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Exam subjects of CBIC-CIC Covered in these s.

- Interpret the relevance of diagnostic, radiologic, procedural, and laboratory reports
- Identify appropriate practices for specimen collection, transportation, handling, and storage
- Correlate clinical signs, symptoms, and test results to identify possible infectious disease
- Differentiate between colonization, infection, and pseudo infection (e.g., contamination)

- Differentiate between prophylactic, empiric and therapeutic uses of antimicrobials
- Assess risk factors for infectious diseases (e.g., travel, vaccination status, immunocompromising factors)
- Monitor current and emerging local and global health threats (e.g., local, national, and international public health organizations)

- Conduct a risk exam based on the following:
- geographic location
- demographics of the population served
- care
- treatment
- services provided
- analysis of infection prevention data
- evidence-based guidelines or recommendations
- regulatory or other requirements as applicable

- Develop goals and objectives based upon the risk exam
- Develop a surveillance plan based on the goals identified from the risk exam
- Adopt or establish standardized surveillance definitions
- Create a process to identify epidemiologically significant findings and notify relevant parties
- nursing unit
- health department
- leadership

- Integrate surveillance activities across health care settings
- ambulatory
- home health
- long term care
- acute care
- behavioral
- Establish process for identifying individuals with communicable diseases requiring transmission-based precautions and/or follow up:
- reporting to health department
- Periodically evaluate the ability of the surveillance plan to obtain relevant data and modify as necessary

- Collection and Compilation of Surveillance Data
- Collect data using standardized definitions
- Utilize a systematic approach to obtain and record surveillance data
- Organize and manage data in preparation for analysis
- Calculate the incidence and/or prevalence of infections
- Calculate specific infection rates/ratios
- provider specific
- unit specific
- device specific
- procedure specific
- Standardized Infection Ratio

- Interpretation of Surveillance Data
- Validate surveillance data
- Use basic statistical techniques to describe, analyze, and interpret data
- standard deviation
- rates
- ratios
- proportions

- Compare surveillance results to published data and/or other relevant benchmarks
- prior surveillance data
- national databases
- Monitor and interpret the relevance of surveillance data
- antimicrobial susceptibility patterns
- Prepare and present findings in a format that is relevant to the audience/stakeholders
- graph
- tables
- charts

- Verify existence of an outbreak or exposure
- Notify appropriate internal and external stakeholders
- Collaborate with appropriate persons to establish the case definition, period of investigation, and case finding methods
- Define the problem using time, place, person, and risk factors
- Formulate hypothesis on source and mode of transmission

- Collect additional data
- environmental samples
- active surveillance cultures
- Design and implement control measures, including ongoing surveillance
- Monitor and evaluate control measures for effectiveness
- Prepare and disseminate reports


- Develop infection prevention policies and procedures based on law and regulation, manufacturers instructions for use, evidence based guidelines and national standards (as applicable)
- Collaborate with relevant groups and agencies in planning community/facility responses to biologic threats and disasters
- public health
- anthrax
- influenza
- emerging pathogens

- Identify and implement infection prevention and control strategies related to:
- Hand hygiene
- Appropriate availability, selection, use, and disposal of Personal Protective Equipment
- Appropriate donning and doffing of Personal Protective Equipment
- Patient placement, transfer, and discharge
- Respiratory hygiene and cough etiquette

- Use of patient care products and medical equipment
- Principles of safe injection practices
- parenteral medication administration
- single use of syringes and needles
- appropriate use of single and multi-dose vials
- Compounding medications


- Identify and implement strategies related to Transmission based Precautions (in addition to standard precautions)
- Adapt transmission based precautions to the specific healthcare setting, the facility design characteristics, and the type of patient interaction
- Collaborate with key stakeholders on antimicrobial stewardship programs
- leadership
- pharmacist
- infectious disease specialist
- Monitor and interpret the relevance of antimicrobial susceptibility patterns

