Policy for the management and control of diarrhoea and vomiting

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Winchester & Eastleigh Healthcare NHS Trust POLICY FOR THE MANAGEMENT AND CONTROL OF DIARRHOEA AND VOMITING (NOROVIRUS) INFECTIONS patients in the bay are symptom free, not just the person they are planning to visit. If visitors choose to visit a closed bay they should wear gloves and aprons and wash their hands before entering and leaving. If other patients in the same ward are symptomatic, again the visit should be deferred. 17.11 To ensure there are adequate stocks of gloves, aprons, linen, disposable bedpans and vomit bowls. 17.12 To ensure that any member of staff affected must be sent home immediately. 17.13 Visiting staff e.g. Occupational Therapists (OT), Physiotherapists and Social Workers 17.14 If the patient is symptomatic and the visit is not urgent they should delay the visit. If the visit is essential, gloves and aprons should be worn and make the visit as brief as possible. Hands must be washed with soap and water once PPE has been removed. Visits to the affected ward should be made at the end of the shift. If the visiting therapist has to work on an affected ward and then carry out home visits he/she should wear scrubs whilst on the ward and wear uniform for the home visit. Staff must not sit on the bed but use the chairs provided for visitors. Notes, x-rays and other equipment should not be placed on the bed. Once a patient has recovered from diarrhoea / vomiting their rehabilitation and therapies should recommence. The patient can leave the ward or visit the OT kitchen area when 48 hours symptom free. 17.15 Bank & Agency staff 17.16 Where possible bank staff should only work on an affected ward or non affected ward but not on both. Bank staff can work on a ward affected by diarrhoea and vomiting BUT cannot move straight to another ward without first ideally showering and at a minimum changing their uniforms. If avoidable, staff should work on unaffected wards first then the affected ward. Agency staff are not permitted by the agency to work on a ward closed with diarrhoea / vomiting. 18 Ward closure – refer to CP077 - Policy for Ward Closure due to an Infection Control Issue. 19 Outbreak Control Group – refer to CP077 Ward Closure policy / CP071 Major Outbreak Plan. Authorities Document Control Information Author: Dr Parnaby Type: Policy Consultant Microbiologist Sponsor: Members of the Infection Prevention & Scope: Major Control Committee Reference: CP101 Issue Number: 2 Date July 2011 Status: Published Page 16 of 26
Winchester & Eastleigh Healthcare NHS Trust POLICY FOR THE MANAGEMENT AND CONTROL OF DIARRHOEA AND VOMITING (NOROVIRUS) INFECTIONS 19.1The front reception desk must be kept up to date with which wards are closed or affected by diarrhoea/vomiting so they can advise visitors entering the hospital. 19.2 Switchboard must also be informed which wards are affected with diarrhoea / vomiting. 20 MONITORING COMPLIANCE AND EFFECTIVENESS 20.1 During the outbreak the IPCT will keep a record of the number of patients and staff that were affected and also how long a bay or ward was closed to admissions due to infection. 20.2 Every ward closure is reported internally (on Datix) and an outbreak as a Serious Incident Requiring Investigation (SIRI) in line with SIRI reporting guidance. These are then reported to the SHA and PCT commissioners or to any subsequent commissioning organisation, as required. Any ward closure due to suspected norovirus is also reported to the HPA via its electronic surveillance scheme. See CP021 Surveillance Policy for further details. 20.3 An outbreak is a clinical incident and should be reported as such by the ward manager or IPCT. Outbreaks may be subject to a Root Cause Analysis (RCA), to ensure lessons learnt can be disseminated throughout the organisation. See CP008 Incident Management & Reporting Policy including the Management of Serious Incidents Requiring Investigation for information. 20.4 After the outbreak has resolved the IPCT will assist or be responsible for writing a summary of the event including lessons to be learnt. This will be sent to the Patient Safety and Governance Committee or clinical risk coordinator for dissemination. If appropriate an incident review meeting will be held. 20.5 The IPC team will present a summary of the outbreak at the Infection Prevention & Control Committee and at divisional meetings so that any learning can take place. 20.6 After each outbreak the practices and procedures around handling the outbreak will be reviewed and any changes made and communicated. 21 MAJOR OUTBREAK CONTROL 21.1 If two are more wards are affected with the same symptoms concurrently, the major outbreak plan may be implemented. Please refer to CP071 Major Outbreak Plan for further information. Authorities Document Control Information Author: Dr Parnaby Type: Policy Consultant Microbiologist Sponsor: Members of the Infection Prevention & Scope: Major Control Committee Reference: CP101 Issue Number: 2 Date July 2011 Status: Published Page 17 of 26
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Policy for the management and control of diarrhoea and vomiting

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