IPAC CME

• IPAC CME video recording (YouTube video)
• IPAC CME presentation (PDF file)

Best Practice Guidelines and Standards

The Provincial Infectious Diseases Advisory Committee on Infection Prevention and Control (PIDAC-IPC) has developed evidence-based guidance documents for healthcare providers. Regulatory colleges, including the College of Physicians and Surgeons of Ontario and the Royal College of Dental Surgeons of Ontario, require their members to adhere to PIDAC recommendations.

• PIDAC Infection Prevention and Control for Clinical Office Practice (external PDF)
• PIDAC Best Practices for Cleaning, Disinfection and Sterilization of Medical Equipment/Devices in All Healthcare Settings (external PDF)
• PIDAC Routine Practices and Additional Precautions in All Healthcare settings (external PDF)
• PIDAC Best Practices for Environmental Cleaning in All Healthcare Settings (external PDF)

Public Health Ontario has prepared checklists for healthcare professionals to conduct self-assessments of their IPAC practices. These checklists are also used by public health inspectors and regulatory colleges when doing inspections and investigations related to IPAC practices.

• PHO At a Glance: Infection Prevention and Control Organizational Risk Assessment for Clinical Office Practice (external PDF)
• PHO Organizational Risk Assessment for Clinical Office Practice (external PDF)
• PHO IPAC Checklist for Clinical Office Practices – Core Elements (external PDF)
• PHO IPAC Checklist for Clinical Office Practice – Endoscopy (external PDF)
• PHO IPAC Checklist for Dental Practices – Core Elements (external PDF)
• PHO IPAC Checklist for Dental Practices – Reprocessing of Medical Equipment/Devices (external PDF)
• PHO IPAC Checklist for Chiropody and Podiatry – Core Elements (external PDF)
• PHO IPAC Checklist for Chiropody and Podiatry – Reprocessing of Medical Equipment/Devices (external PDF)

Tips for safe IPAC practices

Healthcare professionals are encouraged to follow these tips for safe IPAC practices:

• Be familiar with and follow PIDAC best practices.
• Use appropriate cleaning agents and hospital-grade disinfectants. Always clean examination beds between patients.
• Post signage about hand hygiene and cough etiquette in patient areas.
• Use safety-engineered needles.
• Use single-dose vials when possible. If multi-dose vials are used, label the vial with the date of opening, and discard as per manufacturer instructions or within 28 days, whichever is sooner.
• Do not reuse single-use items. Packaging with the number 2 in a circle with a bar through it indicates that the medical equipment/device is single-use only.
• Dispose of medical waste appropriately.
• Follow appropriate reprocessing practices, including:
  • Have written policies and procedures for all aspects of reprocessing.
  • Verify the sterilizer you are intending to purchase and/or use has a Health Canada medical device license and is legal for sale and use in Canada.
  • Ensure that the manufacturer’s instructions for installation, operation, cleaning and preventative maintenance of the sterilizing equipment are followed.
  • Ensure the staff person responsible for reprocessing has been appropriately trained.
  • Maintain one-way flow from dirty to clean in the reprocessing area.
  • Clean devices at point of use.
  • Use external and internal chemical indicators for every packaged item during sterilization.
  • Use a biological indicator each day the sterilizer is in use and with each type of cycle that is used that day.
  • Monitor and document the reprocessing process (e.g., biological indicators, chemical indicators). Maintain sterilization logs.

Additional references:

• PHO Top 5 High Risk Practices (external link)
• PHO Algorithm for Level of Reprocessing for Equipment and Instruments (external PDF)
• PIDAC Reprocessing Decision Chart (external PDF)
• PIDAC Routine Practices and Reprocessing (external PDF)

Policy and Procedure Templates

Healthcare settings should have written policies and procedures describing how IPAC practices are implemented in the workplace, as described in the PIDAC best practice documents. The templates below are a starting point for regulated health professionals and workplaces to begin developing their own policies and procedures specific to their practice. The templates should be dated, signed and amended to reflect the specific activities that occur in the healthcare setting. They should be reviewed regularly to ensure they are up to date. Additional IPAC-related policies and procedures may be required depending on the setting.

• Administrative Controls of Infectious Diseases (external PDF)
• Hand Hygiene (external PDF)
• Cleaning and Disinfecting of a Biological Spill (external PDF)
• Routine Practices, Additional Precautions and Personal Protective Equipment (PPE) (external PDF)
• Environmental cleaning and disinfection (external PDF)
• High-Level Disinfection (external PDF)
• Steam Sterilization (external PDF)
• Steam Sterilization Failure (external PDF)

Role of Halton Region Public Health

Halton Region Public Health works with healthcare professionals to support IPAC best practices through education, guidance and enforcement.

Halton Region Public Health is not mandated to routinely assess IPAC practices in facilities where regulated health professionals operate. However, the health unit has a provincially mandated responsibility to investigate matters related to IPAC lapses and enforce IPAC best practices in accordance with the Health Protection and Promotion Act, R.S.O. 1990, C. H.7 and Protocols published under the Ontario Public Health Standards.

As per the Infection Prevention and Control Complaint Protocol, 2019, Halton Region Public Health must investigate complaints about improper infection prevention and control practices or cases in which reportable diseases may be linked to the activities of regulated health professionals. Investigations may be conducted independently by the health unit or as a joint investigation with a regulatory college(s). If an IPAC lapse is identified and there is risk of disease transmission, Public Health must ensure that corrective action is taken, and publicly disclose the lapse as per Infection Prevention and Control Complaint Protocol, 2019. When a lapse involves a regulated healthcare professional, Halton Region Public Health is also required to notify their regulatory college.

Learning and Professional Development

Public Health Ontario offers free online modules that provide additional training on IPAC Core Competencies, IPAC Risk Assessment, and Reprocessing in Community Healthcare settings.

More information and to access the online learning (external link)