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

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

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Note: Completion<br />

<strong>of</strong> Review<br />

<strong>NHS</strong> <strong>Lanarkshire</strong><br />

Health Protection Committee<br />

SECTION E 1 - <strong>Management</strong> <strong>of</strong> <strong>In</strong>-<strong>patients</strong> <strong>with</strong><br />

<strong>Loose</strong> <strong>Stools</strong>: Gastrointestinal Outbreak<br />

Section E1<br />

Effective<br />

From<br />

Sep 2010<br />

Replaces Jun 2010<br />

Pages 34 <strong>of</strong> 31<br />

Review Date Dec 2012<br />

65 o C for 10 mins or 71 o C for 3 mins.<br />

No hand sluicing <strong>of</strong> fouled items.<br />

Equipment:<br />

No shared equipment - if sharing necessary: disinfect between each resident. (see Control <strong>of</strong> <strong>In</strong>fection<br />

Manual [CIM])<br />

Environmental cleaning:<br />

Clean up spills/contamination as soon as possible (see CIM)<br />

Maintain good domestic cleaning (increased toilet cleaning frequency may be required)<br />

Clinical Waste:<br />

Dispose <strong>of</strong> protective clothing, incontinence pads etc as clinical waste.<br />

Stool Specimens:<br />

Send stool specimens from all affected as soon as possible<br />

Mark specimen request form "outbreak" and request “virology testing”<br />

Staff:<br />

Stop if possible or limit staff movement between affected and non-infected areas <strong>of</strong> establishment.<br />

Staff from the infected area should refrain from working in other healthcare establishments for the duration<br />

<strong>of</strong> the outbreak.<br />

Avoid using agency staff in affected areas if possible, if used, ensure that agency is notified <strong>of</strong> outbreak.<br />

Symptomatic staff must stay <strong>of</strong>f work until 48 hours symptom free.<br />

Food Samples:<br />

Retain all food samples until further notice<br />

Visitors:<br />

Visitors should be informed <strong>of</strong> the outbreak and advised that should they wish to visit they should restrict this<br />

to their relative only and avoid mixing <strong>with</strong> other residents/ visitors.<br />

Admissions<br />

During the outbreak the establishment will be closed to admissions.<br />

Transfers:<br />

Has there been, or is there any intended transfer <strong>of</strong> residents to another residential establishment or hospital?<br />

If so,<br />

- record details <strong>of</strong> date, time and location.<br />

- inform the receiving unit <strong>of</strong> the outbreak.<br />

Please ensure that this information is given to all staff<br />

Advice given to:…………………………………………. Date…./…./…..<br />

Advice given by:………………………………………….. Date…../…../…..<br />

For further advice contact <strong>Lanarkshire</strong> <strong>NHS</strong> Board, Health Protection Team (01698 858232)<br />

E 34

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