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Prevention and

Control of Infections
(PCI)
th
6 Edition Changes
PCI.7: Requirement Change
• Formerly PCI.7.1 in 5th Edition

• Industry trends identify increased infections related to


improper cleaning/disinfecting/sterilizing

• Defines and adds examples for terms: cleaning, disinfecting,


and sterilizing

• Requires use of professional practice guidelines related to


low- and high-level disinfection

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PCI.7: Requirement Change (more)
• Requires staff to be oriented, trained, competent, and
supervised

• Discusses principles of proper storage

• Identifies requirements for managing expired supplies


(Moved from PCI.7.1.1, ME 1 in 5th Edition)

• Moves requirement for proper management of laundry and


linen to PCI.3, ME 2

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Surveyor Tips

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Surveyor Tips: PCI.7
• We will ask how methods are chosen and followed

• Have manufacturer’s recommendations available

• Uniform approach to same process in all areas

• Who is overseeing and coordinating?

• Expiration of sterility, of test strips after opening

• Storage—scopes; cardboard boxes

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PCI.8.2: New Standard
• Addresses hospital preparedness for presentation of global
communicable diseases

• Developed in response to evolving health care environment

• Requires development of a program that includes 5 areas:


• Communication re: worldwide surveillance activities
• Segregation and isolation strategies
• Training and demonstration on the use of PPE
• Communication strategies
• Assignment of staff roles and responsibilities

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PCI.8.2: New Standard
• Identify first points of contact/entry and target education to
those areas

• Test the program annually

• Require debriefing from annual test (or an actual event)

• Identification and implementation of any follow-up actions


from testing/annual event

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Surveyor Tips

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Surveyor Tips: PCI.8.2
• Think of this like FMS 6

• Show us a formal plan/program

• Annual mock test with debriefing (after action report) that is

documented and has follow-up actions recommended

• In other words, what did you learn and do from the mock test

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Overview of PCI Clarifications
• PCI.2 – Adds requirements from PCI.5.1 (5th Edition) and
eliminates PCI.5.1
• PCI.3 – Clarification and additions
• Adds requirement in ME 2 for environmental cleaning
and disinfecting.
• Moves requirement for management of line and bedding
(PCI.7.1 – 5th Edition) to ME 3 (6th Edition)
• PCI.5 – Requirements from PCI.7 combined to one standard

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Overview of PCI Clarifications
• PCI.7.1 – Renumbers standard PCI.7.1.1 (5th edition)
• Revises standard, intent, and MEs to clarify
requirements
• PCI.7.4
• Adds language to intent regarding safe food storage
• PCI.8 and PCI.8.1
• Updates terms and acronyms (AIIR and TNPI)
• Identifies 2 acceptable ways for creating TNPI

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Overview of PCI Clarifications
• PCI.9 – Adds language to the intent and MEs for clarification
• Intent clarifies that liquid soap dispensers are properly
cleaned before refilling
• ME 2 includes staff training on correct use of PPE
• PCI.11 – Revises language in the intent and MEs to clarify
requirements
• Combines content of MEs to streamline requirements,
reducing the number from five (5th edition) to four (6th
edition)
• Changes the order of the MEs for clarity

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