2. ROLE OF I.C.N
• CO-ORDINATOR
• SUPERVISOR
• TEACHER
• INVESTIGATOR
• RESEARCHER
3. CO-ORDINATOR
• CO-ORDINATES WITH VARIOUS DEPARTMENT IN THE
HOSPITAL AS WELL AS THE ICC WITHIN & OUT SIDE, SO
AS TO GET THE INFORMATION & THUS HELPING THE
STAFFS TO WORK SMOOTHLY
4. SUPERVISOR
• SUPERVISE THE MAINTENANCE OF THE ESTABLISHED
PROTOCOLS FOR INFECTION PREVENTION
e.g ISOLATION PROCEDURES,
HAND WASHING TECHNIQUES
THE USE OF HAND RUB
• CHANGE OF I.V SET
• CHANGE OF CENTRAL LINE DRESSING,
• TERMINAL CLEANING OF THE UNIT IN THE HOSPITAL
5. TEACHER
• C0RRECTS &TEACHES THE STAFF WHENEVER
NEED ARISES DURING HER ROUNDS
• PARTICIPATE IN THE FORMAL TEACHNG
PROGRAMMES DURING THE ORIENTATION OF
NEW STAFF & INTROUCING THEM TO THE
CONCEPT OF PREVENTION OF HOSPITAL
INFECTION
• ARRANGING FORMAL SESSIONS AS & WHEN
NECESSARY
6. INVESTIGATOR
• TRACKS DOWN THE SOURCE OF AN
ORGANISM SUCH AS IN THE OUTBREAK OF
M.R.S.A INFECTION.
• ENVIORNMENTAL & PERSONAL MONITORING
WHEN APPROPRIATE.
7. RESEARCHER
• CARRIES OUT SURVEILLANCE THROUGH REGULAR
CONTACT WITH ALL HOSPITAL DEPT ESPECIALLY
TO THOSE PROVIDING PATIENT CARE.
• DATA COLLECTION PERTAINING TO C/S REPORTS
FROM THE MICROBIOLOGY DEPT EVERYDAY.
• TRACKING OF ALL THE PATIENTS WITH
INTRAVASCULAR CATHETERS
URINARY CATHETERS
MEDICAL /SURGICAL WOUNDS
INSTRUMENTATION OF RESPIRATORY TRACT.
8. RESEARCHER
ANALYZING& INTERPRETATION OF THE DATA
COLLECTED WITH THE MICROBIOLOGIST.
THUS ABLE TO ESTABLISH;
ANTIBIOTIC SUSCEPTIBILITY PATTERN
RATE OF INFECTION AND NUMBER OF ISOLATES
GROWN
INTRAVENOUS LINE RELATED INFECTIONS
WOUND SEPSIS RATES
U.T.I INFECTION RATE
RESPIRATORY TRACT INFECTION RATE
9. DAY TO DAY TASK OF I.C.N
• Checking by inspection that infection control &aseptic
procedure are being carried out in accordance with
hospital policy.
• Liaison between lab & ward staff, informing head of
dept & giving advice on infection control problems.
• Prompt information of notifiable disease to medical
officer for health in writing /by telephone.
• Participation in teaching & practical demonstration of
control of infection techniques to all categories of staff.
• Attending relevant committee meetings, seminars,
workshop on infection control to update her
knowledge
10. Day to day task
• Compiling records of infected patients from
ward notifications, case notes, laboratory
reports and information collected in routine
visits and discussions.
• Screening of laboratory reports and clinical
records for the incidence of community
acquired and nosocomial infection.
11. Surveillance
• Definition : Its an ongoing systematic,
collection, analysis and interpretation of
health data essential to planning,
implementation and evaluation.
12. Objectives of SURVEILLANCE
• To recognize any unusual level of incidence of
outbreak.
• To assess the efficiency of regular preventive
measures.
• To reduce the level of avoidable infections.
• To identify high risk patients.
13. Records – Nosocomial Infection Rates
• Surgical site infection (SSI) :
No. of patients with SSI X 100
No. of patients with Surgical site
• Nosocomial Pneumonia :-
No. of ventilator associated pneumonia X100
No. of ventilator days
14. • Blood Stream Infection (BSI) :-
No. of Central line associated BSI X 1000
No of Central line days
• Urinary Tract Infections (UTI) :
No. of UTI X 100
No.of Catheter days