Live Virtual Conference · 8.0 Contact Hours
Infection Control Oversight 101
Training the ASC Infection Preventionist and Infection Control Coordinator to build, direct, document, and defend an infection prevention program.
Why this program
Most ASC infection prevention leaders inherited the role without formal training. This foundational course takes newly designated professionals from appointment to competence in a single program day, grounding every module in the CMS Conditions for Coverage (42 CFR Part 416), the CMS Infection Control Surveyor Worksheet (Exhibit 351), and current national standards including AAMI ST58:2024 and ST108:2023.
Who should attend
- Newly appointed and current Infection Preventionists and Infection Control Coordinators
- Clinical and nursing directors
- ASC administrators and Governing Body members
- QAPI and quality leads
- Sterile processing and environmental services leadership
- Centers preparing for initial surveys, resurveys, or accrediting-organization changes
Agenda
| Time | Session |
|---|---|
| 8:00–8:15 | Welcome, housekeeping & program overview |
| 8:15–9:35 | Module 1 — The Role & Responsibilities of the Infection Preventionist. CMS required components (42 CFR §416.51), IP definition, Governing Body delegation, job scope. Applied: assemble the appointment and delegation documentation packet. |
| 9:35–9:50 | Morning break |
| 9:50–11:10 | Module 2 — Creating an Infection Prevention Training Program. Audience, frequency, method, content strategy. Applied: draft knowledge-check items and a signed attestation form. |
| 11:10–12:20 | Module 3 — Identifying Nationally Recognized Guidelines. The five CMS-approved ASC accreditors, guideline-issuing bodies, and the selection process. Applied: guideline selection worksheet and Governing Body approval language. |
| 12:20–12:50 | Lunch break |
| 12:50–2:15 | Module 4 — Standards for Cleaning, Disinfection & Sterilization. Current AAMI editions (ST79, ST91, ST58:2024, ST108:2023). Applied: build the center reference set and complete an ST108 gap analysis. |
| 2:15–2:30 | Afternoon break |
| 2:30–3:45 | Module 5 — Environment of Care Strategies. Six core environmental cleaning components; routine, enhanced, and terminal protocols. Applied: map high-touch surfaces area by area. |
| 3:45–5:00 | Module 6 — Product Selection for Cleaning & Disinfection. Spaulding classification, pathogen resistance hierarchy, EPA lists, contact time, IFU compatibility. Applied: match product inventory to pathogen targets. |
| 5:00–5:15 | Open Q&A and program wrap-up |
What you’ll be able to do
By the end of the program, attendees will be able to:
- State CMS requirements under 42 CFR §416.51 and locate the related Conditions for Coverage language
- Describe the Infection Preventionist role, required qualifications, and Governing Body delegation documentation
- Execute recurring duties — annual risk assessment, goal setting, policy ownership, surveillance, SSI investigation, and infection-control logging
- Design training that reaches all audiences (employees, credentialed providers, vendors, contracted staff, patients) at appropriate frequencies
- Build validation tools — knowledge checks and signed attestations — that demonstrate surveyor-acceptable competency
- Identify guideline-issuing bodies, select center-appropriate guidelines, and document selections (the most frequently cited §416.51 gap)
- Recognize current AAMI reprocessing standards and 2026 changes, and make them genuinely staff-accessible
- Build an environment-of-care program around six core components and map center-specific high-touch surfaces
- Select products using Spaulding classification, pathogen resistance, EPA lists, contact time, and manufacturer IFUs
- Anticipate the CMS Infection Control Surveyor Worksheet (Exhibit 351) and assemble evidence before survey
Regulatory alignment & certificate
CMS Conditions for Coverage at 42 CFR §416.51(b)(1) require that an ASC’s infection control program be directed by a designated, qualified professional trained in infection control. This program maps directly to the CMS Infection Control Surveyor Worksheet (Exhibit 351). Each attendee receives a certificate documenting 8.0 infection prevention and control contact hours for personnel records, and the curriculum supports the ongoing-education expectations of CMS-approved accreditors (AAAHC, QUAD A, The Joint Commission, ACHC, DNV).
Your presenter
Laurie T. Roderiques
BSN, RN, CNOR, CASC®, CAIP®, LNC · Director of Clinical Services, Ambulatory Healthcare Strategies, LLC
Laurie supports surgery centers through accreditation, survey readiness, and clinical operations, holding dual specialty credentials as a Certified Administrator Surgery Center and a Certified Ambulatory Infection Preventionist. Her instruction is grounded in real OR experience, survey navigation, and rebuilding infection prevention programs in working ASC environments.
Register your Infection Preventionist — or your whole clinical leadership team
Attend live, ask questions in real time, and keep on-demand access to every session afterward for ongoing training and onboarding.
Register on Zoom →Registration and payment are processed through Zoom. Questions? Email info@ascpodcast.com. This program provides regulatory education and does not constitute legal advice.