Skill Checklists

Infection Control

This checklist was electronically signed on (Today’s date)

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

  • 1 = No Experience

  • 2 = Need Training

  • 3 = Able to perform with supervision

  • 4 = Able to perform independently

Surveillance

Performs targeted surveillance

Outbreak investigations

Collaboration with Infection Control Committee

Collaboration with Hospital Epidemiologist

Performance improvement projects related in communicable diseases

Collects, monitors, and maintains data using facility HER

Utilize Center for Disease Control (CDC)

Infection criteria

TB, AIDS

Documentation and investigation techniques

Rounds of hospital units

Case definition, and other related patient care issues

Monitor infection control practices

Nosocomial infections or AHIs, MRSAs

Health care workers exposures

Tracing the possible sources of infection or transmission of microorganisms

Identification of Problems

Regularly meet with the hospital Epidemiologist

Risk reduction among patients, facility staff, volunteers, students, and visitors

Understand the transmission and break of infections

Identification of epidemiologically important issues for Infection Control Committee

Hospital Epidemiologist, and Administration

Design COA including Surveillance, Outbreak Investigations, and Performance Improvement Projects

Communicable diseases reporting as required by the state and the local health authority

Compliance with federal and state laws regarding medical wastes, chemicals in the workplace, infectious disease exposures

OSHA NIOSH standards

Blood borne pathogens and respiratory pathogens

Chart review

Policies and Procedures

Infection Control policies associated with infection

Staff practices associated with infection contol

Professional guidelines (CDC, APIC, etc.)

The Joint Commission guidelines on infection Control

Infection Control Plan to reflect and meet any required changes

Coordination

Acts as department liaison for Infection Control Departmen

Act as consultant for the facility Infection Control activities

Interdepartment and personnel coordination on risk reduction, transmission and improved infection control practices

Provide coordinated services to patients for the improvement of overall

Patient care

Education

In-services of all and current employees on Infection Control

Orientation programs of new employees on Infection Control

Infection Control techniques and Policies and Procedures

Age Specific Competencies

Infant (Birth - 1 year)

Preschooler (ages 2-5 years)

Childhood (ages 6-12 years)

Adolescents (ages 13-21 years)

Young Adults (ages 22-39 years)

Adults (ages 40-64 years)

Older Adults (ages 65-79 years)

Elderly (ages 80+ years)

I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.