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 Contents Section Title Page 1 Purpose 5 2 Scope 5 3 Roles and Responsibilities 5 4 Introduction 6 5 Signs and Symptoms 7 6 Transmission 7 7 Diagnosis 7 8 Patient Management and Treatment 8 9 Documentation 9 10 Stool Samples 10 11 Isolation 11 12 Hand hygiene 12 13 Personal Protective Clothing 12 14 Movement of Affected Patients 12 15 Environmental cleaning 14 16 Visitors 14 17 Staff 15 18 Ward Closure 16 19 Outbreak Control Group 16 20 Monitoring Compliance and Effectiveness 17 21 Major Outbreak Control 17 22 Training Implications 18 23 References 18 Appendix 1 Diarrhoea & Vomiting Action Plan for Wards 19 Appendix 2 NHS South Central Top 10 tips to help prevent outbreaks of Norovirus 21 Appendix 3 Equality Impact Assessment Tool 26 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 4 of 26
Winchester & Eastleigh Healthcare NHS Trust POLICY FOR THE MANAGEMENT AND CONTROL OF DIARRHOEA AND VOMITING (NOROVIRUS) INFECTIONS 1 PURPOSE 1.1 This policy has been developed to provide a practical document to equip all healthcare staff at Winchester & Eastleigh Healthcare NHS Trust (WEHCT) with the necessary information on the recognition, management and treatment of outbreaks of diarrhoea and vomiting such as Norovirus. 2 SCOPE 2.1 This policy extends to cover all WEHCT NHS Trust staff. This policy will also apply to honorary contract holders and staff employed by other organisations who work with the WEHCT NHS Trust patients and for the Trusts’ other staff. 2.2 This policy complements professional and ethical guidelines and the Nursing and Midwifery Council (NMC) Code of Professional Conduct (NMC 2009). 2.3 Infection prevention and control is the responsibility of ALL staff associated with patient care. A high standard of infection prevention and control is required on ALL wards and units, although the level of risk may vary. It is an important part of total patient care. 2.4 It is essential that infection prevention and control is seen as an organisational responsibility and priority, that adequate isolation facilities and resources are provided, and that appropriate infection control staff and support services are available. 2.5 This policy is ratified in line with OP001 Trusts Policy for the Management of Controlled Documents (2007). 3 ROLES AND RESPONSIBILITIES 3.1 The Chief Executive (CEO) has overall responsibility for ensuring the Trust has appropriate strategies, policies and procedures in place to ensure the Trust continues to work to best practice and complies with all legislation. The CEO has overall responsibility for the provision of adequate funding to meet the increased costs of outbreaks of Norovirus and adequate isolation facilities to enable national guidance on the control of Noroviruses to be implemented. 3.2 Line managers 3.3 Are responsible for ensuring this policy is accessible for all staff and that they have read and understood the content. Line mangers are responsible for ensuring any changes in practice are implemented, and any further training needs identified and addressed. Ward managers are to assist with the root 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 5 of 26
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Policy for the management and control of diarrhoea and vomiting

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