ family members and visitors to properly follow infection control regulations in health examination and treatment.
đ) Conducting promotion, training, scientific research and participating in direction over lower levels on specialized infection control techniques, guidance on prevention of fatal communicable disease transmission and conducting scientific research and being maintaining international cooperation on infection control.
e) Managing and supervising disinfection, sterilization, laundry work, supply of sterile devices, disinfecting and sterilizing chemicals, linen and consumable materials for infection control throughout the facility.
g) Monitoring, appraising, and reporting of exposures and workplace occupational incidents related to microbiological etiologic agents happening to health workers.
h) Cooperating with microbiology departments, pharmacy departments and clinical departments in monitoring drug resistant microorganisms and appropriate antibiotic use.
i) Coordinating with departments, wards and members of infection control network in detecting and solving problems related to infection control.
Article 18. Organization and responsibilities of infection control network members
1. Organization: The infection control network is comprised of members representing clinical and sub-clinical departments; each department appoints at least a doctor or a nursing staff or midwife as members of the infection control network operating under the professional leadership of infection control units (teams). These members shall be given regular training on updated expertise on infection control.
2. Responsibilities:
a) Participating and coordinating in implementation of infection control in the facility.
b) Participating in inspection and supervision, and encouraging medical doctors and staff in the facility to follow professional regulations and procedures related to infection control.
Article 19. Responsibilities and authority of Head of infection control units (teams).
1. Responsibilities: being accountable to the Director (Head) of the health facility for the overall infection control within the facility:
a) Organizing proper implementation of all responsibilities of infection control units.
b) Making infection control plans to be submitted to the Director for approval and organizing implementation...
c) Directing in surveillance and detection, and making proposals for timely intervention measures aimed at controlling healthcare associated infection cases and diseases of epidemic potential.
d) Participating in development of infection control regulations and procedures and directing the inspections and encouragement for execution.
đ) Making proposals on procurement plans and technical standards and specifications for equipment, consumable materials, and chemicals for infection control in the whole facility.
e) Participating in promotion, guidance, and training on expertise and skills of infection control to health workers, teachers, pupils, medical students, patients, patients’ family members and visitors.
g) Organizing scientific research and training, and giving direction over lower levels on infection control.
h) Coordinating with related departments and wards in assessing the implementation efficacy of specialized infection control techniques
i) Making reviews and reports on performance and outcomes of infection control in the whole facility.
2. Authority:
a) Executing the overall authority of the unit head.
b) Inspecting and requiring departments, wards and individuals to properly follow infection control regulations.
c) Making proposals to the Director (Head of the facility) for rewards or disciplinary actions on individuals and teams getting achievements or violating professional techniques on infection control.
d) Acting as the standing executive member of the infection control council, executive member of the quality management council (if any), and executive member of the medication and treatment council.
Article 20: Responsibility and authority of head nurses of infection control units.
1. Responsibilities:
a) Executing overall responsibilities of head nurses.
b) Assisting heads of infection control units in executing responsibilities of infection control units.
c) Assisting unit heads in making plans for management of equipment and devices, use of consumable materials, and chemicals for professional activities in the unit.
d) Participating in development of infection control regulations and procedures and inspection and supervision on execution.
e) Executing other responsibilities delegated by Heads of infection control units.
2. Authority:
Having authority similar to that of other head nurses and being authorized to conduct inspections and supervision on infection control in departments or wards within health facilities.
Article 21: Responsibilities and authority of medical doctors and specialized staff of infection control units (teams):
1. Responsibilities:
a) Strictly observing infection control regulations.
b) Participating in development of infection control regulations and procedures and inspection and supervision on execution.
c) Conducting surveillance, detection, monitoring, and reviewing of healthcare associated infections in departments.
d) Managing equipments and devices, materials and chemicals for professional work if delegated.
đ) Executing other responsibilities delegated by Heads of infection control units.
2. Authority:
Conducting inspections and supervising the execution of the circular on guidelines for implementation of infection control over individuals and departments in accordance with delegation by heads of infection control units.
Tìm kiếm
Thông tư 18/2009/TT-BYT (Bản Word)