BTS CPI study materials
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BTS CPI study plan

BTS CPI · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Infection Prevention and Control Program Management and Leadership & Regulatory Compliance, Accreditation, and Quality Improvement

  • Map the infection prevention and control (IPC) program's governance structure by naming the committee/board reporting line, the ICP's scope of authority, and the budget-approval path, then write a one-page org chart with annotations

  • Draft an annual IPC risk assessment that ranks at least eight infection risks by likelihood and impact using a scored matrix, and justify the top three priorities in writing

  • Translate the Joint Commission/CMS infection control standards into a checklist of at least 15 survey-ready evidence items (policies, logs, meeting minutes, competency files)

  • Build a performance-improvement charter for one IPC problem using a model such as PDSA or DMAIC, stating the aim statement, measures, and team roles

  • Identify the reporting relationships and required notifications (public health, accreditor, leadership) for a single confirmed high-consequence infection event

Your checkpoint

A one-page IPC program governance map plus a scored annual risk assessment with the top three priorities and their PI charters

Week 2

Microbiology, Pathogenicity, and Transmission of Infectious Agents

  • Explain the chain of infection for at least five pathogens (MRSA, C. difficile, CRE, influenza, Candida auris) by naming reservoir, portal of exit, mode of transmission, and portal of entry

  • Distinguish colonization from infection and describe how each affects isolation and surveillance decisions

  • Compare bacteria, viruses, fungi, and prions on structure, replication, and susceptibility to disinfection, and state the practical cleaning implication for each

  • Describe the main transmission routes (contact, droplet, airborne, vector, common vehicle) and match each to the precautions that interrupt it

  • Explain how pathogenicity, virulence factors, and inoculum size influence attack rates and outbreak potential

Your checkpoint

A pathogen reference table covering 12 organisms with transmission route, incubation period, and the precaution category each requires

Week 3

Surveillance, Outbreak Investigation, and Epidemiologic Methods

  • Define and distinguish incidence, prevalence, attack rate, case fatality rate, and standardized infection ratio, and compute each from a worked dataset

  • Apply the NHSN surveillance definitions for CLABSI, CAUTI, VAP, SSI, and laboratory-identified MDRO/C. difficile events to at least five practice scenarios

  • Calculate sensitivity, specificity, positive predictive value, and negative predictive value for a screening test and explain how prevalence shifts PPV

  • Outline the steps of an outbreak investigation from case definition through hypothesis testing and control measures, and apply them to a hypothetical cluster

  • Build a line list template with the fields needed to characterize person, place, and time, and construct an epidemic curve from sample data

Your checkpoint

A completed outbreak investigation workbook: case definition, line list, epidemic curve, and a written summary of control measures for a simulated cluster

Week 4

Standard and Transmission-Based Precautions and Isolation Practices & Hand Hygiene, Environmental Cleaning, and Disinfection and Sterilization

  • Differentiate Standard Precautions from each Transmission-Based category and list the correct PPE ensemble and donning/doffing order for each

  • Apply the Spaulding classification to at least 15 reusable devices and assign each to critical, semicritical, or noncritical processing

  • Explain the difference between cleaning, disinfection, and sterilization, and select an appropriate disinfectant level and contact time for a given organism and surface

  • Describe high-level disinfection and sterilization monitoring (mechanical, chemical, biological indicators) and state the action taken when a biological indicator fails

  • Analyze a hand hygiene program using the WHO Five Moments and the multimodal improvement strategy, and identify three barriers to compliance in a given unit scenario

Your checkpoint

A device-processing and precautions decision guide: 15 devices classified, plus a hand hygiene compliance audit tool with the Five Moments built in

Week 5

Healthcare-Associated Infection Prevention (CLABSI, CAUTI, VAP, SSI, MDRO/C. difficile)

  • Assemble the evidence-based bundle elements for CLABSI, CAUTI, VAP, and SSI prevention and explain the rationale for each element

