Mandated NYS Infection Control Training for Healthcare Professionals

The New York State Nurses Association has been approved by the New York State Education Department (NYSED) and the New York State Department of Health (NYSDOH) to provide this course for licensed practical nurses, registered professional nurses, physicians, dentists, dental hygienists, optometrists, physician assistants, podiatrists, and specialist assistants. In 2008, medical residents, medical students, physician assistant students and specialist assistant students were added to the list of healthcare professionals required to complete infection control training every four years. This program is designed as an on-demand self-study learning program which will meet the New York State requirements for infection control education every four years.

Upon successful completion of this course, results are forwarded electronically to the NYSED Licensing Division every day at 4:00 pm. There is no need for you to send in the certificate - the information will be submitted to the NYSED Licensing Division for you. This saves valuable time and provides a secure and efficient record of course completion. Please understand the NYSED requires a minimum of 3 business days to update your state record. In addition, you will have access to an online certificate of completion that you can print for your own records immediately upon successful completion of the course.

*Note:  Physicians, physician assistants and specialist assistants will be required to have a copy of their certificate of successful completion to present to their employer and/or to the New York State Department of Health.

NYSNA Continuing Education

The New York State Nurses Association is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

This module has been awarded 4.25 CHs through the New York State Nurses Association Accredited Provider Unit.

The New York State Nurses Association is accredited by the International Accreditors for Continuing Education and Training (IACET) and offers IACET CEUs for its learning events that comply with the ANSI/IACET Continuing Education and Training Standard. IACET is recognized internationally as a standard development organization and accrediting body that promotes quality of continuing education and training.

The New York State Nurses Association is authorized by IACET to offer 0.4 CEUs for this module.

Participants must read the course material, pass an examination with at least 80%, and complete an evaluation in order to receive a certificate of completion.  Contact hours/CEUs will be awarded until July 26, 2027.

All American Nurses Credentialing Center (ANCC) accredited organizations' contact hours are recognized by all other ANCC accredited organizations. Most states with mandatory continuing education requirements recognize the ANCC accreditation/approval system. Questions about the acceptance of ANCC contact hours to meet mandatory regulations should be directed to the professional licensing board within that state.

NYSNA has been granted provider status by the Florida State Board of Nursing as a provider of continuing education in nursing (Provider number 50-1437).

NYSNA wishes to disclose that no commercial support or sponsorship has been received.

The planners and presenters declare no conflicts of interest.

Learning Outcome:

Participants will recognize strategies that maximize and strengthen infection control practices within healthcare settings.

Objectives

 At the completion of this course the learner will be able to:

• Describe the role of the healthcare professional in adhering to scientific and regulatory agency acceptable principles of infection control.
• Describe the mechanisms involved in the transmission of pathogenic organisms, including prevention and control strategies, in order to reduce the spread of infection in the healthcare setting.
• Identify work practice controls the healthcare professional can incorporate to reduce exposure to potentially infectious materials to themselves, staff and patients.
• Identify circumstances where the healthcare professional would utilize barriers and personal protective equipment (PPE) in order to reduce hazardous exposures in the health care settings.
• Describe how health care professionals can maintain a safe work environment using infection control principles and practices for cleaning, disinfection, and sterilization of patient care medical devices.
• Identify strategies that healthcare professionals can follow to prevent and maintain control of communicable and infectious diseases to patients, staff and themselves.
• Describe the scope of the problem, signs and symptoms, evaluation and prevention of sepsis.

Introduction

Regulated healthcare settings in New York State, such as hospitals, nursing homes, and diagnostic and treatment centers, have been required for many years to have infection control programs in place that are designed to protect patients, employees, and visitors. These facilities have established policies and procedures to address a number of concerns including: hand hygiene; prevention of infection associated with surgery; intravenous therapy (IV); use of urinary catheters and other invasive procedures; housekeeping; disinfection and sterilization of equipment; waste disposal; and other areas that may be a source of infection. Isolation and employee health policies also limit the potential for exposure to communicable diseases and provide a mechanism for follow-up when inadvertent exposures occur. Through surveillance of infection in these settings, and quality assurance and risk management programs, compliance with infection control standards are monitored and problems are identified early. Attention to the infection control program has had an important impact on reducing healthcare associated and occupationally acquired infections.

In 2010, the New York State Department of Health (DOH) mandated changes to all infection control training syllabi because lapses in infection control practices had been found in healthcare settings that placed individuals at risk for disease. In response to the investigations into these lapses in infection control practices, the Patient Safety Bill was signed into law by the governor of New York in August of 2008. New guidelines and practices have been changed according to evidence and research that the Centers for Disease Control and Prevention (CDC) along with state agencies now recommend.

It was the human immunodeficiency virus (HIV) and hepatitis B virus (HBV), and concern over how to protect against contracting these diseases from receipt of healthcare that helped to influence the training requirement you are meeting by taking this course.