- Collaborate with key stakeholders on emergency preparedness and management
- Plan for the influx of patients with known/suspected communicable diseases
- bioterrorism
- emerging infectious diseases
- syndromic surveillance
- Identify infection preventions role in mass casualty incidents and emergency/disaster management
- Assess readiness of emergency management plans
- Establish infection prevention coverage in emergency situations
- Integrate infection prevention strategies into the four phases of emergency/disaster response in the emergency operations plan
- mitigation
- preparedness
- response
- recovery

- Assess and/or develop screening and immunization programs
- Collaborate with employee/occupational health regarding counseling, follow up, and work restriction recommendations related to communicable diseases and/or exposures
- Collaborate with employee/occupational health to evaluate data related to infection prevention and provide recommendations (e.g., needle stick injuries, splashes)
- Collaborate with employee/occupational health to identify healthcare personnel who may represent a transmission risk to patients, coworkers, and communities

- Consult on use of alternative infection prevention options (e.g., allergies to products)
- Assess risk of occupational exposure to infectious diseases
- Mycobacterium tuberculosis
- bloodborne pathogens
- Educate on safe work practices
- PPE
- safe injection practices
- hand hygiene

- Develop, evaluate, and revise goals, measurable objectives, and plan for the Infection Prevention Program
- Assess needs then recommend specific equipment, personnel, information technology, and resources to support the Infection Prevention Program
- Participate in cost benefit exams, efficacy studies, evaluations, and standardization of products and processes
- Recommend changes in practice based on regulation, critically appraised literature, clinical outcomes, and financial implications
- Assign value to prevention of and/or presence of healthcare associated infection prevention
- cost/benefit analysis
- return on investment

- Provide infection prevention findings, recommendations, and reports to appropriate stakeholders
- Facilitate and monitor implementation of policies, procedures, and recommendations
- Establish a process to communicate notifiable diseases to internal and external stakeholders
- health authority
- receiving facility
- transitions of care
- Collaborate with internal and external stakeholders in the identification and review of adverse and sentinel events
- Evaluate and facilitate compliance with accreditation standards/regulatory requirements
- Identify chain of command (e.g., media inquiry)


- Participate in quality/performance improvement and patient safety activities related to infection prevention (e.g., failure mode and effects analysis, plan do study act)
- Develop, monitor, measure, and evaluate infection prevention performance indicators to drive quality improvement initiatives
- Select and apply appropriate quality/performance improvement tools (e.g., “fishbone” diagram, Pareto charts, flow charts, Strengths Weaknesses Opportunities Threats, Gap Analysis)


- Assess needs, develop goals and measurable objectives for preparing educational offerings
- Prepare, present, coordinate, and/or disseminate educational content that is appropriate for the audience
- Identify the differences between the concepts of knowledge, training, and competency
- Provide immediate feedback, education, and/or training to healthcare workers when lapses in practice are observed
- Facilitate education of patients, families, and others regarding prevention and control measures
- Assess the effectiveness of education and learner outcomes (e.g., observation of practice, process measures)
- Implement strategies that engage the patient, family, and others in activities aimed at preventing infection

- Recognize and collaborate on processes for a safe care environment (e.g., Heating Ventilation Air Conditioning management, water pathogen management, laundry, waste management, environmental cleaning)
- Collaborate on the evaluation and monitoring of environmental cleaning and disinfection practices and technologies
- Collaborate with others to select and evaluate environmental cleaning and disinfectant products
- Identify infection prevention processes related to recall of potentially contaminated equipment, food, medications, and supplies
- Monitor for environmental pathogens (e.g., Legionella, Aspergillus)

- Identify and evaluate appropriate cleaning, disinfection, and sterilization practices based on intended use (e.g., Spaulding classification)
- Collaborate with stakeholders to determine if products are single use, able to be reprocessed internally, or require an external reprocessing facility
- Identify and evaluate through direct observations critical steps of cleaning/low level disinfection, high level disinfection, and/or sterilization
- Audit the documentation of the process to ensure regulatory and policy requirements are met.