Lead Infection Control Nurse. Exec Director Quality and Safety
|
|
- Robert Russell
- 8 years ago
- Views:
Transcription
1 Trust Board Meeting Meeting Date: 14 th December 2011 Agenda Item: 16 Subject: Author: Presented by: Infection Control Six Monthly Report Debbie Pinkney Lead Infection Control Nurse Oliver Shanley Exec Director Quality and Safety For Publication: Yes Approved by: Oliver Shanley Purpose of the report: To inform the Board of: The progress that has been made regarding reducing the risks associated with healthcare associated infections. Infection prevention and control remains a national priority and all NHS trusts are required to demonstrate leadership in ensuring that it is considered at the highest levels of the organisation. The six monthly report before members today, sets out how HPFT manages infection prevention control and how staff continue to positively respond to both local and national guidance. Action required: To ensure the Board continues to fulfil its responsibilities regarding infection prevention and control and for keeping the risks of infection to a minimum, the Board is asked to: Discuss the progress made within the Trust, given the information provided within this report. Agree that appropriate arrangements are in place to manage infection prevention and control within the Trust. Summary and recommendations to the Board: The following information is provided within this report: Alert Organism Surveillance Untoward Incident Reporting Suspected outbreaks of infection Education and Training data Cleaning Operational Update This report highlights the progress that the Trust has made during the last 6 months. The Trust is aiming to achieve 100% completion of the criteria within the infection control programme. To date, 72% of the criteria have been successfully completed, 23 % of the action points 1
2 have been partially completed and 5% of the actions have not been commenced. Relationship with the Business Plan & Assurance Framework (Risks, Controls & Assurance): Management of the risks associated with HCAIs is a key aspect of the Trusts business and is reflected in the Assurance Framework to control against risks affecting quality and patient safety. Summary of Financial, Staffing & Legal Implications: There are no overt financial implications in this report. The Trust continues to ensure that its workforce is appropriately trained and the report identifies that we need to continue ensuring our staff meet the training requirements. Equality & Diversity and Public & Patient Involvement Implications: N/A Evidence for NHSLA/RPST; Information Governance Standards, other key targets/standards: This reports provides assurance to the various regulatory bodies of how we meet national standards Seen by the following committee(s) on date: Finance & Investment/Integrated Governance/Executive/Remuneration/Board/Audit Infection Control Committee 12 th October
3 : Quarter 2 July-Sept Infection Prevention and Control Report The Infection Control Programme identified the infection control priorities that Hertfordshire Partnership NHS Foundation Trust had to implement to ensure that the risk of service users, staff and visitors, acquiring a healthcare associated infection was kept to a minimum. The objectives that were set were based on the criteria that were specified in the Health and Social Care Act This report highlights the progress that the Trust has made during the last 3 months. The Trust is aiming to achieve 100% completion of the criteria within the infection control programme. To date, 72% of the criteria have been successfully completed, 23 % of the action points have been partially completed and 5% of the actions have not been commenced. Alert Organism Surveillance Surveillance of alert organisms continued to be collected by the Infection Control Team. This includes monthly data statistics of new isolates of MRSA and Clostridium difficile. Name of Organism Herts Herts North Essex North Essex L.Plum MRSA bacteraemia MRSA colonisation/infection Clostridium difficile MSSA bacteraemia E-coli bacteraemia Shingles (unrelated) Whooping Cough Suspected Pulmonary Tuberculosis A member of staff was suspected of having pulmonary tuberculosis. This incident was fully investigated by the Respiratory Team. After the appropriated investigations, it was concluded that the member of staff did not have Pulmonary Tuberculosis. L.P TOTAL 3
4 Alert Organism Surveillance July-Sept 2011 Alert Organism / Condition Surveillance Service streams Number reported MRSA bacteraemia MSSA bacteraemia Clostridium difficile E-coli bacteraemia MRSA infection/coloni sation Shingles Whooping cough Urine infections Name of Organism/Condition Specialist LD Acute Community The Healthcare Associated Infection ceiling rates for HPFT have been set. They are as follows MRSA bacteraemia 0 Clostridium difficile infection 2 Untoward Incident Reporting Staff are required to report all infection control untoward incidents to the Risk Department. In total, sixty six incidents were reported during quarter 2. Following each incident, the Risk Department staff distribute the incident data to the relevant member of staff and any appropriate follow up action is implemented. This includes follow up action/reporting of the