Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 036 (a)
5.8.2 Notifying the Infection Control Service (ICS) of patients with known or
suspected communicable infections.
5.8.3 Ensuring appropriate isolation in line with infection control guidelines.
5.8.4 Providing full information on communicable infections to patients and their
relatives (as appropriate). This must be documented in their health care
notes and supported with written (patient) information where applicable.
5.8.5 Monitoring and enforcing infection control guidelines amongst staff, patients
and visitors including the appropriate use of PPE.
5.8.6 Responsible for ensuring both the environment and equipment are clean and
fit for purpose.
5.8.7 Providing information on diagnosis and infection control requirements if
the patient is transferred to another institution
5.9 Medical Staff are responsible for:
5.9.1 Undertaking a risk assessment for all patients admitted with known or
suspected communicable infections.
5.9.2 Notifying the Infection Control Service (ICS) of patients with known or
suspected communicable infections. .
5.9.3 Ensuring all patients with known or suspected communicable infections are
isolated appropriately.
5.9.4 Commencing appropriate and prompt treatment.
5.9.5 Providing information on diagnosis and infection control requirements if
the patient is transferred to another institution.
5.9.6 Ensuring patients are given adequate information regarding their clinical
condition and the reasons behind isolation requirements.
5.10 The Infection Control Operational Committee
The Infection Control Operational Committee (ICOC) represents the main forum for
discussion between the ICS and other Senior Trust employees to ensure that there
is support from the Trust for infection control policies, procedures and guidelines,
for the control and prevention of infection.
a) To advise and support the Infection Control Service
b) To advise relevant personnel to include the Medical Director and Chief
Operating Officer or designated Deputy on any infection control related
issues
c) To review the annual infection control programme and seek approval by
the Trust Board.
d) To approve the annual report produced by the Infection Control Service
e) To assist and advise the Trust in the management of outbreaks, discuss and
endorse any outbreak management strategy and monitor its effectiveness
f) To advise and approve infection control policies and guidelines and evaluate
their implementation.
g) To monitor the Infection Control action plan and escalate any issues of
concern to the Infection Control Executive Committee
h) To offer advice on the most appropriate use of resources available to
facilitate the implementation of the infection control programme and endorse
any contingency requirements.
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