Infection Prevention Control (IPC) & Medical Waste

1. Overview & Business Value#

This comprehensive operational guide details the architecture, business workflows, configuration parameters, and execution steps for Infection Prevention Control (IPC) & Medical Waste within SmartERP.

Manage healthcare-associated infection (HAI) surveillance, sterile processing department (CSSD) cycles, and hazardous medical waste disposal.

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2. Prerequisites & Security Access Groups#

• Required Modules: smarterp_healthcare, smarterp_clinical_core, smarterp_pharmacy
• Security Groups:
  • Healthcare Receptionist (Technical ID: smarterp_healthcare.group_medical_receptionist)
  • Physician / Attending Doctor (Technical ID: smarterp_healthcare.group_medical_doctor)
  • Pharmacy Dispenser (Technical ID: smarterp_healthcare.group_medical_pharmacist)
• Master Data Dependencies: Patient master registry (Medical Record Number - MRN), EFDA drug formulary, Ethiopian Ministry of Health (MoH) HMIS disease codes, and EHIS insurance tariffs.

3. Step-by-Step Configuration & Execution#

Step 1: Navigating to the Module Interface#

1. Log into your SmartERP instance at https://smarterp.et/odoo.
2. Open the main App Switcher (grid icon in the top-left corner).
3. Select the Healthcare app icon.
4. From the top navigation bar, open Healthcare → Clinical Dashboard → OPD Triage / Inpatient ADT / EMR / Pharmacy Dispensing.

{screenshot:infection-control-and-medical-waste-app-switcher-navigation}

Step 2: Creating and Parameterizing Records#

1. Click the New button in the top-left control panel.
2. Complete the mandatory fields in the record form:
   • Medical Record Number (MRN) (Mandatory): Unique national health identifier or generated hospital record code
   • Patient Demographics (Mandatory): Full legal name, gender, date of birth, and Kebele residential location
   • Encounter Type (Mandatory): Outpatient (OPD), Inpatient (IPD), Emergency, or Triage consultation
   • Attending Physician (Mandatory): Licensed healthcare practitioner responsible for clinical encounter
3. Configure optional operational parameters and localized tags as required:
   • Insurance Provider & Policy (Optional): EHIS CBHI/SHI policy or corporate credit contract
   • Triage Vital Signs (Optional): Blood pressure, pulse rate, respiratory rate, temperature, and SpO2
   • ICD-11 / HMIS Diagnosis Code (Optional): Standardized diagnosis category for statutory health reporting
4. Click the Save icon in the control bar to commit the record.

{screenshot:infection-control-and-medical-waste-record-creation-form}

Step 3: Validating and Processing Transactions#

• State Transitions: Execute operational state progression (Reception / Triage → Consultation → Lab / Radiology → Prescription → Billing / Discharge).
• Ledger & System Impact: Patient billing registers medical service revenue, debits patient or insurance accounts receivable, and debits pharmaceutical inventory upon prescription dispensing.
• Audit Verification: Automated recording of author ID, timestamp, and immutable revision history.

{screenshot:infection-control-and-medical-waste-transaction-processing-state}

Infection Prevention & Control (IPC) Surveillance#

SmartERP facilitates systematic surveillance of Healthcare-Associated Infections (HAI) matching MoH guidelines:

• Surgical Site Infections (SSI) monitored up to 30 days post-operatively.
• Catheter-Associated Urinary Tract Infections (CAUTI).
• Central Line-Associated Bloodstream Infections (CLABSI).
• Ventilator-Associated Pneumonia (VAP) in Intensive Care Units.

When clinical cultures identify multidrug-resistant organisms (MDRO) like MRSA or ESBL-producing bacteria, the system flags the patient chart and notifies the IPC team to enforce contact or droplet isolation protocols.

Central Sterile Services Department (CSSD) Operations#

Surgical instrument trays and reusable linen undergo controlled sterilization tracking:

1. In Healthcare > CSSD > Sterilization Batches, click New Cycle.
2. Select autoclave machine (Steam Autoclave, Plasma Sterilizer, ETO).
3. Record cycle parameters: Pressure, temperature ($134^\circ C$), and holding time (e.g., 18 minutes).
4. Verify and record physical indicators, chemical integrator strips (Class 5/6), and biological spore ampoule tests.
5. Print barcoded Sterility Assurance Labels affixed to surgical sets:
   • Includes Pack ID, Autoclave Number, Cycle Number, Date Sterilized, Expiry Date.
6. The Operating Theatre barcode scanner validates pack sterility before permitting incision.

Bio-Hazardous Medical Waste Manifest Tracking#

Conforming to EFDA and Environmental Protection Authority standards, medical waste is classified and logged by weight prior to disposal:

• Yellow Bags / Containers: Infectious waste, pathological tissues, soiled dressings (autoclaved or incinerated).
• Red Sharps Boxes: Needles, scalpels, lancets, broken ampoules (incinerated at $> 1,000^\circ C$).
• Black Bags: General municipal, non-hazardous administrative waste.
• Brown Containers: Expired pharmaceutical chemicals and cytotoxic waste.

Daily manifest logs record total kilograms generated per department, disposal contractor transfer certificates, and internal incinerator fuel/temperature logs.

4. Advanced Configuration Points#

• Automated Actions & Scheduled Tasks (Crons):
  • Healthcare: Generate daily MoH HMIS aggregate tally (smarterp_healthcare.ir_cron_hmis_sync): Runs daily at 23:00 to prepare DHIS2 health data summaries
  • Pharmacy: Flag expiring EFDA medicine batches (smarterp_healthcare.ir_cron_fefo_expiry): Runs daily at 06:00 to alert dispensers of lots expiring within 60 days
• Custom Print Templates & Reports:
  • Official Patient Encounter Summary & Medical Certificate
  • Electronic Prescription Order Form (Model 19 Compliant)
  • Ethiopian Health Insurance Service (EHIS) Claim Dossier
  • Daily MoH Outpatient / Inpatient Morbidity Tally Sheet
• Multi-Company Rules: Record-level security isolation under Company 1 (Ashewa Technology Solutions S.C.), preventing cross-company ledger leakage across parent and subsidiary legal entities.

5. Comprehensive Troubleshooting Matrix#