New Strain Respiratory Virus Policy - Hampshire Hospitals NHS ...

More documents

Recommendations

Info

Winchester & Eastleigh Healthcare NHS Trust New Strain Respiratory Virus Policy per standard procedure for transportation. This should be couriered to Southampton/Colindale and respiratory samples should be kept in wet ice during transportation. As the virus is shed primarily in respiratory secretions and there is no evidence of viraemia or shedding in other body fluids, there is no need for specialist handling of biochemical, hematology or serology samples. 15 ISOLATION AND INFECTION CONTROL PRECAUTIONS • If a suspected case arrives in the A&E department please call the Consultant Microbiologist immediately. If out of hours he/she can be contacted through switchboard. • All suspected cases should be seen in A&E in the designated cubicle and NOT in EMAU/Northbrook ward. • After initial assessment and management in A&E, Patients with possible New Strain should be admitted to a single room on respiratory ward /Paediatric Northbrook ward (or other ward if subsequently designated) without delay and using the recommendations below. 15.1 GP referrals: • Patients should be seen in their own home for initial assessment if possible • Patients should be cared for in their own homes if possible • If the patient requires hospital admission, the GP should inform Consultant in Health Protection, Consultant Microbiologist and A&E department first. • Specific guidance will be issued to all GPs by the Consultant in Health Protection when each new pandemic strain is identified. 15.2 In A&E: • A sign should be clearly displayed asking if anyone has been overseas within the last 10 days to inform the reception staff immediately. If they have been to an affected area, they should be admitted to one of the designated cubicles immediately • The names of all the people who have been in close contact with a probable or a possible case should be recorded and given to the Infection Control Team. This includes patients in the waiting room. • Ideally only one doctor and one nurse wearing recommended personal protective equipment should care for the patient. If not possible the number should be kept to the minimum. • Relatives/ household contacts can be allowed in the examination room but must wear a fluid repellent mask Authorities Document Control Information Author: Sue Daiilly Lead Nurse Infection Type: Policy Control Sponsor: Paula Shobbrook Director of Infection Scope: Major Prevention and Control Reference: CP104 Issue Number: 2 Date May 2010 Status: Final Page 14 of 27
Winchester & Eastleigh Healthcare NHS Trust New Strain Respiratory Virus Policy • Patients who potentially have new strain virus should wear FFP3 masks as soon as they arrive in hospital. (Fluid repellent masks are better than no mask if an FFP3 mask is not immediately to hand.) FFP3 masks are not manufactured for children so fluid repellent masks are indicated for these patients whenever practicable. • Staff must wear FFP3 masks for the initial assessment. Fluid repellent surgical masks can be worn IF the patient is not coughing or receiving an aerosol generating procedure e.g. chest physio. The patient should be kept in the cubicle at all times and should not be allowed to wander to other areas. • Full precautions as described below should be followed. 15.3 In the ward: • The patient should ideally be isolated in a single room with negative pressure ventilation. As there are no such rooms in this hospital and very few in Southampton, a single room should be used instead with door kept shut at all times. • If the patient requires ITU admission they should be admitted to the pressure controlled side room ensuring that the door is closed at all times and the pressure control panel is switched to negative pressure. • A special FFP3 filter mask should be used by anyone entering the room. This mask has a high filtering efficiency and meets the current standard. The wearing of protective masks and other protective clothing also applies to those caring for ventilated patients. • No masks of Paediatric size are manufactured so staff must protect themselves by wearing FFP3 masks and all other Personal Protective Equipment when caring for the child and when moving them out of the side room. • Parents staying with children will be assessed and advised on a case by case basis to reduce the risk to parents, staff and other children on the ward. • If the adult patient has to leave the side room they should wear an FFP3 mask. Staff must assist in getting a good fit on the patient’s face. • All units need to ensure they have enough supplies in place in the event of a pandemic being declared. There is currently a small stock in A&E, ITU, Respiratory (Shawford) ward and the supplies department. • A trigger number (equal to the number of side rooms on respiratory (Shawford) ward of cases in the hospital at any one time will be used as an indication for clearing respiratory (Shawford) ward of other patients and using it as an isolation ward. If another ward is subsequently designated then the trigger number is taken as the number of side rooms on that ward. On Paediatric (Northbrook) ward staff will isolate or cohort cases as appropriate after consultation with the infection control team. Authorities Document Control Information Author: Sue Daiilly Lead Nurse Infection Type: Policy Control Sponsor: Paula Shobbrook Director of Infection Scope: Major Prevention and Control Reference: CP104 Issue Number: 2 Date May 2010 Status: Final Page 15 of 27
Page 1 and 2: New Strain Respiratory Virus Policy
Page 3 and 4: Winchester & Eastleigh Healthcare N
Page 13: Winchester & Eastleigh Healthcare N
Page 25 and 26: Appendix 3 Contacts: Winchester & E
Page 27: Winchester & Eastleigh Healthcare N

New Strain Respiratory Virus Policy - Hampshire Hospitals NHS ...

Create successful ePaper yourself

Delete template?

Save as template?