Scotland Social Care Manual 2023

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Infection Prevention and Control

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Policies and Safe Practice Guidance Manual

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

Scotland Social Care

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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 SOCIAL CARE POLICIES AND SAFE PRACTICE GUIDANCE for SCOTLAND 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

1 2 3 4 5 6

Safe practice guidance – General: Infection Prevention & Control Principles Standard Infection Control Precautions Hand Hygiene Personal Protective Equipment (PPE) Safe Use and Disposal of Sharps Management of Healthcare Waste Summary Laundry Management Environmental Cleaning Spillages of Blood and Body Fluids Pets in Care Environments Working Animals. Assistance Dogs and Therapy Animals 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 and facilities

19 20 21 22 23 24 25 26

Safe practice guidance – Personnel: Management of Occupational Exposure to Blood-borne virus Risk 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: Sample Issue Date: 14/11/2023 Review Date: 31/05/2025

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 Social 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: Sample Issue Date: 14/11/2023 Review Date: 31/05/2025

Infection Prevention Solutions

SPILLAGES OF BLOOD AND BODY FLUIDS See Appendix 4.5 to this Manual, for a poster which can be printed laminated and displayed for staff Blood and body fluid spillages must be dealt with immediately. In clinical and care areas this is usually a health and care worker responsibility. In public access areas, e.g., corridors, lifts, public toilets, this is usually a domestic staff responsibility. However, it is important this responsibility is clearly defined. 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 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 the appropriate concentration. Powders and granules are available as spillage kits which also contain all the equipment required for the spill including apron, gloves, yellow bags, wipes and card/scoop for removal of spill. Powders and granules are the preferred method of disinfection as they require no premixing and have a longer shelf-life. They are also easier 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 several manufacturers now provide spill kits 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 spillages. A weaker concentration of 1,000 ppm is used for environmental cleaning. 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.

Client: Sample Issue Date: 14/11/2023 Review Date: 31/05/2025

Infection Prevention Solutions

New Products New cleaning and disinfection products are being developed all the time. 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.

Client: Sample Issue Date: 14/11/2023 Review Date: 31/05/2025

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