Accreditation 2026 #4 – Infection Prevention & Control

Infection Prevention and Control (IPC) is one of our Accreditation Themes. It covers hand hygiene education & training, compliance with accepted practices, and infection rate tracking and analyzing.

You can download the full version by clicking here: Accreditation 2026 #3: Resident Safety4: Infection Prevention & Control

Surveyor Question:  How do we evaluate compliance with accepted hand hygiene practices?

Answer: We evaluate hand hygiene compliance by directly observing (audit) the practice using the Speedy Audit tool conducted by trained peer team member auditors.

 

ROP 2  Hand Hygiene Education and Training

Surveyor Question:  What education and training have you received on hand hygiene?

Answer: We receive regular education assigned to us in Surge Learning, we have visual signs posted throughout our site, we receive hands on education at unit team meetings as required, and get direct feedback by hand hygiene peer auditors.

 

ROP 3  Infection Rates are Tracked and Analyzed

Surveyor Question: How do we track infection information, analyze it, and communicate this information throughout the organization?

Answer: We track infection rates, analyze the information to identify clusters, outbreaks and trends; this is shared throughout the organization following our policy AP 5.05 IPC Program.

 

                        Visit our website for more information on each of these ROP’s