occupational health advisors following accidental inoculation injuries. During this quarter, one unit had a service user who was identified as regularly self harming, using broken cups. This pattern of behaviour was noted and the appropriate Modern Matron and Lead Nurse were informed and advice was given to reduce this type of incident on this service user from occurring again. It should also be noted that one service user in particular had a high number of self harming incidents recorded, by scratching himself. The cause of sharp objects which resulted in injury was also investigated to minimise the risks of a similar incident occurring again in the future. The causes included: Knives Lock from a wardrobe Service user breaking a light fitting Service user breaking an electric fan Service user breaking a plastic plate 4
5 Service user breaking cups Razor blades Breaking wood off furniture Service user breaking a radiator Screw protruding through chair Staple from a chair Bottle top Summary of Incidents Reported Infection control incident Needlestick Injury (contaminated needle) Needlestick Injury (not contaminated needle) Sharp object ( causing a break in the skin) Scratch (causing a break in the skin) Scratch ( unsure if the skin was broken) Bite ( causing a break in the skin) Bite (unsure if the skin was broken) Splash of body fluids ( into mucous membranes) Splash of body fluids (unsure if the body fluids entered the mucous membranes) Failure to implement infection control guidelines/procedures Herts Herts North Esse x NE Little Plumste ad LP Outbreaks of infection Outbreaks of Infection. Two suspected outbreaks of infection were reported to the infection control nurses. One unit completed an incident form. Both were fully monitored and investigated. 5
6 Lexden Hospital one service user and two members of staff reported symptoms of diarrhoea and vomiting over a 24 hour period. The possible cause of the service users symptoms may have been attributed to a recent change in medication. No stool specimens were obtained. Forest House 7 members of staff reported symptoms of gastro intestinal illness. No service uses were affected. No stool specimens were obtained. Infection Control Incidents Incidence Needlestick Injuries Scratch (causing break in skin) Scratch (?causing break in skin) Sharp object (causing break in skin) Sharp object (?causing break in skin) Splash-into mucous membranes Splash-?into mucous membranes IncidentReported Bite (causing break in skin) Bite (?causing break in skin) Outbreak of infection Specialist Learning Disability and Forensic Acute andrehab Community o Education and Training Education and training remains an integral part of reducing and controlling the risks of infection. Training can be completed either by face to face training or by accessing the NHS E-learning package or implementing the DVD and workbook. Despite the training packages that are available, the numbers completing infection control training has been low. Training (April - June 2011) % Compliance Quarter 1 43% Does not meet Meets requirement Requirement Grand Total
7 Quarter 2 01 Jul Sep 2011 % Compliance Quarter 2 48% 01 Jul Sep 2011 Does not meet requirement Meets Requirement Grand Total Infection Control Compliance 2011/12 70% 60% 50% 43% 48% 40% % Compliance 30% 20% 10% 0% Quarter 1 Quarter 2 Figure 1 The tables and graph ( Figure 2) below represent the uptake of training via the various methods over the past 2 quarters. infection control training 04/11-09/11 figures Taught Course E-learning DVD Total method of learning Series1 7
8 Figure 2 Taught Course 390 E-learning 205 DVD 66 Total 661 The tables and graph (figure 3) below represent the trusts overall compliance in infection control over the last 2 quarters in the various business streams. Business Stream Quarter 1 Quarter 2 Acute & Rehab 36% 48% Community 27% 31% Learning Disability & Forensic 44% 40% Specialist 28% 38% Infection Control Compliance by Business Stream 2011/12 60% 50% 48% 44% 40% 36% 40% 38% 30% 27% 31% 28% Quarter 1 Quarter 2 20% 10% 0% Acute & Rehab Community Learning Disability & Forensic Specialist 8
9 Figure 3 The tables and graph (figure 4) below represent the trusts overall compliance in infection control over the last 2 quarters in the corporate services. CORPORATE SERVICES Quarter 1 Quarter 2 Quality & Medical Leadership 40% 20% Quality & Safety 38% 50% Finance & Performance Improvement N/A N/A Service Delivery & Transformation N/A N/A Strategy & Organisational Development N/A N/A o Cleaning Operational update for the period July 2011 to September 2011 The average cleaning score for the Trust from July 2011 to September 2011 is 95.92% an increase of 2.06% from the last quarter. Under the terms of the Trust s contract with WhiteOaks no Rectification notices (which are the mechanism by which payment is linked to the standard of cleaning proved) were issued. The standards reported by Trust Units and WhiteOak s Managers are supported by the Trust s Monitoring Officer who undertook a number of unannounced and planned audits during this quarter. Audits with Modern Matrons have also been conducted in Older Peoples Services in the north and the west. Deep cleans have been carried out in SRS, TATs and on Mayflower in Norfolk. SRS and TATs