Infection Control in the Physician’s Office

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For the most part, these are educational guidelines for doctors. Some components have been derived from legislation and regulations, and will state in explicit terms what physicians should or should not do. However, many parts of the guidelines are best practices, designed to raise awareness about day-today risks of transmission in a doctor’s office, and to equip doctors with suggestions and tools to minimize such risks. Professional judgement and the realities of medical practices in Ontario will always inform how each best practice recommendation is used by individual doctors. In the event that Ontario experiences a serious infectious disease outbreak, these best practices may be superceded by directives from the Ministry of Health and Long-Term Care, Public Health, the College, or another designated national or provincial organization. 

Table of Contents

Executive Summary

Introduction

Patient Care

Transmission of Organisms

Routine Practices

Hand Hygiene

Personal Protective Equipment

Handling and Disposal of Sharps

Patient Appointments: Booking, Reception and Triage

Transmission-Based Precautions

Airborne Transmission Precautions

Droplet Transmission Precautions

Contact Transmission Precautions

Prevention of the Development of Antibiotic Resistant Organisms

Health Care Workers

Immunization of Personnel

Tuberculin Skin Test (TST)

Personnel Health

The Environment

General Housekeeping of the Office

Materials and Practices

Spot Cleaning of Body Fluid Spills

Equipment and Material Maintenance Practices

Waste Disposal

Medical Instruments

General Principles

Single-Use Medical Devices

Cleaning, Disinfection and Sterilization of Medical Instruments

Cleaning of Instruments

Sterilization and Disinfection: General

Sterilization

Disinfection

WHMIS

Office Design/Renovations

Conclusion

Appendices

Appendix 1

Appendix 2

Appendix 3

Appendix 4

Appendix 5

Appendix 6

Appendix 7

Appendix 8

Appendix 9

Appendix 10

Appendix 11

Appendix 12

Appendix 13

Glossary

Resources

About the College