  • Calculate device utilization ratios and infection rates per 1,000 device-days for central lines, urinary catheters, and ventilators from sample denominator data

  • Design a C. difficile prevention and testing stewardship plan covering appropriate testing, isolation, sporicidal cleaning, and antibiotic review

  • Apply MDRO control measures (contact precautions, screening, cohorting, decolonization) to a scenario involving CRE or MRSA transmission in a unit

  • Evaluate a root cause analysis of a single CLABSI or CAUTI event and identify the system failures versus individual failures

Your checkpoint

A bundle implementation packet for one HAI type: bundle checklist, rate calculation worksheet, and a one-page gap analysis against current practice

Week 6

Antimicrobial Stewardship and Multidrug-Resistant Organism Control & Occupational Health, Bloodborne Pathogens, and Healthcare Worker Safety

  • Explain the core elements of a hospital antimicrobial stewardship program and describe how stewardship and IPC programs share data and interventions

  • Interpret an antibiogram and use it to justify empiric therapy and formulary decisions in a written case discussion

  • Outline the OSHA Bloodborne Pathogens Standard requirements: exposure control plan, HBV vaccination offer, post-exposure evaluation, and recordkeeping

  • Describe post-exposure management for a needlestick or mucosal splash, including source testing, PEP options, and the timeframes involved

  • Identify healthcare worker safety hazards (TB, vaccine-preventable disease, sharps injuries, respiratory protection fit testing) and the corresponding control measures

Your checkpoint

A stewardship and occupational health action brief: an antibiogram interpretation memo plus a bloodborne pathogen exposure checklist

Week 7

Surveillance, Outbreak Investigation, and Epidemiologic Methods & Healthcare-Associated Infection Prevention (CLABSI, CAUTI, VAP, SSI, MDRO/C. difficile) & Infection Prevention and Control Program Management and Leadership

  • Integrate surveillance, outbreak, and HAI content by working through at least 40 mixed practice questions and logging the reasoning behind every miss

  • Write a surveillance plan for one organism or HAI that specifies definitions, data sources, validation method, and reporting cadence

  • Conduct a mock data validation exercise by comparing a sample of chart reviews against surveillance records and calculating the discrepancy rate

  • Draft a business case or leadership briefing that translates an IPC metric into patient-safety and financial impact for an executive audience

  • Explain how to close the loop on surveillance findings: feedback to units, action plans, and re-measurement

Your checkpoint

A complete surveillance plan with validation results and an executive briefing slide deck outline

Week 8

Regulatory Compliance, Accreditation, and Quality Improvement & Infection Prevention and Control Program Management and Leadership & Standard and Transmission-Based Precautions and Isolation Practices & Hand Hygiene, Environmental Cleaning, and Disinfection and Sterilization

  • Review all nine domain outlines and produce a personal gap list identifying the three weakest areas with specific remediation resources

  • Complete a full-length timed practice exam under test conditions and analyze results by domain to target final review

  • Recite from memory the key regulatory and accreditation requirements for infection control, including required policies, reporting, and survey documentation

  • Rehearse explaining IPC decisions to non-clinical stakeholders by drafting three short written responses to leadership-style scenario prompts

  • Finalize a one-page personal exam-day reference sheet of formulas, definitions, and precaution categories

Your checkpoint

A completed practice exam score report with a domain-by-domain remediation plan and a one-page exam-day reference sheet

Milestones

Week 2: Can state the transmission route and required precaution for any pathogen on your 12-organism table without notes, and score at least 80% on a 20-question microbiology self-quiz

Week 4: Can correctly classify 15 reusable devices by Spaulding category and calculate an infection rate per 1,000 device-days from raw denominator data with no reference

Week 6: Can explain the core elements of antimicrobial stewardship and the OSHA bloodborne pathogens requirements from memory, and correctly answer 15 mixed stewardship/occupational health questions

Week 8: Score at or above your target passing threshold on a full-length timed practice exam, with no single domain below 70% and a written remediation plan for any domain that is