In October 2017, Governor Andrew Cuomo signed into law amendments to Public Health Law § 239 and Education Law § 6505 requiring the addition of sepsis awareness and education training to the NYS-mandated Infection Control and Barrier Precautions coursework.

The strategy that offers the greatest opportunity for protecting the public in settings where they receive healthcare is one of assuring that infection control measures are routinely in place and routinely observed. Such practices must provide protection from cross contamination from patient to patient, as well as patient and healthcare worker exposure to pathogens through the direct provision of care. While blood borne pathogens were the chief concern driving policy and legislation, other pathogens transmitted by contact (e.g., staphylococci, gram negative organisms), airborne and droplet transmission (e.g. flu, TB) also pose a risk. Attention to the principles of infection control will diminish the opportunity for these exposures as well.

Since 1992, the State of New York has required that certain healthcare professionals licensed in New York State receive training on infection control and barrier precautions. This requirement stipulates that the initial training include the seven core elements (identified below) developed by the New York State Education Department. Chapter 786 of the Laws of 1992 affects every dental hygienist, dentist, licensed practical nurse, optometrist, physician, physician assistant, podiatrist, registered professional nurse, and specialist assistant practicing in New York State. In 2008, medical residents, medical students, physician assistant students and specialist assistant students were added to the list of healthcare professionals required to complete infection control training every four years.

Being fully aware of the professional and legal responsibility of infection control in New York State helps protect one’s license. In March 1992, the New York State Board of Regents amended the Regents Rules, expanding the definition of unprofessional conduct to include failure to follow appropriate infection prevention techniques in healthcare practice. The New York State Department of Health has also adopted similar regulations. This training, required by Chapter 786 of the Laws of 1992, establishes that failure to adhere to such standards can be considered evidence of professional misconduct and could lead to disciplinary action.

Since this 1992 requirement was enacted in New York State, much has changed. The terrorist attacks of September 11, 2001 prompted the nation and healthcare providers to focus on the potential for weaponized biological agents. Since the events of September 11 and the subsequent bioterrorist use of Bacillus anthracis, we have learned more about infection control challenges posed by those agents. Infection control specifically related to bioterrorism is beyond the scope of this course.

 The goal of this state-mandated infection control training is to:

1. Assure that licensed, registered, or certified health professionals understand how blood borne pathogens may be transmitted in the work environment: patient to healthcare worker, healthcare worker to patient, and patient to patient.
2. Apply current scientifically accepted infection control principles as appropriate for the specific work environment.
3. Minimize the opportunity for transmission of pathogens to patients and healthcare workers.
4. Familiarize professionals with the law requiring this training and the professional misconduct charges that may be applicable for not complying with the law.

This course meets the 2018 educational requirement that identified the minimum core elements to be included in the required coursework in infection control. The minimum core elements consist of seven statements, each of which defines a general content area to be addressed. This online course meets the requirements of the original training requirements, as well as the revised requirements.

The Core Elements of Required Coursework in Infection Control, determined by the New York State Education Department are:

1. 1. Healthcare professionals have the responsibility to adhere to scientifically accepted principles and practices of infection control in all healthcare settings and to oversee and to monitor those medical and ancillary personnel for whom the professional is responsible.
      
      
   2. Modes and mechanisms of transmission of pathogenic organisms in the healthcare setting and strategies for prevention and control.
      
      
   3. Use of engineering and work practice controls to reduce the opportunity for patient and healthcare worker exposure to potentially infectious material in all healthcare settings.
      
      
   4. Selection and use of barriers and/or personal protective equipment for preventing patient and healthcare worker contact with potentially infectious materials.
      
      
   5. Creation and maintenance of a safe environment for patient care through application of infection control principles and practices for cleaning, disinfection, and sterilization.
      
      
   6. Prevention and control of infectious and communicable diseases in healthcare workers.
      
      
   7. Sepsis awareness and education.

The law requires that professionals’ initial coursework in this mandatory infection control training include the seven elements listed above, and that infection control training must occur every four years thereafter.

As a healthcare professional in New York State, you are required to attest to having completed this requirement to the State Education Department at every subsequent registration period.

About the Authors

This course was designed by a team of experts whose professional experience covers the broad range of topics included in infection control and barrier precautions. The combined knowledge of this content and the most recent evidence retrieved from national and state agencies ensures relevant and accurate material.

This course was created in 2009 with revisions made in 2012, 2015, 2018, 2021 and 2024.

The most recent revisions were completed by Carol Lynn Esposito, Ed.D., JD, MS, RN-BC, NPD and Lisa Baum, MA, CSP. This course reflects the current evidence and practice set forth from guidelines and standards from both national and state agencies. Dr. Esposito is the Director of Nursing Education and Practice at the New York State Nurses Association. Lisa Baum is the Occupational Health and Safety representative at the New York State Nurses Association.

NYSNA wishes to disclose that no commercial support or sponsorship has been received. NYSNA Program Planners, Authors, and Content Experts declare that they have no financial relationship with an ineligible company.

Declaration of Vested Interest:  None

• Training Hours: 4.25