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Prevention and Control of Infections - Standard Precautions Policy

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20.0 MONITORING COMPLIANCE<br />

<strong>Prevention</strong> & <strong>Control</strong> <strong>of</strong> <strong>Infections</strong> - St<strong>and</strong>ard <strong>Precautions</strong> – 18.12<br />

20.1 Compliance is monitored via a planned annual rolling programme <strong>of</strong> audit by the Infection<br />

<strong>Prevention</strong> <strong>and</strong> <strong>Control</strong> Teams <strong>and</strong> Hotel Services for both Divisions. Action plans <strong>and</strong><br />

responsibilities are identified <strong>and</strong> followed up by the Infection <strong>Prevention</strong> <strong>and</strong> <strong>Control</strong> Team<br />

<strong>and</strong> Hotel Services.<br />

21.0 EQUALITY IMPACT ASSESSMENT<br />

21.1 This policy has been assessed using the Equality Impact Assessment Screening Tool. The<br />

assessment concluded that the policy would have no adverse impact on, or result in the<br />

positive discrimination <strong>of</strong>, any <strong>of</strong> the diverse groups detailed. These include the str<strong>and</strong>s <strong>of</strong><br />

disability, ethnicity, gender identity, age, sexual orientation, religion/belief, social inclusion<br />

<strong>and</strong> community cohesion.<br />

22.0 LEGISLATION COMPLIANCE<br />

• Health <strong>and</strong> Safety at Work Act (1974)<br />

• The Health <strong>and</strong> Social Care Act 2008. Department <strong>of</strong> Health. Available at<br />

www.dh.gov.uk/publications<br />

• <strong>Control</strong> <strong>of</strong> Substances Hazardous to Health Regulations (COSHH) (2002)<br />

23.0 CHAMPION AND EXPERT WRITER<br />

23.1 The champion <strong>of</strong> this policy is Janet Sheard DIPC Executive Nurse. The expert writers are<br />

Audrey Kirkl<strong>and</strong>, Junior Matron Infection <strong>Prevention</strong> <strong>and</strong> <strong>Control</strong>, Forensic Services <strong>and</strong><br />

Fiona Hind, Junior Matron Infection <strong>Prevention</strong> <strong>and</strong> <strong>Control</strong> Local Services.<br />

24.0 REFERENCES /SOURCE DOCUMENTS<br />

Health <strong>and</strong> Safety at Work Act (1974)<br />

HSG(95)18 Hospital Laundry Arrangements for Used <strong>and</strong> Infected Linen (1997)<br />

Department <strong>of</strong> Health (1998) Guidance for clinical health care workers: protection against<br />

infection with blood-borne viruses. London. Department <strong>of</strong> Health.<br />

Medicines <strong>and</strong> Healthcare Products Regulatory Agency. Safe use <strong>and</strong> disposal <strong>of</strong> sharps.<br />

MDA SN 2001(19). 2001<br />

http://devices.mhra.gov.uk/mda/mdawebsitev2.nsf/<br />

<strong>Control</strong> <strong>of</strong> Substances Hazardous to Health (COSHH) (2002)<br />

NHS Estates (2002) Infection <strong>Control</strong> in the Built Environment.<br />

National Institute for Health <strong>and</strong> Clinical Excellence CG2 2003<br />

Department <strong>of</strong> Health (2004) A Matron’s Charter: An Action Plan for Cleaner Hospitals<br />

Universal precautions: A review <strong>of</strong> knowledge, compliance <strong>and</strong> strategies to improve.<br />

Gammon <strong>and</strong> Gould Journal <strong>of</strong> Research in Nursing. 2005: 10: 529-547<br />

Pratt RJ, Pellowe CM, Wilson JA, Loveday HP et all (2007) epic2: National evidence-based<br />

guidelines for preventing healthcare-associated infections in NHS hospitals in Engl<strong>and</strong>.<br />

Journal <strong>of</strong> Hospital Infection 65 (Supplement)<br />

Available from: www.epic.tvu.ac.uk/epic/notice.html<br />

ISSUE 1 – FEBRUARY 2011 11

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