had no periodic cleans carried out in August but extra cleaning completed in September to compensate. Temporary cover and a one off clean arranged for TATs units. Further replacement equipment purchased to effectively clean new floor surfaces and to replace ineffective or worn out equipment. Negotiations have commenced with regard to extending the current contract with WhiteOaks until This will bring the domestic contract in line with the current maintenance contact (currently awarded to Carillion). There will then be sufficient time for both the hard and soft FM services to be tendered as one exercise and by this time the size, location and requirements of the Trusts buildings should be known following this period of transformation. Prior to this retendering, agreement has been reached to move as many sites currently cleaned in house or by other providers onto the WhiteOaks contract as long as the current budgets are not exceeded. Initially this will include some of the community sites so that NHS standards can be delivered and roles responsibilities will clearly defined in Service Level Agreements. Negotiations have also commenced to move 1-7 Forest Lane cleaning Service to WhiteOaks. Outcome will depend on TUPE information and the current budget level. Following the Infection Controls Committees decision to implement the PAS 4758 (Specification for the planning, application and measurement of cleanliness service in hospitals) the Trust has undertaken some preparatory work outlining the steps, requirements and evidences needed. Work has commenced on updating the monitoring framework and the Trust Cleaning Premises Plan. 9
10 PEAT One million pounds from the capital budget has been allocated across the Trust to carry out environmental improvements across inpatient units. Inaugural Local PEAT meeting held at Lexdon hospital Essex and future meetings will coincide with unit s infection control meetings to enable greater representation. Standard agenda to include cleaning issues. Debbie Pinkney -Lead Infection Control Nurse Gary Inman Monitoring Officer Susan Mills Facilities Monitoring Manager October
Infection Prevention and Control Policy
Infection Prevention and Control Policy Version: 1 Version: Ratified By: Quality Sub Committee Ratified By: Date Ratified: vember 2014 Date Ratified: Date Policy Comes Into Effect: vember 2014 Date Policy
More informationCase Study: Chesterfield Royal Hospital NHS Foundation Trust The Importance of Good Governance
Case Study: Chesterfield Royal Hospital NHS Foundation Trust The Importance of Good Governance Summary In March 2008, Chesterfield Royal Hospital NHS Foundation Trust experienced increased numbers of new
More informationPrepared by: Dr Peder Bo Nielsen, Director of infection Prevention & Control
THE NORTH WEST LONDON HOSPITALS NHS TRUST Agenda Item TRUST BOARD Meeting on: 26 th July 2006 Paper Attachment Subject: Infection Control Annual Report 2005 2006 Prepared by: Dr Peder Bo Nielsen, Director
More informationReducing healthcare associated infections: An organisational perspective A summary of best practice
Reducing healthcare associated infections: An organisational perspective A summary of best practice Introduction Sustainable reductions in healthcare associated infections (HCAIs) require the proactive
More informationWaste Management Policy
Waste Management Policy Revised April 2013 1 Contents Page Content Page No. Clinical Waste 3 - The handling and disposal of Clinical and Soiled 3 - Policy 3 - Warning - The collection of Clinical Waste
More informationHand Hygiene and Infection Control
C Hand Hygiene and Infection Control Sirius Business Services Ltd www.siriusbusinessservices.co.uk Tel 01305 769969 info@siriusbusinessservices.co.uk Whatever your First Aid, Fire Safety or Health & Safety
More informationNLG(13)347 DATE OF BOARD MEETING 24/09/2013 REPORT FOR. Trust Board of Directors REPORT FROM. Dr Karen Dunderdale, Chief Nurse SUBJECT
DATE OF BOARD MEETING 24/09/2013 REPORT FOR Trust Board of Directors REPORT FROM Dr Karen Dunderdale, Chief Nurse SUBJECT Nursing Quarterly Report CONTACT OFFICER Karen Dunderdale BACKGROUND DOCUMENT (IF
More informationRisk assessment and needlestick injuries
40 Risk assessment Introduction The health of workers, particularly those in the health and welfare sectors, is at risk from exposure to blood-borne pathogens at work, often through an injury sustained
More informationInfection Control Manual - Section 8 Sharps & Clinical Waste. Infection Prevention Control Team
Title Document Type Document Number Version Number Approved by Infection Control Manual - Section 8 Sharps & Clinical Waste Policy IPCT001/10 3 rd Edition Infection Control Committee Issue date August
More informationPeninsula Community Health. Safe Use of Mattresses, Pressure Relieving Cushions and Pillows
Peninsula Community Health Safe Use of Mattresses, Pressure Relieving Cushions and Pillows Title: Procedural Document Type: Reference: Safe Use of Mattresses, Pressure Relieving Cushions and Pillows Policy
More informationINFECTION CONTROL POLICY
INFECTION CONTROL POLICY Infection control is the name given to a wide range of policies, procedures and techniques intended to prevent the spread of infectious diseases amongst staff and service users.
