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Infection Prevention and Control
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Policies and Safe Practice Guidance Manual Acute & Forensic Mental Health
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 MENTAL HEALTH POLICIES AND SAFE PRACTICE GUIDANCE CONTENTS Title
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 Policy
Section Number 1 2 3 4 5 6
Safe practice guidance – General: Estates and Facilities Management Infection Prevention & Control Principles - the spread of infection Standard Infection Control Precautions Hand Hygiene Personal Protective Equipment (PPE) Safe Use and Disposal of Sharps Laundry Management Management of Healthcare Waste Summary Environmental Cleaning Spillages of Blood and Body Fluids Pets and Working Animals In Mental Healthcare Environments Pest Control
7 8 9 10 11 12 13 14 15 16 17 18
Safe practice guidance – Clinical: Decontamination of Medical Devices Single Use and Single Patient Use Medical Devices Last Offices – care after death Aseptic Technique and Care of Invasive Devices Isolation of Infectious Service Users Collection of Microbiological Specimens Infections with specific alert organisms Closure of rooms, wards and facilities
19 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 Policy
27 28 29 30
Bibliography
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Sample Client Issue Date: 04/09/2023 Review Date: 04/09/2025
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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 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
Sample Client Issue Date: 04/09/2023 Review Date: 04/09/2025
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SPILLAGES OF BLOOD AND BODY FLUIDS Blood and body fluid spillages must be dealt with immediately. In clinical areas this is usually a nursing / care worker 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 prevention & control training. Adequate and appropriate cleaning equipment, disinfectant preparations, protective clothing and clinical waste bags must be readily available. Floor signs indicating danger of slippage must be used where appropriate. 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 and granules 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. Wipes are also available and may be better suited to mental health settings according to risk assessments. Powders and granules are the preferred method of disinfection as they require no pre-mixing and have a longer shelf-life. They are also easier to use. NB; 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, alternatively some manufacturers provide spill kits of granules 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 enhanced environmental cleaning (e.g., terminal cleaning of room after discharge of infectious service user). Preparations must be diluted immediately before use and any unused liquid must be discarded. Do NOT store reconstituted solution as it rapidly loses its efficacy. See Appendix 4.5 to this Manual for a poster which can be printed, laminated, and displayed for staff.
Sample Client Issue Date: 04/09/2023 Review Date: 04/09/2025
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