Position statements

The documents below provide authoritative positions to guide your practice.

Safe injection, infusion, and medication vial practices in healthcare (2016)
This updated position paper provides practice guidance for infection preventionists and  healthcare facilities on essential safe injection, infusion, and vial practices that should be consistently implemented. 

Joint Interim Guidance: HVAC in the Operating Room and Sterile Processing Department (2015)

This document addresses reports that some hospital and ambulatory centers were cited by federal regulators and accreditors for violations due to misunderstandings about the major difference between building and engineering design standards and clinical practice guidelines related to HVAC in operating rooms and sterile processing departments. Infection preventionists may refer to this document for guidance when working with an interdisciplinary team to review HVAC operating practice and conduct risk assessment. 

Infection Control Risk with Inappropriate Use of Pharmacy Bulk Packages of IV Contrast Materials (2014)

Overview of 2011 update on recommendations for healthcare personnel following exposure to laboratory-confirmed pertussis (2012)

This document provides an overview of the 2011 Advisory Committee on Immunization Practices, key points, and APIC recommendations regarding pertussis vaccination policy and post-exposure follow-up.

Read APIC’s position and rationale on the inappropriate application of adenosine triphosphate (ATP) testing of laundered textiles.

Reprocessing surgical instruments (2012)
In response to national media attention on the inadequate reprocessing of some surgical instruments, APIC offers general background information and practice recommendations for infection preventionists whose roles include sterile processing coordination/consultation.

Immediate-use steam sterilization (2011)
“Flash sterilization” has traditionally been used to describe steam sterilization cycles in which unwrapped medical instruments are subjected to abbreviated steam exposure then used promptly after cycle completion, without being stored. The term “immediate-use steam sterilization” more accurately reflects the current process, which this paper describes.

Influenza immunization of healthcare personnel (2011)
This paper outlines APIC’s position regarding mandatory influenza vaccination of healthcare personnel.

Moving toward elimination of healthcare-associated infections: a call to action, a joint white paper between APIC, Society for Healthcare Epidemiology of America (SHEA), Infectious Diseases Society of America (ISDA), Association of State and Territorial Health Officials, Council of State and Territorial Epidemiologists, Pediatric Infectious Diseases Society, and the Centers for Disease Control and Prevention (CDC), (2010).

APIC and a number of other organizations propose a call to action to move toward the elimination of healthcare-associated infections by adapting the concept and plans successfully used for the elimination of other diseases. 

The use of administrative data for HAI identification in hospitals (2010)
APIC believes that the sole use of administrative data cannot precisely, reliably, and accurately determine HAIs.  

The importance of surveillance technologies in the prevention of healthcare-associated infections (HAIs) (2009)
APIC supports the use of automated surveillance technologies as an essential part of infection prevention and control activities.  This paper discusses the advantages of automated surveillance systems. 

Healthcare personnel at high-risk for severe influenza illness: Care of patients with suspected or confirmed novel H1N1 influenza A (2009)
This position paper outlines the reasons APIC and partner organizations believe that the CDC recommendation regarding automatic and uniform reassignment of high-risk healthcare personnel during flu outbreaks should be modified. 

Extending the use and/or reusing respiratory protection in healthcare settings during disasters (2009)
This document provides recommendations on using or reusing various types of respiratory protection used in healthcare facilities during a disaster. The recommendations were developed from existing federal, public policy, and international agencies’ guidelines.

Mandatory public reporting of HAIs (2005)
APIC supports collaboration with all stakeholders to develop meaningful quality measurement systems that will provide meaningful data for healthcare and patients.

Integrating sentinel event analysis into your infection control practice (2004)
This document presents a roadmap for integrating sentinel event analysis into your infection prevention program.

Clean versus sterile: Management of chronic wounds (2001)
APIC collaborated with the Wound Ostomy Continence Nurses Society in a review of the evidence on chronic wound care practice and approaches for chronic wound care management.  

Essentials of public reporting of HAIs, Healthcare-Associated Infection Working Group of the Joint Public Policy Committee toolkit 
This toolkit provides guidance to states and healthcare facilities with public reporting mandates for healthcare-associated infections (HAIs).