UNC Healthcare Infection Control Policies

Please note: These policies and accompanying attachments have been adopted by UNC Health Care for its use in infection control. They are provided to you as information only.

Note: The date following the policy title is the date that the policy is scheduled to be reviewed.

Policy (in alphabetical order) Policy Attachment(s) Available Upon Request
-A-
Anesthesiology
-B-
Bone Marrow Transplant
Burn Center
-C-
Cardiac Catheterization Laboratories
Carolina Antimicrobial Stewardship Program Policy
Central Processing Department and Other Surgical Services Support Areas Using Sterilizers or Strong CPD Sterilized Items
Chlorhexidine Gluconate (CHG) Treatments and Skin Antisepsis
Cleaning and Disinfection of Non-Critical Items
Creutzfeldt-Jakob Disease (CJD)
Custody of Internal Body Tissue, Organs, or Body Parts
Cystoscopy Suite
-D-
Dentistry
Dialysis Unit
Diversional Supplies
-E-
Emergency Department
Endoscope
Environmental Services
Exposure Control Plan for Bloodborne Pathogens
-G-
Gastrointestinal Procedures
GI Motility Studies
Guidelines for Disposal of Regulated Medical Waste
Guidelines for Infection Control in Nutrition and Food Services
-H-
Hand Hygiene
High-Level Disinfection -HLD – Manual Reprocessing of Reusable Semi-Critical Medical Devices
High Consequence Pathogens – Preparedness and Response Plan
-I-
Infection Prevention Guidelines for Imaging Services
Infection Control Guidelines Adult and Peds
Infection Prevention Guidelines for the Advanced Care – Home Program
Infection Prevention Guidelines for Continuing Care
Infection Prevention Guidelines for Attire in Semi-Restricted and Restricted Zones
Infection Prevention Guidelines for Pediatric Play Facilities and Child Life
Infection Prevention Guidelines for Perioperative Services
Infection Prevention Guidelines for Safe Patient Care
Infection Prevention Invasive Imaging
Infection Prevention Plan FY2025 – Final Goals
Infection Prevention Plan FY2026
Infection Prevention Program
Infection Prevention Response to Intentional Use of a Biothreat Agent
Influenza Immunization of Healthcare Personnel
Isolation Precautions
-L-
Laundry and Linen Service
-M-
Mask Requirements for Patients, Visitors, and Teammates
-N-
-O-
Occupational Health Service
-P-
Patient Equipment
Patient Exposure to Potentially Infectious Body Fluids and Human Milk Patient Exposure to Potentially Infectious Body Fluids and Human Milk Worksheet
Patients with Cystic Fibrosis
Pharmacy
Prevention of Intravascular Catheter-Related Infections
Psychiatric Units
-R-
Regulated Medical Waste
Rehabilitation Center
Rehabilitation Therapies
Reporting of Communicable Diseases
Research Animals in UNC Health Care Facilities
Respiratory Care Department
Reuse of Single-Use Devices
-S-
Safety and Infection Control Management Plan for Construction Renovation and Modernization Projects
Service Animals
SPARC SOP: Ambulance Decontamination
SPARC SOP: Ambulance Preparation
SPARC SOP Checklist
SPARC SOP Cleaning and Disinfection
SPARC SOP Decedent Care in a Special Pathogens Patient
SPARC SOP Dialysis Special Pathogens Patient
SPARC SOP Handling Liquid Waste
SPARC SOP Intubating Special Pathogen Patient
SPARC SOP Isolation of a Special Pathogen Patient in the ED
SPARC SOP Movement w/i the High-Risk Area During Care of a Patient with Suspected or Confirmed Special Pathogen
SPARC SOP Occupational Health for Staff working with Special Pathogen Patients
SPARC SOP Patient Admission Prebrief
SPARC SOP Patient Containment Wrap and Transport
SPARC SOP PPE Breach Protocol
SPARC SOP PPE Doffing for Special Pathogen Patient
SPARC SOP PPE Donning for Special Pathogens
SPARC SOP Portable Radiology in the Special Pathogen Unit
SPARC SOP: Provider Down
SPARC SOP Roles and Responsibilities
SPARC SOP Special Pathogen Doffing Area
SPARC SOP Specimen Collection and Transport
SPARC SOP Spill Cleanup
SPARC SOP Terminal Room Disinfection
SPARC SOP Transfer of Care from the UNC SPARC Medical Transport Team to the Inpatient Special Pathogen Treatment Team
SPARC SOP Waste Management
Special Pathogen Unit SPU Activation
Staphylococcus aureus/Staphylococcus lugdunensis bacteremia and Candidemia
Sterilization of Reusable Patient-Care Items
-T-
Tuberculosis Control Plan
-U-
-V-
-W-
Women’s Hospital Maternal Units – Recommendations from Infection Prevention