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationNeedle-Stick Policy. http://www.utdallas.edu/ehs
Needle-Stick Policy Department of Environmental Health and Safety 800 West Campbell Rd., SG10 Richardson, TX 75080-3021 Phone 972-883-2381/4111 Fax 972-883-6115 http://www.utdallas.edu/ehs Modified: May
More informationLiberty 2000 Limited. CURRENT STATUS: 27-Jun-13
Liberty 2000 Limited CURRENT STATUS: The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Certification audit conducted against the Health and Disability
More informationPrevention and control of infection in care homes. Summary for staff
Prevention and control of infection in care homes Summary for staff 1 DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider Development Finance
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationProtocol for Needle Stick Injuries Occurring to NY Medical College Students In Physicians Offices
Protocol for Needle Stick Injuries Occurring to NY Medical College Students In Physicians Offices Procedures to be followed by physicians for needle stick incidents to medical students rotating through
More information2.3. The management in each HCF shall be responsible for ensuring good waste management practices in their premises.
1. PURPOSE Health-care activities lead to production of medical waste that may lead to adverse health effects. Most of this waste is not more dangerous than regular household waste. However, some types
More informationOther Clinical Support services available on site include Oncology, Laboratory, Pharmacy, Physiotherapy and Audiology.
BMI Albyn Hospital Quality Accounts April 2013 to March 2014 ALBYN HOSPITAL BMI Albyn Hospital is part of BMI Healthcare a leading provider of healthcare services throughout the UK. Located in the west
More informationRisk Assessment for all Healthcare workers. Gayle Lohr & Joanne Baines Leaders, Infection Prevention & Control
Risk Assessment for all Healthcare workers Gayle Lohr & Joanne Baines Leaders, Infection Prevention & Control 1 Every healthcare worker has a role to play in ensuring the health, safety and welfare of
More informationMonthly report of Nurse and Midwifery Staffing Levels May 2014. Kathryn Halford, Director of Nursing
ENC 7 Meeting Trust Board Date 2 nd July 2014 Title of Paper Lead Director Author Monthly report of Nurse and Midwifery Staffing Levels May 2014 Kathryn Halford, Director of Nursing Kathryn Halford, Director
More informationHealth and Safety Management in Healthcare
Health and Safety Management in Healthcare Information Sheet Nov 2010 This information sheet gives guidance on the key elements of health and safety management in healthcare. It is intended for small employers
More informationBaseline assessment checklist for the AICG recommendations
Baseline assessment checklist for the AICG recommendations Part 1: Baseline assessment checklist AICG recommendations Completed by: Date of completion: AICG Recommendation Y/N Comments/Actions Routine
More informationBurton Hospitals NHS Foundation Trust. Corporate / Directorate. Clinical / Non Clinical. Department Responsible for Review:
POLICY DOCUMENT Burton Hospitals NHS Foundation Trust Approved by: INOCULATION / SHARPS INJURY POLICY Clinical Management Board On: 13 February 2014 Review Date: January 2017 Corporate / Directorate Clinical
More informationClinical Governance Annual Report 2005-06
National standards audit infection prevention plan complaints and incidents major incident E-learning modules stakeholders clinical guidelines root cause analysis retraining risk reduction contingency
More informationSlips, Trips and Falls Policy. Documentation Control
Documentation Control Reference HS/SP/015 Date approved 23 Approving body Directors Group Implementation date 23 Supersedes Version 2 (March 2010) Consultation undertaken Trust Health and Safety Committee
More informationGuide to the European Union
Guide to the European Union (Prevention of Sharps Injuries in the Healthcare Sector) Regulations 2014 Our vision: A country where worker safety, health and welfare and the safe management of chemicals
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Royal Free Hospital Urgent Care Centre Royal Free Hospital,
More information4. Infection control measures
4. Infection control measures Apart from general hygienic practices and vaccination, staff of institutions should also adopt specific infection control measures against communicable diseases. The measures
More informationLinen and Laundry Guidance. Infection Control
Linen and Laundry Guidance Infection Control Version: 3 Issue date: June 2011 Review date: June 2014 Executive Lead: Approved by: Infection Control Committee Lead Author: Infection Control Team Summary:
More informationPerformance Dashboard Appendix 1 Trust Board - 19th June 2012
Performance Dashboard Appendix 1 Trust Board - 19th June 2012 Code Integrated Performance Measure Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Criteria for Traffic
More informationDomestic Assistants/Housekeepers A Workbook to record your training and personal development
/ A Workbook to record your training and personal development Healthcare Associated Infection HAI is defined as an infection originating in a healthcare facility, which was not present or incubating at
More informationThe Legal Cost of Getting Infection Prevention and Control Wrong
The Legal Cost of Getting Infection Prevention and Control Wrong Phil Barnes, Associate Anthony Collins LLP What Are Healthcare Associated Infections? Infections acquired as a consequence of receiving
More informationEveryone counts Ambitions for GCCG for 7 key outcome measures
Everyone counts s for GCCG for 7 key outcome measures Outcome ambition Outcome framework measure Baseline 2014/15 Potential years of life lost to 1. Securing additional years of conditions amenable to
More informationClinical, Quality and Safety Report. Public Board Meeting
Title: Report to: Clinical, Quality and Safety Report Trust Board Date: 27 January 2014 Security Classification: Public Board Meeting Purpose of Report: The purpose of the Clinical, Quality and Safety
More informationReview of compliance. Redcar and Cleveland PCT Redcar Primary Care Hospital. North East. Region: West Dyke Road Redcar TS10 4NW.
