| (a) The facility shall provide a sanitary environment
to avoid sources and transmission of infections and communicable diseases.
The facility shall have an infection control program for prevention,
control, and surveillance of infections and communicable diseases.
(1) The facility shall designate an infection control
professional. The facility shall adopt, implement, and enforce policies
governing prevention, control, and surveillance of infections and
communicable diseases.
(2) The facility shall have a system for identifying,
reporting, investigating, and controlling health care-associated infections
and communicable diseases between patients and personnel.
(3) The infection control professional shall maintain
a log of all reportable diseases and health care-associated infections
designated as epidemiologically significant according to the facility's
infection control policies.
(4) The facility shall adopt, implement, and enforce
a written policy for reporting all reportable diseases to the local
health authority and the Texas Department of State Health Services
Infectious Disease Prevention Section, in accordance with 25 TAC Chapter
97 (relating to Communicable Diseases).
(5) The infection control program shall include active
participation by the medical staff, nursing staff, pharmacist, and
other practitioners as appropriate.
(b) The medical director is responsible for ensuring
the facility-wide quality assessment and performance improvement program
and training programs address problems identified by the infection
control professional.
(c) The medical director is responsible for ensuring
that the facility implements successful corrective action plans in
affected problem areas.
(d) The facility shall adopt, implement, and enforce
a written policy to monitor compliance of the facility and its personnel
and medical staff with universal precautions in accordance with Texas
Health and Safety Code Chapter 85 (relating to Acquired Immune Deficiency
Syndrome and Human Immunodeficiency Virus Infection).
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