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

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Winchester & Eastleigh Healthcare <strong>NHS</strong> Trust<br />

Policy for <strong>Isolation</strong> <strong>and</strong> Infectious Diseases Policy<br />

to account other clinical conditions, social <strong>and</strong> mental health needs of e.g.<br />

psychiatric patients, patients with altered mental status <strong>and</strong> prison inmates.<br />

3.2 However, the decision on where to nurse the patient will depend on<br />

assessment considering the patient safety, privacy, dignity <strong>and</strong> the identified<br />

or potential risks to other patients in that area. Patients maybe moved to<br />

another ward or another hospital because of their infection or disease. There<br />

must be effective communication to relatives, escorts <strong>and</strong> visitors regarding<br />

reasons for isolation <strong>and</strong> use of personal protective equipment (PPE).<br />

3.3 Remember – St<strong>and</strong>ard precautions must be used with all patient<br />

including those in isolation. See also CP073 H<strong>and</strong> Hygiene Policy <strong>and</strong><br />

St<strong>and</strong>ard Precautions <strong>and</strong> CP076 PPE Policy.<br />

4 DUTIES OF PERSONNEL<br />

4.1 The Chief Executive Officer (CEO)<br />

The CEO has overall responsibility for ensuring the Trust has appropriate<br />

strategies, policies <strong>and</strong> procedures in place to ensure the Trust continues to<br />

work to best practice <strong>and</strong> complies with all relevant legislation. The CEO has<br />

responsibility to ensure there is a safe environment for staff <strong>and</strong> patients by<br />

ensuring adequate provision of isolation facilities.<br />

The Trust CEO is accountable for establishing <strong>and</strong> maintaining an adequately<br />

resourced Infection Prevention <strong>and</strong> Control Team (IPCT) <strong>and</strong> infection<br />

prevention <strong>and</strong> control arrangements throughout the Trust.<br />

4.2 The Director of Infection Prevention <strong>and</strong> Control (DIPC) is the lead<br />

Executive within the Trust whilst the daily management of infection prevention<br />

<strong>and</strong> control is the remit of the IPCT, supported by the DIPC.<br />

4.3 Line managers are responsible for ensuring that all Infection Prevention <strong>and</strong><br />

Control (IPC) policies <strong>and</strong> procedures are accessible for all their staff <strong>and</strong> that<br />

they have read them. Also ensuring that any changes in practice are<br />

implemented. Ensure systems exist to identify staff training needs <strong>and</strong> the<br />

implementation of new <strong>and</strong> updated IPC policies. Matrons, Lead Nurses <strong>and</strong><br />

ward managers should ensure that all healthcare workers comply with this<br />

<strong>policy</strong> <strong>and</strong> attend m<strong>and</strong>atory infection prevention <strong>and</strong> control induction <strong>and</strong><br />

updates, or complete the relevant e-learning modules.<br />

4.4 All staff have a duty of care to adhere to all Trust policies <strong>and</strong> protocols<br />

applicable to infection prevention <strong>and</strong> control <strong>and</strong> ensure their practice follows<br />

6<br />

Authorities<br />

Document Control Information<br />

Author:<br />

Sponsor:<br />

Date:<br />

Dr Kordo Saeed<br />

microbiologist<br />

Sue Dailly Lead Nurse<br />

Infection Prevention <strong>and</strong><br />

Control<br />

Paula Shobbrook Director of<br />

Infection Prevention <strong>and</strong><br />

Control<br />

01/08/11<br />

Type:<br />

Scope:<br />

Reference:<br />

Issue No:<br />

Status:<br />

Policy<br />

Major<br />

CP022 (IC 04)<br />

4<br />

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