Review of compliance Redcar and Cleveland PCT Redcar Primary Care Hospital Region: Location address: Type of service: Regulated activities provided: Type of review: Date of site visit (where applicable):
More informationBoard of Directors 22 nd May 2015
AGENDA ITEM: Item 14 Board of Directors 22 nd May 2015 PRESENTED BY: PREPARED BY: Jan Bloomfield, Executive Director of Workforce and Communications Denise Needle, Deputy Director of workforce (Development)
More informationBloodborne Pathogens. San Diego Unified School District Nursing & Wellness Program August 2013
Bloodborne Pathogens San Diego Unified School District Nursing & Wellness Program August 2013 Why Another In-service?? Cal/OSHA mandates that employees with occupational exposure are informed at the time
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Amvale Medical Transport - Ambulance Station Unit 1D, Birkdale
More informationPolicy for Care Quality Commission Essential standards of quality and safety self assessment and assurance process
Policy No: RM76 Version: 1.1 Name of Policy: Essential standards of quality and safety self assessment and assurance process Effective From: 25/04/2013 Date Ratified 15/03/2013 Ratified Patient, Quality,
More informationAsbestos Policy & Procedure
Asbestos Policy & Procedure 1. Purpose & Introduction This policy and procedure sets out Octavia s commitment and approach to ensuring, so far as reasonably practicable, that residents, contractors and
More informationInspecting Informing Improving. Hygiene code inspection report: South Western Ambulance Service NHS Trust
Inspecting Informing Improving Hygiene code inspection report: South Western Ambulance Service NHS Trust Inspected: February 2009 Published: May 2009 Outcome of inspection for: Sites visited: Vehicles
More informationAmbulance Service. Patient Care. and. Transportation Standards
Ambulance Service Patient Care and Transportation Standards Ministry of Health and Long-Term Care Emergency Health Services Branch Patient Care A. General Each operator and each emergency medical attendant
More informationSection 10. Guidelines for the Safe Handling and Disposal of Needles and Sharps
Section 10 Guidelines for the Safe Handling and Disposal of Needles and Sharps On behalf of Infection Control Policy Review Group NHS Ayrshire and Arran Warning - this document is uncontrolled when printed
More informationSLIPS, TRIPS AND FALLS POLICY
SLIPS, TRIPS AND FALLS POLICY First Issued Issue Version Purpose of issue/description of change Planned Review Date 2 Root cause analysis (RCA), RIDDOR August 2012 and inspection of communal areas referenced
More informationHealthcare Support Worker Induction Book
Healthcare Support Worker Induction Book This book has been designed to give you information about your Healthcare Support Worker Induction Programme. This programme follows on from your Trust Induction
More informationTRUST BOARD IN PUBLIC Date: 31 st January 2013. Agenda Item: 2.3
TRUST BOARD IN PUBLIC Date: 31 st January 2013 REPORT TITLE: EXECUTIVE SPONSOR: REPORT AUTHOR: REPORT DISCUSSED PREVIOUSLY: (name of sub-committee/group & date) Agenda Item: 2.3 Chief Nurse & Medical Director
More informationINFECTION CONTROL MANUAL
Page 1 of 19 Key Words: staff, communicable diseases, diseases, infectious diseases Policy Applies to: All staff employed by Mercy Hospital, Credentialed Specialists and Allied Health Professionals involved
More informationShowcase Hospitals Local Technology Review Report number 3. Quality Compass
Showcase Hospitals Local Technology Review Report number 3 Quality Compass The Healthcare Associated Infections (HCAI) Technology Innovation Programme The basic ways of preventing and reducing healthcare
More informationSupporting all NHS Trusts to achieve NHS Foundation Trust status by April 2014
TFA document Supporting all NHS Trusts to achieve NHS Foundation Trust status by April 2014 Tripartite Formal Agreement between: Walsall Healthcare NHS Trust NHS West Midlands Department of Health Introduction
More informationInjury Prevention for the Health Care and Social Services Industry
Injury Prevention for the The health care and social services industry is one of the largest and fastest growing sectors in Ohio s economy, employing approximately 13 percent of the workforce. This fact
More informationMANAGEMENT OF WORKERS COMPENSATION IN THE DISABILITY SECTOR WORKERS COMPENSATION ROOT CAUSE REVIEW
MANAGEMENT OF WORKERS COMPENSATION IN THE DISABILITY SECTOR WORKERS COMPENSATION ROOT CAUSE REVIEW Whilst the Disability Safe Benchmarking project has identified a decline in the lost time injury frequency
More informationTRUST BOARD - 25 April 2012. Health and Safety Strategy 2012-13. Potential claims, litigation, prosecution
def Agenda Item: 8 (i) TRUST BOARD - 25 April 2012 Health and Safety Strategy 2012-13 PURPOSE: To present to the Board the Trust Health and Safety Strategy 2012-13 PREVIOUSLY CONSIDERED BY: Health and
