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

Note: Completion
of Review
NHS Lanarkshire
Health Protection Committee
SECTION E 1 - Management of In-patients with
Loose Stools: Gastrointestinal Outbreak
Section E1
Effective From Sep 2010
Replaces Jun 2010
Pages 2 of 31
Review Date March 2013
Health Protection Committee approved review date extension to March 2013
SECTION E 1
CONTENTS
Page Nos.
Management of In-patients with Loose Stools: Gastrointestinal Outbreak:
Guidelines for the Management of Patients with Clostridium Difficile
E 1-28
IS IT A NOROVIRUS OUTBREAK: A DECISION TREE TO HELP
CLINICAL STAFF
E 4
1 MANAGEMENT OF IN-PATIENTS WITH LOOSE STOOLS E 5
CLEANING SPILLAGES OF VOMIT AND FAECES E 6
SIGNIFICANT EXPOSURE/CONTAMINATION TO VOMIT & FAECES E 7
2 GASTROINTESTINAL OUTBREAK E 7
RECOGNITION OF AN OUTBREAK E 7
WHEN A SUSPECTED OUTBREAK OCCURS E 8
CONFIRMATION OF AN OUTBREAK E 8
DUTIES OF THE NURSE IN CHARGE OF THE AFFECTED AREA E 10
DUTIES OF THE INFECTION CONTROL TEAM E 11
IMMEDIATE RISK REDUCTION E 11
PATIENT PLACEMENT & BED MANAGEMENT E 12
GENERAL CONTROL MEASURES E 13
COMMUNITY STAFF E 14
ENVIRONMENTAL CLEANING E 15
CONCLUSION OF AN OUTBREAK E 15
OTHER PRACTICAL POINTS TO CONSIDER FOR CLINICAL AND
INFECTION CONTROL TEAMS
E 16
3 BIBLIOGRAPHY E 17
Appendix 1 The Bristol Stool Form Scale E 18
Appendix 2 Specimens E 19
Appendix 3 Daily Stool Chart E 20
Appendix 4 Membership of Outbreak Control Team (OCT) E 21
Appendix 5 Infection Control Outbreak / Episode Risk Matrix E 22
Appendix 6 Outbreak Record Form (Gastroenteritis) E 23
Appendix 7 Daily Stool Specimen Form E 24
Appendix 8 Daily Checklist For Wards E 25
Appendix 9 Patients with Vomiting and Diarrhoea E 27
E 2