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