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CBIC-CIC exam Format | CBIC-CIC Course Contents | CBIC-CIC Course Outline | CBIC-CIC exam Syllabus | CBIC-CIC exam Objectives

Exam Topics of CBIC-CIC Covered in these Q&As.



- Interpret the relevance of diagnostic- radiologic- procedural- and laboratory reports

- Identify appropriate practices for specimen collection- transportation- handling- and storage

- Correlate clinical signs- symptoms- and test results to identify possible infectious disease

- Differentiate between colonization- infection- and pseudo infection (e.g.- contamination)



- Differentiate between prophylactic- empiric and therapeutic uses of antimicrobials

- Assess risk factors for infectious diseases (e.g.- travel- vaccination status- immunocompromising factors)

- Monitor current and emerging local and global health threats (e.g.- local- national- and international public health organizations)



- Conduct a risk exam based on the following:

- geographic location

- demographics of the population served

- care

- treatment

- services provided

- analysis of infection prevention data

- evidence-based guidelines or recommendations

- regulatory or other requirements as applicable



- Develop goals and objectives based upon the risk exam

- Develop a surveillance plan based on the goals identified from the risk exam

- Adopt or establish standardized surveillance definitions

- Create a process to identify epidemiologically significant findings and notify relevant parties

- nursing unit

- health department

- leadership



- Integrate surveillance activities across health care settings

- ambulatory

- home health

- long term care

- acute care

- behavioral

- Establish process for identifying individuals with communicable diseases requiring transmission-based precautions and/or follow up:

- reporting to health department

- Periodically evaluate the ability of the surveillance plan to obtain relevant data and modify as necessary



- Collection and Compilation of Surveillance Data

- Collect data using standardized definitions

- Utilize a systematic approach to obtain and record surveillance data

- Organize and manage data in preparation for analysis

- Calculate the incidence and/or prevalence of infections

- Calculate specific infection rates/ratios

- provider specific

- unit specific

- device specific

- procedure specific

- Standardized Infection Ratio



- Interpretation of Surveillance Data

- Validate surveillance data

- Use basic statistical techniques to describe- analyze- and interpret data

- standard deviation

- rates

- ratios

- proportions



- Compare surveillance results to published data and/or other relevant benchmarks

- prior surveillance data

- national databases

- Monitor and interpret the relevance of surveillance data

- antimicrobial susceptibility patterns

- Prepare and present findings in a format that is relevant to the audience/stakeholders

- graph

- tables

- charts



- Verify existence of an outbreak or exposure

- Notify appropriate internal and external stakeholders

- Collaborate with appropriate persons to establish the case definition- period of investigation- and case finding methods

- Define the problem using time- place- person- and risk factors

- Formulate hypothesis on source and mode of transmission



- Collect additional data

- environmental samples

- active surveillance cultures

- Design and implement control measures- including ongoing surveillance

- Monitor and evaluate control measures for effectiveness

- Prepare and disseminate reports





- Develop infection prevention policies and procedures based on law and regulation- manufacturers instructions for use- evidence based guidelines and national standards (as applicable)

- Collaborate with relevant groups and agencies in planning community/facility responses to biologic threats and disasters

- public health

- anthrax

- influenza

- emerging pathogens



- Identify and implement infection prevention and control strategies related to:

- Hand hygiene

- Appropriate availability- selection- use- and disposal of Personal Protective Equipment

- Appropriate donning and doffing of Personal Protective Equipment

- Patient placement- transfer- and discharge

- Respiratory hygiene and cough etiquette



- Use of patient care products and medical equipment

- Principles of safe injection practices

- parenteral medication administration

- single use of syringes and needles

- appropriate use of single and multi-dose vials

- Compounding medications





- Identify and implement strategies related to Transmission based Precautions (in addition to standard precautions)

- Adapt transmission based precautions to the specific healthcare setting- the facility design characteristics- and the type of patient interaction

