Page 14 - policy and procedure infection control

Policies and Procedures on Infection Control

5. Evaluate and report on antibiotic usage and resistance patterns and recommend
remedial measures when appropriate.
6. Develop and maintain policies for the promotion of good infection control and antibiotic
usage guidelines in MOH.
7. Review outbreaks of infection and advice managers on how outbreaks might be
managed and prevented.
8. Assist in the planning and development of services and facilities (construction and
demolition activities) in the hospital on issue which are relevant to infection control
and antibiotic usage.

9. Monitor and advice on specific areas of hygiene and infection control, catering, CSSD,
ventilator and water services, occupational health, pharmacy, operating theatres,
endoscopy, etc.
10. Develop programs for the education of staff and students about infection control
practices and policies and appropriate antibiotic prescribing.
11. Financial planning and monitoring of budget and expenses of infection control activities.

1.7 Frequency of meetings
1. Meetings must be held at least twice a year. (The hospital director or the deputy
director should be in attendance).
2. 1 week notification of the date of the meeting and the agenda should be given.
3. The Hospital Director’s Office will provide secretarial help and logistics support to
the HIACC in conducting the meetings and activities. All minutes must be endorsed
by the chairman and sent in a timely fashion to the Hospital Director.
4. There should be adequate designated space and computers(s) with internet facilities
provided to the Infection Control Team.

1.8 Circulation of minutes
1. Minutes should be kept and verified.
2. Minutes should be sent to all members and to those who attended the meeting. In
addition, copies should be sent to:
• The Hospital Director
• The Dean of the Medical and Allied Health Faculties using the hospital as teaching
facilities
• Heads of Departments and Units

1.9 Emergency meetings and outbreak control
1. The Chairman may convene an emergency meeting of the Infection Control Committee
at any time and all members or their representative will be notified by telephone.

Ministry of Health Malaysia 3