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Infection Prevention and Control
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Policies and Safe Practice Guidance Manual Supported living and sheltered Accommodation
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 SUPPORTED LIVING AND SHELTERED ACCOMMODATION POLICIES AND SAFE PRACTICE GUIDANCE CONTENTS
Title
Section
Policies: Infection Prevention and Control Management Policy Infection Prevention & Control in Occupational Health
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Safe practice guidance : Infection Control Principles - the spread of infection Standard Infection Control Precautions Hand Hygiene Personal Protective Equipment (PPE) Safe Use and Disposal of Sharps Spillages of Blood and Body Fluids Decontamination of Medical and Care Devices Asepsis and Care of Invasive Devices Infections with Specific Alert Organisms, including management of outbreaks Safe practice guidance – Building and Environment: Estates and Facilities Management Laundry Management Environmental Cleaning Management of Healthcare Waste Summary Pets and Working Animals Pest Control Closure of Rooms and facilities Bibliography
Client Name: Sample Issue Date: 14/11/2023 Review Date: 31/11/2025
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Contents Infection Prevention Solutions ©2023 Page 1 of 2
Infection Prevention Solutions
Appendices: 1: 2: 3: 4: 5: 6: 7: 8: 9: 10: 11: 12: 13: 14: 15.1: 15.2:
Client Name: Sample Issue Date: 14/11/2023 Review Date: 31/11/2025
IPC Policy Statement Action following Sharps/Splash Injury Application of Hand Rub How to Hand Wash 5 Moments poster – Bed 5 moments poster – Chair Areas frequently missed Glove Chart Donning and Doffing PPE poster Prevention of Sharps/Splash Injury Spillage Cleaning Decontamination Declaration Bristol Stool Chart Management of D&V Outbreak Weekly Chart Waste Disposal Flow Chart Colour Coding Waste Segregation
Contents Infection Prevention Solutions ©2023 Page 2 of 2
Infection Prevention Solutions
SPILLAGES OF BLOOD AND BODY FLUIDS This guidance may not apply to service user’s own home settings. Supported Living providers should undertake risk assessments in these cases to agree processes with the service user and staff. Blood and body fluid spillages must be dealt with immediately. In care and clinical areas this is usually a health and care worker responsibility. In public access areas, e.g., corridors, lifts, public toilets, this may be housekeeping staff responsibility. However, in premises without domestic staff on site during working hours, this responsibility must be clearly defined. The registered provider should ensure that local staff are aware of their responsibilities which should be included in staff induction and infection control training. Adequate and appropriate cleaning equipment, disinfectant preparations, protective clothing and hazardous 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 ready mixed solutions and as tablets (which require diluting to reach the correct concentration) . In addition, these may be in powder or granule form 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 pre-mixing 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 may be used for environmental disinfection. 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 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. 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. Advice may be sought from local Health Protection Unit and UKHSA. See Appendix 11 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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