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

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Note: Completion of Review NHS Lanarkshire Health Protection Committee Section E1 Effective From Sep 2010 Replaces Jun 2010 Pages 16 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 protective clothing worn. If hand washing facilities are unsuitable within the home staff should use alcohol hand gel/sanitizer, washing their hands at the earliest opportunity. ENVIRONMENTAL CLEANING Single use disposable plastic apron and gloves must be worn when carrying out general cleaning duties. Where environmental contamination occurs, see section on page E 6 of the guideline relating to cleaning of spillages of vomit /faeces. Domestic staff must clean the general ward environment thoroughly each day, using a solution of detergent and warm water A high level of general cleanliness must be maintained at all times, cleaning from unaffected to affected areas. In areas where there are affected patients the area/s (horizontal surfaces, floors, toilets and door handles) should be cleaned using a solution of detergent with a chlorine releasing agent e.g. Actichlor Plus. Dilution should be 1,000ppm (refer to container for guidance on dilution). The domestic should report to the nurse in charge each day at the start of their shift for any additional change to the cleaning regimens Patient care equipment should be cleaned by nursing staff using a solution of detergent and a chlorine releasing agent e.g. Actichlor Plus. Dilution should be 1,000ppm available chlorine (refer to container for guidance on dilution). At the conclusion of the outbreak the area should be terminally cleaned as per local protocol. CONCLUSION OF AN OUTBREAK The Infection Control Team, will determine when the outbreak is over. The nurse in charge will be informed and he/she will inform the following people: The Senior Manager for Nursing. The Clinician or General Practitioner on duty/call. Domestic Services. The Infection Control Team will inform all other relevant parties via e-mail that the outbreak has been declared over It is important to note that the ward must not be reopened until the above communications have taken place, and a full terminal clean has been carried out. The communications to the nurse in charge would normally take place via the Infection E 16
Note: Completion of Review NHS Lanarkshire Health Protection Committee Section E1 Effective From Sep 2010 Replaces Jun 2010 Pages 17 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 Control Team, however at weekends and during public holidays it would be via the on-call Microbiologist (contactable via the relevant switchboard). The Infection Control Team may review the experience of all participants involved in the outbreak, to identify any particular difficulties/shortfalls encountered and make recommendations as required. The Infection Control Team will compile a summary report for the Infection Control Committee and a copy will be submitted to the Consultant in Public Health Medicine. The Infection Control Team will also complete a DATIX .incident form. OTHER PRACTICAL CONSIDERATIONS FOR CLINICAL AND INFECTION CONTROL TEAMS Once the closed ward has re-opened ward staff should: o Admit patients to clean bay areas first. o Be alert to the possibility of the outbreak reigniting and be ready to re-institute control measures. o Continue to provide additional cleaning advice to domestic staff. ICTs – should be alert to warnings of increases in Norovirus activity through the HPS weekly Monday Prevalence and NHS 24 excedence reports. Advise medical receiving teams when the Norovirus risk is high. Bed Management Liaison and Infection Control Teams: must work closely together to ensure optimal patient safety for all patients. Early communications and pre-planning of reopening should assist in reducing the impact of Norovirus outbreaks. PROTOCOL FOR STAFF WITH GASTROINTESTINAL ILLNESS Any member of staff displaying unexplained sudden onset gastrointestinal symptoms of either vomiting and/or diarrhoea, should refrain from duty until they have been asymptomatic for a period of a full 48hrs. If a member of staff becomes ill, whilst on duty, they should be sent home immediately. The nurse in charge should inform SALUS Occupational Health, who will in turn follow-up the staff member until they return to duty. E 17
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Management of In-patients with Loose Stools ... - NHS Lanarkshire

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