Isolation and infectious diseases policy - Hampshire Hospitals NHS ...

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Winchester & Eastleigh Healthcare NHS Trust Policy for Isolation and Infectious Diseases Policy bottle labelled ‘Danger of Infection’ and placed in separate sections. The first specimen bag should then be resealed within another, i.e. double bagged. The laboratory will follow standard operating procedures to ensure the specimen is handled and processed correctly. 9 PRACTICE AND RATIONALE Isolated patients may experience more anxiety and depression. Isolation may hamper rehabilitation. To reduce these risks, preparatory information should be given wherever possible. When a patient requires isolation staff should ensure effective communication for patients, staff and visitors. Explain to the patient if possible the reason for isolation, explanation of the nature of disease or organism, symptoms and treatment – a leaflet maybe helpful, control methods and their rationale advice for patients regarding their responsibility and their adoption of correct measures give reassurance to reduce patient’s anxiety. 9.1 APRONS/GOWNS 9.1.0 Plastic aprons afford more protection to uniforms/clothes than gowns because they are water repellent and impervious to microbial contamination. Yellow plastic aprons should be worn when in contact with the patient, the immediate environment, body substances and when handling laundry/making the bed. Aprons are single use items and should be discarded after each use and before leaving the room, with the exception of moving bedpans and commodes to the sluice. 9.1.1 Put on a yellow plastic apron before entering the room. Remove it in the room and place in the yellow clinical waste bag before leaving the room. 9.1.2 Non- sterile disposable gowns are required for caring for patients with scabies and when recommended by the IPCT. 9.2 GLOVES Gloves are worn to provide a protective barrier and to prevent cross contamination of the hands when touching blood, body fluids, secretions, 12 Authorities Document Control Information Author: Sponsor: Date: Dr Kordo Saeed microbiologist Sue Dailly Lead Nurse Infection Prevention and Control Paula Shobbrook Director of Infection Prevention and Control 01/08/11 Type: Scope: Reference: Issue No: Status: Policy Major CP022 (IC 04) 4 Published
Winchester & Eastleigh Healthcare NHS Trust Policy for Isolation and Infectious Diseases Policy excretions, mucous membranes and non-intact skin. 9.2.1 Gloves are worn to reduce the likelihood that micro-organisms present on the hands of personnel will be transmitted to patients during invasive or other patient-care procedures that involve touching a patient’s membranes and nonintact skin. 9.2.2 Gloves are worn to reduce the likelihood that hands of personnel contaminated with micro-organisms from a patient or an object can transmit these micro-organisms to another patient. 9.2.3 Put on non- sterile gloves before entering the room. Dispose of before leaving the room. Change gloves between dirty and clean procedures in the room as necessary. Vinyl gloves are adequate for most procedures (see CP076 Standard Precautions and PPE Policy). If patients are cohorted, gloves must be changed and hands washed between each patient contact. 9.3 MASKS Masks are very rarely required; they should only be worn if necessary as they have a negative impact on communication. For patients who rely on lip reading to communicate staff must use alternative methods of communication e.g. pen and paper or electronic hand held computer. For certain airborne infections e.g. new strain respiratory virus or for cough inducing procedures, the use of an FFP2 or FFP3 mask is recommended for staff entering a controlled environment to provide patient care. The mask should always be put on before entering the room, removed after leaving the room, and disposed of as clinical waste. Hands must then be thoroughly decontaminated with soap and water. Staff must have received suitable and sufficient information, instruction and training with regard to FFP2/FFP3 mask donning and have been successfully ‘fit tested’ and certificated. Refer to CP076 Standard Precautions and PPE Policy. 9.4 HAND HYGIENE Always clean hands using Hibiscrub before leaving the room. Apply alcohol gel after leaving the room and closing the door. Hand washing is essential to prevent the transfer of organisms to other patients. When the patient has diarrhea or vomiting please use soap and water or Hibiscrub, alcohol gel is ineffective. 13 Authorities Document Control Information Author: Sponsor: Date: Dr Kordo Saeed microbiologist Sue Dailly Lead Nurse Infection Prevention and Control Paula Shobbrook Director of Infection Prevention and Control 01/08/11 Type: Scope: Reference: Issue No: Status: Policy Major CP022 (IC 04) 4 Published
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