ppt课件-jacieinspectortrainingandupdatecourse-cckl.pptVIP

Recent Changes and Controversies 4th Edition - Minimising Airborne Contamination B2.1 “ there shall be a designated inpatient unit that minimises airborne microbial contamination B2.2 “ designated outpatient area......” Standards now recognise Variation in unit facilities – number, case mix, prevalence of opportunistic infections Increased use of ambulatory approaches with frequent day case review Do not imply that all units must have LAF Important to provide data on effectiveness of approaches used 4th Edition - Admission to Intensive Care B2.1.1 “The in-patient program shall have an intensive care unit or equivalent coverage within the institution” B2.2.1 “Outpatients shall have a plan for providing immediate access.....” Covers both inpatient programmes and outpatient facilities Arrangements must be documented IP within the facility; OP not necessarily on-site Planned Discharge to Referral Centre B2.3.5 “Planned discharge shall be to facilities adequate for post-transplant care. The CP is responsible for ensuring that the receiving centre provides care that meets applicable standards” What is the limit for this – d30 auto; d100 allo ? Responsibility of the TC to ensure compliance with items such as - Isolation facilities Staffing and training Policies and procedures JACIE will require documentation of compliance and may include inspection of the hospital providing post-transplant care Outpatient Facilities B2.3 “There shall be a designated area for outpatients.....” protect from infections and allow appropriate isolation, administration of IV fluids, medications and/or blood products Deficits include lack of space to allow proper segregation of patients with significant infections 4th Edition - Collection Facility Director C3.2.1 “there shall be a collection facility director who is an individual with a medical degree or a degree in a relevant science” - requirement for a PhD dropped - Allows more nurses to become CFD -