Notification of Infection Control Committee
To provide a forum for multidisciplinary input, cooperation, and information sharing, the
Management of the HCE must notify the Infection Control Committee (ICC) with its
Composition and Responsibilities as given below;
i. Wide representation from the relevant departments: e.g.
a. Management (Medical Superintendent/Administrator or AMS/DMS).
b. Medical Specialist.
c. Surgical Specialist.
d. Microbiologist.
e. Operation theatre in-charge.
f. Infection Control Nurse.
g. Pharmacist.
h. In Charge CSSD.
i. In Charge Maintenance.
j. In Charge Catering.
k. In Charge Housekeeping.
l. In Charge Sanitary services.
m. Bio-Medical/Civil Engineer.
n. In Charge Training.
ii. One member of the committee should be elected as the chairperson (who should have direct
access to the head of the hospital administration, to promote program visibility and effec-
tiveness).
iii. Must meet regularly on Quarterly basis.
iv. In case of an emergency, such as on an outbreak of disease, this committee must be able to
meet earlier than quarterly on emergent basis.
v. Appoint an ICP (health care worker trained in the principles and practices of infection con-
trol, e.g. a doctor/physician, microbiologist or a nurse) as secretary.
vi. Secretary of the ICC will be responsible for taking notes and preparing minutes of each
meeting and reminding the Chairperson to follow up on the recommendations.
vii. Oversee, monitor and evaluate the performance of the IC program and team.
viii. Enforce compliance with basic IC standards.
ix. Review and approve a yearly program of activity for surveillance and prevention.
x. Assess and promote improved practice at all levels of the health facility.
xi. Ensure appropriate staff training in IC and safety management, provision of safety materi-
als such as PPE and products.
xii. Oversee training of health workers.
xiii. Oversee the development of facility specific IC manual, if needed.
xiv. Review epidemiological surveillance data and identify areas for intervention.
xv. Report directly to the MS or Hospital Administrator and the ICC
Infection Control Nurse / Infection Control Officer
i. The criteria for designating shall either be the qualification or training or preferably a combi-
nation of both. It is preferable for ICO/ICN to have undergone a short term training program
on IC nursing by a recognized institution. The nurse/officer in charge of IC is a member of
the ICC and leads the IC Team for ensuring implementation of IC SOPs.
ii. Responsibilities of ICO/ICN
a. Develop/adapt and get IC Manual endorsed.
b. Disseminate SOPs of IC based on the IC Manual.
c. Coordinate and conduct training activities related to IC.
d. Enforce minimum IC standards.
e. Identifying and Investigating nosocomial infections.
f. To collaborate with the microbiologist on surveillance of infection and detection of out-
breaks due to improper sterilization of instruments.
g. To liaise between Sterilization Department and clinical departments for detection and
control of Hospital Acquired Infection (HAI).
h. Carry out the surveillance program and monitor and manage critical incidents.
i. Ensuring compliance with local and national regulations.
j. Liaison with public health and with other facilities where appropriate.
k. Providing expert consultative advice to staff health and other appropriate hospital pro-
grammes in matters relating to transmission of infections.
l. Compile periodic (at least 3 monthly) reports of hospital infections.
Notification of Infection Control Committee
Dated:___-____-____
An apical committee is notified having representation from all the departments of the
hospital which shall be responsible for developing and implementing the Infection Control plan
for the hospital.
Following are the members of the IC Committee:
1. ………………….. MS Chairman
2. ………………….. MO/ICN Coordinator
3. ………………….. MO Member
4. ………………….. WMO Member
5. ………………….. WMO Member
…………………..
MS
