Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

5.4.5 Infection Control Surveillance Nurse (ICSN)
SWBTB (2/10) 036 (a)
The ICSN, under the direction of the HICN, is responsible for the collation and
analysis of specified microbiological data which has an impact on patient care and
the reduction/prevention of healthcare associated infections. In addition the ICSN
undertakes specific audits and training to ensure best practice is understood and
applied.
5.4.6 Decontamination Manager.
a) Responsible for providing decontamination advices, support and information to
multidisciplinary staff within the Trust through education, training and working
with staff in clinical and non clinical areas.
b) Responsible for auditing, implementing, co-ordinating and monitoring the
Trusts decontamination strategy to meet the recommendations of local and
National guidelines.
c) Responsible for developing, implementing and monitoring the decontamination
programme.
d) Responsible for reporting to and updating the Infection Control Operational
Committee.
5.5 Managers
a) To ensure staff are aware of and have access to infection control
policies and guidelines
b) To ensure staff have understood the relevant policies and guidelines and are
compliant with them
c) To ensure all staff have undertaken a Local Infection Control Induction
Programme which outlines infection control policies and procedures within
individual areas to include; hand hygiene, sharps awareness,
decontamination, care and management of patients with communicable
infections where appropriate.
5.6 Divisions
It is the responsibility of the Divisional managers to ensure infection control policies,
procedures and guidelines are implemented and monitored within each division.
5.7 Matrons
Matrons play a key role within the organisation and are responsible for ensuring
adherence to infection control practices to include; cleanliness of the environment;
adherence to infection control practices; audit and surveillance of key target mircoorganisms
(to include C.difficile, MRSA bacteraemias) within their clinical area;
compliance to ‘Saving Lives’ and hand hygiene audit tools and appropriate internal
reporting including to the Chief Nurse and Trust Board.
5.8 Ward/Departmental Managers/ Senior Nursing staff are responsible for:
5.8.1 Ensuring the dissemination of this policy within their areas of responsibility.
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