- TB - Michigan/MIOSHA policy - N95 Annual fit-testing starts in new fiscal year:
The Fiscal year started October 1, 2008 without a signed FY08 budget, but President Bush did sign the appropriations bill (HR 2764) funding the government on Dec 26, 2007. The budget no longer contains language restricting the use of federal dollars for annual fit testing enforcement. Due to prior uncertainty, MSIC had urged members last October to begin the change to annual fit-testing for TB immediately by updating policies and implementation plans for annual fit-testing. MIOSHA has the authority to enforce the rule. See Advocacy for MIOSHA's TB Directive.
Vanaf één oktober 1998 was Viagra in Nederland in alle apotheken verkrijgbaar. De introductie van Viagra volgde op de toestemming van de Europese Commissie op 15 september 1998 om het geneesmiddel in Europa op de markt te brengen. br>
To take control of infection, a sick person might need to buy antibiotics online on the internet.
Public Reporting of HAI - National Quality Forum - National Voluntary Consensus Standards for the Reporting of HAI data
Save the dates
MSIC Sponsored Educational Offerings:
2008 MSIC Fall Conference - 35th Anniversary!
September 25-26, 2008
Fundamentals of Infection Control
October 29-31, 2008
MIOSHA Revised TB Directive based on CDC 2005 TB Guidelines
In June 2007, MIOSHA posted a revised TB enforcement directive adhering closely to the CDC 2005 TB Guideline. It recognizes flexibility in TB testing based on risk assessment. However, the checklist also includes the requirement for initial and annual fit-testing, following federal OSHA directives. This change applies to FY2008 since the federal budget was approved December 2007 and no longer contains language that prohibited enforcement of annual fit-testing. MIOSHA is now enforcing the OSHA's revised Respiratory Protection Standard Respiratory Protection. - 1910.134.
MIOSHA TB directive PDF, 38pgs, 384kb
APIC provides a full page of other TB resources
Centers for Medicare & Medicaid Services (CMS) Issues Guidance on Use of Alcohol-based skin products:
i) CMS directive A letter to all state surveyors supporting the use of alcohol-based
skin preps in all surgical settings, based on NFPA fire prevention
strategies has been issued by CMS. For details click here
ii) Alcohol-Based Hand Rub (ABHR) gel and foam Updates. CMS considers
gel and foam hand rub dispensers in the corridors in healthcare
facilities as equivalent and allowable as long as these comply with
their final rule.
iii) ABHR Update - Changes permit gel and foam by all May, 2007
- Installation Criteria for Hand Rub Dispensers (JC and CMS)
- 2006 International Fire Code Allows Alcohol Based Hand Rubs - GEL and FOAM
Please note: Michigan has revised its policy on the distance between dispensers and electrical outlets. The distance is not defined but fire marshals will judge safe distances based on evidence of splashing near the outlets. Michigan is aligned with CMS on this issue.
APIC & SHEA Issue New Position Paper on Topic of Legislative Mandates for MRSA Surveillance:
The Association for Professionals in Infection Control and Epidemiology, Inc (APIC) and Society for Healthcare Epidemiology of America (SHEA) have convened a working group to review the potential impact of legislative action aimed at preventing the spread of MRSA and VRE. Full text of this available from the link below but consensus was that a legislative mandate is inappropriate because it would not allow flexibility to respond to changing local epidemiology.
- MI ICPs assist Keystone Center with Surveillance toolkit development:
The folder below provides a number of tools to assist with surveillance of central line associated bloodstream infections (CLABSI). These were developed by the Infectious Disease Advisory Group to MI Keystone Center and are built on CDC NHSN recommendations. See Summer 2006 issue of MSIC News for additional details.
Keystone News Release HAI PDF, 3 pgs, 60 KB
BSI Frequently Asked Questions PDF, 4 pgs, 52 KB
BSI Worksheet PDF, 1 pg, 84 KB
CVCBSI Olmsted Keystone PDF, 9 pgs, 223 KB
Device Denominator Form Keystone1 PDF, 2 pgs, 59 KB
NHSN Definitions CLABSI PDF, 4 pgs, 59 KB
Procedure for Central Line Segment(s) Culture BSI PDF, 2 pgs, 39 KB
MRSA Prevention and Control Brochures and posters are available at
MSIC Membership Flyer PDF, 1 pg, 56 KB
Membership in Michigan Society for Infection Control has many benefits including
quarterly newsletters, workshops and semiannual conferences. For more information
on the benefits of joining MSIC and an application, follow the link below to About
MSIC. The application form is available for download
MSIC Speakers Bureau Form PDF,
1 pg, 230 KB
Willingness to Serve Word,
1 pg, 230 KB
Ready Resource Link for Members
*Microbe image Gloria J. Delisle and Lewis Tomalty,
Kingston General Hospital, Queens University, Kingston, Ontario, Canada