Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

3
Provide suitable and
sufficient information on
HCAI to the patient, the
public and other service
providers when patients
move between health
and social care
providers
Overall status:
‘MEETS’
2h
2i
2j
3a
3b
There are effective arrangements for the
decontamination of instruments and other
equipment.
The supply and provision of linen and laundry
reflects the HSG (95) 18
Uniform policies ensure that clothing worn by
staff is clean and fit for purpose.
Provides information on prevention and
control of HCAI and key asopects of the
providers policy on infection prevention and
control.
Information on the role and responsiblities of
individuals in the prevention and control of
HCAI to support them when visiting patients.
• Handwash facilities in siderooms
• Hand gel at entrance to the wards and
siderooms
• Hand gel at the end of beds
• Appropriate policies
• Decontamination and disinfectant policy
• Decontamination work plan
• Decontamination Committee
• Linen and laundry contract compliant with
the HSG standards
• Report to Executive Infection Control
Committee quarterly.
• Linen and laundry policy in place
• Uniform policy in place
• Uniform audits take place twice a year
• Included in PEAT
• Infection control policy widely published
• Various leaflets available
• Posters and signage
• Visitors Policy
SWBTB (2/10) 046 (a)
Director of
Estates
Chief Nurse
Chief Nurse
DIPC
Green
Green
Green
Green
• As per 3a DIPC Green
3c Information to support vigilance in patients. • As per 3a DIPC Green
3d Information to stress the importance of
compliance by visitors with hand hygiene and
visiting restrictions.
• As per 3a Chief Nurse Green
3e Information on how to report breeches in • As per 3a Chief Nurse Green
hygiene and cleanliness
3f Information re incident/outbreak management • Policy widely available
DIPC Green
• As per 3a
3g Feedback that is focused on the patient
• Bed Management Policy
Chief Nurse Green
pathway.
• Divisional reports
• Ward review process
3h Information is provided across boundaries • Health economy wide committee
DIPC Green
• Screening action plan
4 Prevention and control of HCAI should be • Job descriptions of all staff include control Chief Nurse Green
Infection Control Trust Board Assurance Framework Feb 2010 V12 4 of 6