More informationAbout the Trust. What you can expect: Single sex accommodation
About the Trust The Royal Berkshire NHS Foundation Trust is one of the largest general hospital trusts in the country. We provide acute medical and surgical services to Reading, Wokingham and West Berkshire
More informationProactive Intervention to Protect Those Most at Risk from Hospital Associated Infections
Broomfield Hospital United Kingdom Proactive Intervention to Protect Those Most at Risk from Hospital Associated Infections Healthcare-associated infections (HAIs) continue to pose serious risks to patient
More informationDIRECTOR OF INFECTION PREVENTION AND CONTROL ANNUAL REPORT
DIRECTOR OF INFECTION PREVENTION AND CONTROL ANNUAL REPORT APRIL 2006 - MARCH 2007 CONTENTS PAGE 1) Executive summary Overview of infection control 1&2 activities in the Trust 2) Description of infection
More informationHealth, Safety & Security Tool Kit
Introduction This procedure forms part of NWAS Health & Safety Policy with regard to the reporting and monitoring of incidents. Guidance for the completion of NWAS Incident report form All incidents and
More informationGroup Chief Executive s Statement
Group Chief Executive s Statement I am pleased to welcome you to our Quality Accounts 2016. Our 2016 Quality Accounts provide a transparent picture of BMI Healthcare s performance over the period covered
More informationHealth Protection Agency INFECTION PREVENTION AND CONTROL GUIDELINES FOR BLOOD GLUCOSE MONITORING IN CARE HOMES
Health Protection Agency INFECTION PREVENTION AND CONTROL GUIDELINES FOR BLOOD GLUCOSE MONITORING IN CARE HOMES October 2009 1 Introduction Routine diabetes care involves monitoring blood glucose levels
More informationREPORT TO: STAFFORDSHIRE AND STOKE ON TRENT PARTNERSHIP NHS TRUST BOARD MEETING. TO BE HELD ON: WEDNESDAY 29 October 2014
REPORT TO: STAFFORDSHIRE AND STOKE ON TRENT PARTNERSHIP NHS TRUST BOARD MEETING TO BE HELD ON: WEDNESDAY 29 October 2014 Enclosure: 06 Subject: Safe Nursing Staffing Strategic Goal: (tick as applicable)
More informationAseptic Technique Policy and Procedure
Aseptic Technique Policy and Procedure Authorising Officer Tom Cahill, Deputy Chief Executive Signature of Authorising Officer: Version: V2 Ratified By: Risk Management and Patient Safety Group Date Ratified:
More information4.06. Infection Prevention and Control at Long-term-care Homes. Chapter 4 Section. Background. Follow-up on VFM Section 3.06, 2009 Annual Report
Chapter 4 Section 4.06 Infection Prevention and Control at Long-term-care Homes Follow-up on VFM Section 3.06, 2009 Annual Report Background Long-term-care nursing homes and homes for the aged (now collectively
More informationLeeds South and East CCG Governing Body Meeting
PAPER N Agenda Item: GB15/44 FOI Exempt: No Leeds South and East CCG Governing Body Meeting Date of meeting: Thursday 23 rd July 2015 Title: Annual Nursing Report Lead Governing Body Member: Ellie Monkhouse,
More informationManagement of Norovirus Infection Outbreaks in Hospitals and Nursing Homes Noroviruses are a group of viruses that cause acute gastroenteritis in
Management of Norovirus Infection Outbreaks in Hospitals and Nursing Homes Noroviruses are a group of viruses that cause acute gastroenteritis in humans. Norovirus was recently approved as the official
More informationdocuments attached have been password protected, if you require the password can you call me on the number below
documents attached have been password protected, if you require the password can you call me on the number below Regards Anne RQIA Announced Infection and Control Governance Inspection The Regulation and
More informationCCG CO11 Moving and Handling Policy
Corporate CCG CO11 Moving and Handling Policy Version Number Date Issued Review Date V2 06/11/2015 01/10/2017 Prepared By: Consultation Process: Formally Approved: 05/11/2015 Governance Manager, North
More informationMental Health. Bulletin. Introduction. Physical healthcare. September 2015
Mental Health September 2015 Bulletin Introduction Welcome to the second edition of the Mental Health Bulletin. In this issue we again look at some of the themes from recent inspections, as well as share
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationNZS8134.2:2008 & NZS8134.3:2008
Winchcombe Healthcare Limited CURRENT STATUS: The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Surveillance audit conducted against the Health and
More informationCCG CO11 Moving and Handling Policy
Corporate CCG CO11 Moving and Handling Policy Version Number Date Issued Review Date V1: 28/02/2013 04/03/2013 31/08/2014 Prepared By: Consultation Process: Formally Approved: Information Governance Advisor
More informationOCCUPATIONAL HEALTH, DISABILITY AND LEAVE SECTOR MEASURES TO MINIMIZE EXPOSURE TO BLOODBORNE PATHOGENS AND POST-EXPOSURE PROPHYLAXIS POLICY
