Management of In-patients with Loose Stools ... - NHS Lanarkshire

More documents

Recommendations

Info

Note: Completion of Review NHS Lanarkshire Health Protection Committee Section E1 Effective From Sep 2010 Replaces Jun 2010 Pages 12 of 31 SECTION E 1 - Management of In-patients with Loose Stools: Gastrointestinal Outbreak Review Date March 2013 Health Protection Committee approved review date extension to March 2013 Ensure contaminated linen is disposed of as foul/infected and other materials are handled in the correct manner (Section D, I & K, Control of Infection Manual) Where staff are affected, ensure that the protocol for employees with gastrointestinal illness is strictly adhered to. All symptomatic staff should be referred to SALUS Occupational Health Ensure that, during outbreaks, staff do not travel to and from work in their uniforms. The uniforms should be transported to and from work in a clean polythene bag. If uniforms are contaminated by blood/body fluid they must be handled according to the section within the Uniform Policy, Guidelines for Staff Laundering their Uniforms at home. Issue patients and visitors with an information leaflet on Vomiting and Diarrhoea. Where necessary relatives should be issued with leaflet in relation to laundering patients clothes Ensure a high standard of cleanliness is maintained at all times throughout the ward Ensure that the Aide Memoir Checklist (Appendix 8) is completed and signed off each day and returned to the ICT at the end of the outbreak DUTIES OF THE INFECTION CONTROL TEAM If practical visit the affected area on a daily basis, if not then phone the area daily Ensure that staff adhere to outbreak control measures. Liaise with the Nurse in Charge/Senior Manager for Nursing and the Microbiologist on a daily basis. To ensure all control measures are in place, utilise Aid Memoir form within (Appendix 8) as a point of reference. This should be left with the Nurse in Charge of the Ward and signed off each day Where appropriate e.g. Salmonella infection, full food histories should be obtained, in consultation with the Consultant in Public Health Medicine, to allow for a more in depth analysis to be done. Ensure that all the relevant information is collated accurately and that the Daily Outbreak Record Form (Appendix 6) is readily available, and fully maintained. Ensure the Form (Appendix 8) is fully maintained on a daily basis Issue a daily update on the outbreak situation to all relevant parties by e-mail. Complete a summary report template on completion of the outbreak Conduct a debriefing exercise E 12
Note: Completion of Review NHS Lanarkshire Health Protection Committee Section E1 Effective From Sep 2010 Replaces Jun 2010 Pages 13 of 31 SECTION E 1 - Management of In-patients with Loose Stools: Gastrointestinal Outbreak Review Date March 2013 Health Protection Committee approved review date extension to March 2013 IMMEDIATE RISK REDUCTION If ward pantries or kitchens have doors, these should be closed, and kept closed. Identify and advise on the discarding of food throughout the ward which may have been contaminated by Norovirus contaminated aerosols (from projectile vomit), e.g. fruit or sweets on patient lockers, open butter dishes in pantries. Avoid the subsequent exposure of food in the ward, on bed-tables and lockers and in pantries / kitchens. Review ward equipment and remove any equipment that cannot be effectively decontaminated, e.g. damaged commodes or chairs with torn seat coverings. Follow guidance within the section of this guideline relating to Cleaning Spillages of Vomit and Faeces, page E6, when cleaning equipment or spillages. Avoid exposing equipment to airborne Norovirus contamination wherever possible, e.g. consider covering open disposables items with plastic sheets. Stop using fans in the ward areas. PATIENT PLACEMENT AND BED MANAGEMENT Patient placement decisions during a Norovirus outbreak require local infection control and clinical team assessment of the options with the least risk for all the patients. The variables that will assist the ICT and clinical team in making patient placement decisions with the best options for patient safety include: the number of symptomatic patients, the number of patients who are vomiting, the ward layout (cubicles, beds per bays or nightingale ward areas), the availability of commodes, hand hygiene facilities, toilets and en suite facilities, the sex mix on the ward, the vulnerability of patients who are not currently affected, current occupancy rate and the duration of symptoms. The following are guidelines: Patients who are vomiting pose most risk – if possible isolate these patients in a single room and keep the door closed. If there are more symptomatic patients than available cubicles, cohort nurse symptomatic patients together in bays. Do not move patients if it places asymptomatic patients at risk of exposure. E 13
Page 1 and 2: Note: Completion of Review NHS Lana
Page 11: Note: Completion of Review Bankaid
Page 19 and 20: Note: Completion of Review 3. BIBLI

Management of In-patients with Loose Stools ... - NHS Lanarkshire

Create successful ePaper yourself

Delete template?

Save as template?