Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

Ensure that patients
presenting with an
infection or who acquire
an infection during care
are indentified promptly
and receive appropriate
management and
treatment to reduce the
risk of transmission.
such as to demonstrate responsibility is
devolved to:
• All professional groups
• All specialties
and prevention of infection
• Division performance reviews
• Division governance groups
• Division reports to Infection Control
Operational Committee
• Ward reviews
• Incidence reports by Division
• Saving Lives/Hand Hygiene audits by ward
SWBTB (2/10) 046 (a)
Overall Status:
‘MEETS’
5
Gain the co-operation of
staff, contractors and
others involved in the
prevention and control
of infection.
Providers should ensure that staff,
contractors and others co-operate to meet
obligations under this code.
• PDR’s
• Performance reviews
• Infection Control and Prevention included in
SLA’s and contracts with others
Chief Nurse
Green
Overall Status:
‘MEETS’
6
Provide or secure
adequate isolation
facilities.
Overall Status:
‘MEETS’
Providers should ensure that adequate
isolation facilities are provided including
facilities for day care.
Policies should be in place for risk
assessment and allocation of isolation
facilities.
Sufficient staff should be available to care for
patients in isolation.
• Review of facilities
• Facilities in ‘control’ of Infection Control
team
• Isolation policy and risk assessment tools in
place
• Staffing assessments undertaken
DIPC
Green
7
Secure adequate
access to laboratory
support.
Overall Status:
‘MEETS’
Providers should ensure that laboratories
used to provide microbiology services have in
place appropriate protocols and that they
operate according to the required
accreditation standards – CPA (UK) Ltd.
• Labs are CPA accredited DIPC Green
Infection Control Trust Board Assurance Framework Feb 2010 V12 5 of 6