- Collaborate with key stakeholders on antimicrobial stewardship programs

- leadership

- pharmacist

- infectious disease specialist

- Monitor and interpret the relevance of antimicrobial susceptibility patterns



- Collaborate with key stakeholders on emergency preparedness and management

- Plan for the influx of patients with known/suspected communicable diseases

- bioterrorism

- emerging infectious diseases

- syndromic surveillance

- Identify infection preventions role in mass casualty incidents and emergency/disaster management

- Assess readiness of emergency management plans

- Establish infection prevention coverage in emergency situations

- Integrate infection prevention strategies into the four phases of emergency/disaster response in the emergency operations plan

- mitigation

- preparedness

- response

- recovery



- Assess and/or develop screening and immunization programs

- Collaborate with employee/occupational health regarding counseling- follow up- and work restriction recommendations related to communicable diseases and/or exposures

- Collaborate with employee/occupational health to evaluate data related to infection prevention and provide recommendations (e.g.- needle stick injuries- splashes)

- Collaborate with employee/occupational health to identify healthcare personnel who may represent a transmission risk to patients- coworkers- and communities



- Consult on use of alternative infection prevention options (e.g.- allergies to products)

- Assess risk of occupational exposure to infectious diseases

- Mycobacterium tuberculosis

- bloodborne pathogens

- Educate on safe work practices

- PPE

- safe injection practices

- hand hygiene



- Develop- evaluate- and revise goals- measurable objectives- and plan for the Infection Prevention Program

- Assess needs then recommend specific equipment- personnel- information technology- and resources to support the Infection Prevention Program

- Participate in cost benefit exams- efficacy studies- evaluations- and standardization of products and processes

- Recommend changes in practice based on regulation- critically appraised literature- clinical outcomes- and financial implications

- Assign value to prevention of and/or presence of healthcare associated infection prevention

- cost/benefit analysis

- return on investment



- Provide infection prevention findings- recommendations- and reports to appropriate stakeholders

- Facilitate and monitor implementation of policies- procedures- and recommendations

- Establish a process to communicate notifiable diseases to internal and external stakeholders

- health authority

- receiving facility

- transitions of care

- Collaborate with internal and external stakeholders in the identification and review of adverse and sentinel events

- Evaluate and facilitate compliance with accreditation standards/regulatory requirements

- Identify chain of command (e.g.- media inquiry)





- Participate in quality/performance improvement and patient safety activities related to infection prevention (e.g.- failure mode and effects analysis- plan do study act)

- Develop- monitor- measure- and evaluate infection prevention performance indicators to drive quality improvement initiatives

- Select and apply appropriate quality/performance improvement tools (e.g.- “fishbone” diagram- Pareto charts- flow charts- Strengths Weaknesses Opportunities Threats- Gap Analysis)





- Assess needs- develop goals and measurable objectives for preparing educational offerings

- Prepare- present- coordinate- and/or disseminate educational content that is appropriate for the audience

- Identify the differences between the concepts of knowledge- training- and competency

- Provide immediate feedback- education- and/or training to healthcare workers when lapses in practice are observed

- Facilitate education of patients- families- and others regarding prevention and control measures

- Assess the effectiveness of education and learner outcomes (e.g.- observation of practice- process measures)

- Implement strategies that engage the patient- family- and others in activities aimed at preventing infection



- Recognize and collaborate on processes for a safe care environment (e.g.- Heating Ventilation Air Conditioning management- water pathogen management- laundry- waste management- environmental cleaning)

- Collaborate on the evaluation and monitoring of environmental cleaning and disinfection practices and technologies

- Collaborate with others to select and evaluate environmental cleaning and disinfectant products

- Identify infection prevention processes related to recall of potentially contaminated equipment- food- medications- and supplies

- Monitor for environmental pathogens (e.g.- Legionella- Aspergillus)



- Identify and evaluate appropriate cleaning- disinfection- and sterilization practices based on intended use (e.g.- Spaulding classification)

- Collaborate with stakeholders to determine if products are single use- able to be reprocessed internally- or require an external reprocessing facility

- Identify and evaluate through direct observations critical steps of cleaning/low level disinfection- high level disinfection- and/or sterilization

- Audit the documentation of the process to ensure regulatory and policy requirements are met.

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