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Infection Prevention and Control
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Policies and Safe Practice Guidance Manual Adult Hospice with Hospice at Home
Infection Prevention Solutions Gordon House 1-6 Station Road Mill Hill London NW7 2JU T: 020 8906 2777 F: 020 8906 2233 E: info@infectionpreventionsolutions.co.uk
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www.infectionpreventionsolutions.co.uk
ISO 9001 REGISTERED FIRM
INTERNATIONAL ACCREDITATION BOARD Registration No. 0044/1
Infection Prevention Solutions
INFECTION PREVENTION & CONTROL PAEDIATRIC HOSPICE POLICIES AND SAFE PRACTICE GUIDANCE CONTENTS Title
Section
Policies: Infection Prevention and Control Management Policy Policy Statement for COVID-19 Management Recognition and management of an outbreak of infection Management of an outbreak of viral gastro-intestinal illness Antimicrobial Stewardship Policy Sepsis Safe practice guidance – General: Infection Prevention & Control Principles - the spread of infection Standard Infection Control Precautions Hand Hygiene Personal Protective Equipment (PPE) Safe Use and Disposal of Sharps Management of Healthcare Waste - Summary Estates and Facilities Management Laundry Management Environmental Cleaning Spillages of Blood and Body Fluids Pets in Hospice Environments Working Animals, Assistance dogs and therapy animals Pest Control
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 17a 18
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Safe practice guidance – Clinical: Decontamination of Medical Devices Management of Toys and Play Equipment Single Use and Single Patient Use Medical Devices Last Offices – Care after Death Aseptic Technique and Care of Invasive Devices Isolation of Infectious Patients Collection of Microbiological Specimens Infections with specific alert organisms Closure of rooms, and facilities
19 19a 20 21 22 23 24 25 26
Safe practice guidance – Personnel: Management of Occupational Exposure to Blood-borne Viruses Management of Infections in Staff Vaccination Programme for Staff and Service Users Uniform and Dress Code
27 28 29 30
Bibliography
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Client Name: Sample Issue Date: 14/11/2023 Review Date: 31/11/2025
Contents Page Infection Prevention Solutions ©2022 Page 1 of 2
Infection Prevention Solutions
Appendices
1.1 1.2 1.3 1.4 1.5 2.1 2.2 3.1 3.2 3.3 4.1 4.5 5.1 5.2 7.1 8.1 9.1 9.2
How to Handwash poster How to apply alcohol rub 5 moments bed poster 5 moments chair poster HandWash Areas missed Glove Chart PPE Donning and Doffing Bristol Stool Chart D&V weekly record D&V Investigation Record In Patient Care Colour coding Cleaning Equipment Spillage Cleaning Waste Disposal Chart Colour coding waste Decontamination Declaration Policy Statement for IC Management Sharps injury prevention poster Sharps Injury action poster
Client Name: Sample Issue Date: 14/11/2023 Review Date: 31/11/2025
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Infection Prevention Solutions
SPILLAGES OF BLOOD AND BODY FLUIDS Blood and body fluid spillages must be dealt with immediately. In clinical areas this is usually a health care worker’s responsibility. In public access areas, e.g., corridors, lifts, public toilets, this is usually a domestic staff responsibility. The registered provider should ensure that local staff are aware of their responsibilities which should be included in staff induction and infection control training. Spillages of blood and other high risk body fluids, e.g., faeces, should be dealt with using a chlorine releasing agent e.g., sodium hypochlorite or one containing Na DCC (Sodium Dichloroisocyanurate). These are available as solutions and tablets (which require diluting to reach the correct concentration) or as powders and granules which contain an appropriate concentration. Powders, granules and absorbent sheets are available as spillage kits which often contain all the equipment required for the spill including yellow bags and card/scoop for removal of spill. Powders, granules or absorbent sheets are the preferred method of disinfection as they require no pre-mixing and have a longer shelf-life. They are also easier/safer to use. Urine and vomit spills should not be treated with chlorine-releasing products as these body substances are usually acidic (with a low pH) and can react with chlorine releasing noxious gases which may be inhaled (particularly in confined spaces such as toilets). Urine and vomit should be dealt with using detergent and water in the first instance (see appendix). Alternatively, some manufacturers provide spill kits of granules/sheets specifically for use on vomit and urine. Liquid preparations should be available in the correct concentration. A hypochlorite concentration of 10,000 ppm (parts per million) is necessary for use on blood and body fluid spillages. [A weaker concentration of 1,000 ppm is used for environmental cleaning]. Solutions must be diluted immediately before use as per the manufacturer’s instructions using an appropriately labelled container (as provided by the manufacturer) and any unused reconstituted solution must be discarded as directed by the manufacturer as it rapidly loses its efficacy. Prepared solutions and concentrate (liquid or tablets) must be stored in accordance with COSHH regulations i.e., in a locked room or cupboard
Client Name: Sample Issue Date: 14/11/2023 Review Date: 31/11/2025
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Infection Prevention Solutions
New Products New cleaning and disinfection products are being developed all the time e.g. Spill kits containing absorbent pads and disinfectant wipes. Many of them are marketed as effective against a wide-range of bacteria including bacterial spores and viruses. Before any decision is made to change products, a comprehensive evaluation of manufacturers’ product details needs to be undertaken. This should include requesting to see data relating to independent laboratory testing that was undertaken during product development ensuring compliance with relevant BS EN standards (products should be tested against a range of common bacteria, spores and viruses to demonstrate a log reduction). Full testing data should be requested from the manufacturer and a risk assessment made of the benefits of product change. See Appendix 4.5 to this Manual for Standard Operating Procedure for methods of dealing with spillages
Client Name: Sample Issue Date: 14/11/2023 Review Date: 31/11/2025
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