UNIVERSITY OF OTTAWA OCCUPATIONAL HEALTH, DISABILITY AND LEAVE SECTOR MEASURES TO MINIMIZE EXPOSURE TO BLOODBORNE PATHOGENS AND POST-EXPOSURE PROPHYLAXIS POLICY Prepared by the Occupational Health, Disability
More informationQuality Report. Boultham Park Road Lincoln LN6 7SS Tel: 01522 874444 Website: www.boulthamparkmedicalpractice.co.uk
Boultham Park Medical Centre Quality Report Boultham Park Road Lincoln LN6 7SS Tel: 01522 874444 Website: www.boulthamparkmedicalpractice.co.uk Date of inspection visit: 07 May 2014 Date of publication:
More informationBMI Werndale Hospital Quality Accounts April 2013 to March 2014
BMI Werndale Hospital Quality Accounts April 2013 to March 2014 Chief Executive s Statement Welcome to our Quality Accounts 2014, the fifth year we have published this data. The information presented here
More informationHialeah Nursing and Rehabilitation Center Combines Technology and Best Practices to Improve Infection Control Specific to C.diff
RESEARCH ARTICLE Page 1 of 5 Hialeah Nursing and Rehabilitation Center Combines Technology and Best Practices to Improve Infection Control Specific to C.diff ABSTRACT RB Health Partners, Inc., June 24,
More informationBloodborne Pathogens (HIV, HBV, and HCV) Exposure Management
Bloodborne Pathogens Exposure Policy and Procedures Employees of the State of South Dakota Department of Health Bloodborne Pathogens (HIV, HBV, and HCV) Exposure Management PEP Hotline 1-888-448-4911 DOH
More informationCYTOTOXIC PRECAUTIONS A GUIDE FOR PATIENTS & FAMILIES
Perth and Smiths Falls District Hospital Attention: Manager, Quality 60 Cornelia Street, West Smiths Falls, Ontario K7A 2H9 CYTOTOXIC PRECAUTIONS A GUIDE FOR PATIENTS & FAMILIES This guide has been prepared
More informationSummary of findings. The five questions we ask about hospitals and what we found. We always ask the following five questions of services.
Barts Health NHS Trust Mile End Hospital Quality report Bancroft Road London E1 4DG Telephone: 020 8880 6493 www.bartshealth.nhs.uk Date of inspection visit: 7 November 2013 Date of publication: January
More informationBloodborne Pathogens Program Revised July, 5 2012
Bloodborne Pathogens Program Revised July, 5 2012 Page 1 of 16 Table of Contents 1.0 INTRODUCTION...3 1.1 Purpose...3 1.2 Policy.3 2.0 EXPOSURE CONTROL METHODS 4 2.1 Universal Precautions.4 2.2 Engineering
More informationPreventing Slips, Trips and Falls (Basic Awareness Level 1) Staff information leaflet. RDaSH. Corporate Services
Preventing Slips, Trips and Falls (Basic Awareness Level 1) Staff information leaflet RDaSH Corporate Services Staff Safety in the Workplace: Did you know? Slips and trips are the biggest cause of serious
More informationOCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA)
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA) The OSHA/VOSH 1910.1030 Blood borne Pathogens Standard was issued to reduce the occupational transmission of infections caused by microorganisms sometimes
More informationMassachusetts Department of Developmental Services MRSA, VRE, and C. Diff Management Protocol
Massachusetts Department of Developmental Services MRSA, VRE, and C. Diff Management Protocol PURPOSE: To provide guidance for personnel in order to prevent the spread of Antibiotic Resistant Microorganisms
More informationfåñéåíáçå=mêéîéåíáçå=~åç=`çåíêçäw= fãéêçîáåö=íüêçìöü=ié~êåáåö=
kepdê~ãéá~å oééçêíçññáåçáåöëúgìåéommv fåñéåíáçåmêéîéåíáçå~åç`çåíêçäw fãéêçîáåöíüêçìöüié~êåáåö NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance
More informationLAFAYETTE PARISH SHERIFF S OFFICE
LAFAYETTE PARISH SHERIFF S OFFICE CORRECTIONS DIVISION Section/Policy: T-1600 POLICY AND PROCEDURES Subject: Number of Pages: 9 7 ACADIANA RECOVERY CENTER INFECTION CONTROL PROGRAM References: ACA: 4-ALDF-4C-14
More informationAll staff who undertake the role of Care Co-ordinator. All Mental Health qualified inpatient nursing and medical staff
Care Program Approach (Mental Health Services) Enhanced Emergency Skills (Mental Health) (Junior doctors on rotation of less than 6 months undertake basic life support incorporating AED and Anaphylaxis)
More informationBusiness Continuity Policy and Business Continuity Management System
Business Continuity Policy and Business Continuity Management System Summary: This policy sets out the structure for ensuring that the PCT has effective Business Continuity Plans in place in order to maintain
More informationSpillage Waste Management
Spillage Waste Management Patient Information Introduction This leaflet contains the answers to some questions patients and carers may have about the disposal of chemotherapy waste and the management of
More informationCSCOFM303A Respond to offenders influenced by drugs or alcohol
CSCOFM303A Respond to offenders influenced by drugs or alcohol Revision Number: 2 CSCOFM303A Respond to offenders influenced by drugs or alcohol Modification History CSCOFM303A Release 2: Layout adjusted.
