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

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Winchester & Eastleigh Healthcare NHS Trust Policy for Isolation and Infectious Diseases Policy See CP073 Hand hygiene Policy Unnecessary precautions must be avoided; they will only worry the patient and waste valuable time and equipment. 9.5 LINEN The door must be closed when changing the bed linen to reduce dissemination of skin scales/spores. Place all linen in an alginate bag in the room, then transfer into a red plastic bag at the doorway. This is to prevent dissemination of organisms and to give additional protection to laundry staff. 9.6 WASTE Discard disposable items or those soiled with infected material into an orange plastic bag in a foot operated bin. 9.7 DECONTAMINATION OF EQUIPMENT Non-disposable items must be decontaminated before removing from the room to prevent transfer of organisms. See CP030 Overarching Decontamination Policy. 9.8 CUTLERY AND CROCKERY Use normal cutlery and crockery. These must be washed in the ward dishwasher or main kitchen dishwasher with a final rinse temperature of 80 degrees centigrade. Meal trays will be the same as those for other patients and should be returned to the kitchen in the meal trolley with everyone else’s. These items must not be washed by hand as the temperature is inadequate to decontaminate. 9.9 TOILETING Faeces/urine/vomit should be disposed of directly into a macerator. Then remove apron and gloves and wash hands. Prompt disposal and disinfection is essential to prevent transmission of organisms to other patients. NB Protective clothing worn in the isolation room may be worn when walking straight to the sluice room and discarded into an orange clinical waste bag immediately after disposal of excreta. Hands must then be washed and dried and alcohol gel applied. 9.10 VISITORS (FRIENDS AND FAMILY) Explain the reason for isolation, ensuring confidentiality is maintained at all times. Visitors must be instructed to wash their hands before entering and leaving the room. Usually no other precautions are necessary, unless 14 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 requested by the IPCT. Susceptible visitors including children should be discouraged. For most infections the risk to visitors is minimal. Encourage visitors not to have contact with other patients in the ward, or if visiting more than one patient, to visit the isolated patient last. Visitors need only wear protective clothing if they are going to be involved in direct patient care activities i.e. assisting with personal hygiene, toileting or carrying out dressing changes. Infection Prevention and Control leaflets are available on the intranet. The Health Protection Agency and NHS Direct also produce leaflets staff may find useful to give to patients and visitors. Care must be taken to only use leaflets of professional healthcare web sites in the UK. 10.0 VISITING OTHER DEPARTMENTS Patients should avoid visits to other departments whenever necessary. The receiving department must be contacted prior to the patient’s arrival to ensure adequate precautions can be taken. Infected lesions should be covered with a dressing. The patient should be asked to cover their mouths and use tissues if coughing or sneezing. 10.1 Portering staff do not need to wear protective clothing but should wash their hands on completion of the journey. If they are handling and lifting the patient they should wear gloves and apron for that procedure, wear gloves when wheeling the bed, but do not need to wear them when taking the patient in a wheelchair down the corridors. The chair or trolley should be cleaned afterwards by the portering staff who used it. 10.2 The patient should be seen at the end of the clinic list or operated on at the end of the theatre list. This will enable the receiving department to take appropriate precautions and decontaminate equipment before the next patient. 10.3 In order to minimize contact and reduce the risk of cross infection, isolated patients should be taken directly to and from other departments and not left in waiting areas. When these patients are away from the side room, contact with other patients and staff should be kept to a minimum. 11.0 TRANSFER OF ISOLATED PATIENTS WITHIN AND BETWEEN HOSPITALS 15 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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