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

More documents

Recommendations

Info

Note: Completion of Review NHS Lanarkshire Health Protection Committee SECTION E 1 - Management of In-patients with Loose Stools: Gastrointestinal Outbreak DAILY STOOL SPECIMEN FORM E 26 Section E1 Effective From Sep 2010 Replaces Jun 2010 Pages 26 of 31 Review Date Dec 2012 Hospital: Ward: Code: No. Name D.O.B. P/S Date Specimen Sent Date Result Received Appendix 7 Specimen Result
Note: Completion of Review NHS Lanarkshire Health Protection Committee SECTION E 1 - Management of In-patients with Loose Stools: Gastrointestinal Outbreak E 27 Section E1 Effective From Sep 2010 Replaces Jun 2010 Pages 27 of 31 Review Date Dec 2012 Daily Checklist for Wards Closed due to an Outbreak of Gastroenteritis. Hospital_________________________ Ward____________________ ICT Informed Date: Date The ward is closed to admissions and transfers - until 48 hours after last new case and 48 hours after last diarrhoea/vomit. The closure time of the ward may be extended based on specific epidemiological data and at the request of the ICT. The ward (and side-room) doors are closed and there is an approved notice on the ward door advising visitors of necessary actions. All healthcare Workers (HCW) on the ward are: Aware of the status of the ward and how Norovirus/gastroenteritis is transmitted. Symptom free. If HCW is symptomatic they must remain of duty until 48 hours asymptomatic, they must also notify Occupational Health. Allocated – if possible – to care for either affected or non-affected areas of the ward – including agency and bank staff. All patients (and relatives) on the ward are aware of the Norovirus situation and have been given information leaflets on Norovirus/D&V and the need for hand hygiene, and safe handling of personal laundry. All patients with symptoms have been assessed today for symptom severity and assessed for signs of possible dehydration (Stool and Fluid Balance charts) Outbreak Record form has been updated – including any new cases, the symptoms patients are experiencing today and laboratory data. (Stool samples have been requested from all symptomatic patients). Patient Placement Assessment: A patient placement assessment and any advised/suggested moves have been made today. Patients should not leave the ward for other investigations/treatment unless this is clinically necessary, liaise with ICT before doing so. Personal Protective Equipment (PPE) – gloves, apron, surgical mask/visor (if risk of facial contamination with aerosols). There are sufficient supplies of PPE in the ward; used for single tasks and once removed hand washing is performed using liquid soap and warm water. used before contact with the patient or the patient’s immediate environment or before any dirty task. Hand Hygiene is being carried out with liquid soap and warm water – this can be followed by hand sanitiser. HCW must comply with NHSL Hand Hygiene policy. Patients are encouraged and given assistance to perform hand hygiene before meals and after attending the toilet. Management of waste: For the duration of the outbreak all waste should be disposed of as clinical waste (orange stream). Domestic waste bins should not be used during outbreaks. Environment: The environment is visibly clean – including curtains – there is increased cleaning which includes decontamination of frequently touched surfaces with detergent and 1000ppm chlorine releasing agent. [Cleaning schedules up to date]. Environment: There are no exposed foods in the ward area – even if unexposed all fruit should be washed before eating. Appendix 8
Page 1 and 2: Note: Completion of Review NHS Lana
Page 11 and 12: Note: Completion of Review Bankaid
Page 19 and 20: Note: Completion of Review 3. BIBLI
Page 25: Note: Completion of Review NHS Lana

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?