More informationHAND HYGIENE Quality improvement toolkit for Infection Prevention & Control in General Practice
HAND HYGIENE Quality improvement toolkit for Infection Prevention & Control in General Practice : : October 2008 Version: Wales (Intranet) / NPHS (Intranet) / LHB /General Practice Purpose and Summary
More informationBed Cleaning Procedure
This is an official Northern Trust policy and should not be edited in any way Bed Cleaning Procedure Reference Number: NHSCT/10/308 Target audience: Nursing and Midwifery Staff Sources of advice in relation
More informationNational publication of inpatient nursing staffing
Report to: HPFT Board Date: 26 June 2014 Report by: Mary Mumvuri (Head of Nursing and Patient Safety) Subject: Nature of Report National publication of inpatient nursing staffing Open 1. Background This
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. National Early Warning Score (NEWS) Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust National Early Warning Score (NEWS) Policy Version.: 1.0 Effective From: 3 December 2014 Expiry Date: 3 December 2016 Date Ratified: 1 September 2014
More informationExplanation of Immunization Requirements
Explanation of Immunization Requirements CONTENTS Hepatitis A... 2 Hepatitis B... 3 Influenza... 4 Measles (Rubella), Mumps, and Rubella (MMR)... 5 Pertussis (Tdap)... 6 Tuberculosis (TB) Test... 7 Varicella/Chicken
More informationRoot Cause Analysis following
Root Cause Analysis following MRSA Bacteraemia: Reviewing the Patient s Journey Sharren Pells Senior Infection Control Nurse NHS Swindon Helen Forrest Infection Control Nurse Specialist NHS Swindon Aims
More informationHealth, safety and environment policy and management arrangements
Health, safety and environment policy and management arrangements An overview of how Rolls-Royce Group plc delivers its policy commitments on health, safety and environment Issue 6 October 2006 Contents
More informationSafe Bathing, Hot Water and Surface Temperature Policy
Safe Bathing, Hot Water and Surface Temperature Policy Version Number: V4 Name of originator/author: Health and Safety Advisor Name of responsible committee: Health and Safety Committee Name of executive
More informationCleaning Guidelines for Care Homes. Includes cleaning standards for the general environment and equipment
Cleaning Guidelines for Care Homes Includes cleaning standards for the general environment and equipment Contents Page 1. Background 2. Setting the Standard 3. Introduction to Cleaning 4. Cleaning 5. Disinfection
More informationQUALITY ASSESSMENT & IMPROVEMENT. Workforce ACUTE HOSPITAL SERVICES. Supporting services to deliver quality healthcare JUNE 2013
QUALITY ASSESSMENT & IMPROVEMENT ACUTE HOSPITAL SERVICES JUNE 2013 Workforce Supporting services to deliver quality healthcare Effective Care and Support Safe Care and Support Person Centred Care and
More informationCorporate Health and Safety Policy
Corporate Health and Safety Policy Publication code: ED-1111-003 Contents Foreword 2 Health and Safety at Work Statement 3 1. Organisation and Responsibilities 5 1.1 The Board 5 1.2 Chief Executive 5 1.3
More informationBrock University Facilities Management Operating Procedures
Subject: Bodily Fluid Clean-Up Number: FMOP 2-3 Approval: Executive Director Issue Date: 22 Sep 08 Responsibility: Manager Custodial Services Review Period: 2 Years PROCEDURES FOR BODILY FLUID CLEAN-UP
More informationControlling MRSA in England: what we have done and what we think worked. Professor Barry Cookson
Controlling MRSA in England: what we have done and what we think worked Professor Barry Cookson Depts. of Health Policy & Tropical & Infectious Disease, London School of Hygiene & Tropical Medicine. Dept
More information