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

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Note: Completion of Review NHS Lanarkshire Health Protection Committee SECTION E 1 - Management of In-patients with Loose Stools: Gastrointestinal Outbreak Hospital Infection Incident Assessment (HIIA) Tool E 24 Section E1 Effective From Sep 2010 Replaces Jun 2010 Pages 24 of 31 Review Date Dec 2012 Objective: To provide all those who manage and need to know about hospital infection incidents with a simple impact assessment tool Step 1 – Assess the infection impact on: Patients, Services, Public Health and Public Anxiety as minor, Moderate or Major Minor Moderate Major Patients Services Public Health Public Anxiety٭ Only minor interventional support needed as a consequence of the incident. No mortality. Patients require moderate interventional support, but no mortality as a consequence of the incident. Life threatening illness or death as a consequence of the incident in one or more patients. No, or very short term closure of clinical area(s) with minor impact on any service. Short term closure(s) having moderate impact on some services, e.g. multiple wards closed or ITU closed. Significant disruption and impact on services, e.g. hospital closures for any period of time. No, or only minor implications for public health. Moderate implications, i.e. there is a moderate risk of only moderate impact infections to other persons. Significant implications for public health, i.e. there is a moderate or major risk of major infection to someone else No significant increased anxiety or concern anticipated. Step 2 Calculate the Impact: All minor = Green; 3 Minor and 1 moderate = Green; No Major and 2-4- Moderate = Amber; Any Major = Red; Step 3 Take actions in line with the HIIA Tool Colour Green Amber Red Appendix 5 Increased concern and or anxiety anticipated. Alarm within at least some areas of the community anticipated Manage within the NHS Board. Report to SGHD. Engage with CPHM. Log on Report to SGHD. Engage with CPHM. Log SHORS if an outbreak . SHORS and report to HPS if an outbreak. Ask HPS Report to HPS٭٭ Inform CPHM for support if requireedr ٭٭ Log on SHORS if an outbreak Consider issuing press statement (prepare holding statement)٭٭٭ Issue press statement٭٭٭ ٭Public Anxiety: if a press statement was released today summarising the situation what would be the likely impact on public anxiety. ٭٭Consider other who may be of assistance in managing hospital infection incidents; Food Standards Agency, Scottish Environmental Protection Agency (SEPA), Water Authority, Dental Public Health Consultant, Health and Safety Executive, etc. ٭٭٭As far as is practicable, patients and relatives should be informed of an incident prior to press statement release. All press statements should be shared with SGHD and HPS
Note: Completion of Review NHS Lanarkshire Health Protection Committee SECTION E 1 - Management of In-patients with Loose Stools: Gastrointestinal Outbreak E 25 Section E1 Effective From Sep 2010 Replaces Jun 2010 Pages 25 of 31 Review Date Dec 2012 Outbreak Record Form (Gastroenteritis) Appendix 6 CODE:…………………. Diarrhoea (colour coded in red) Vomiting (colour coded in green) Vomiting and Diarrhoea (colour coded in blue) PV =projectile vomiting, LAX =laxatives, V =vomiting, A =asymptomatic, NV =Norovirus, D + V =vomiting and diarrhoea, AB =antibiotics, CDT =C. diff toxin +ve, D =diarrhoea Ward / Area No of beds in Ward/ Area Date Reported Total no. of patients in area Time Reported Total no. of staff in area Date of first symptoms Total no. of persons involved in outbreak No Name Hosp No. DOB Staff/ Patient First Symptoms Date Reported Onset date Spec date Comment Room no Date and Symptoms
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Management of In-patients with Loose Stools ... - NHS Lanarkshire

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