1. CURRENT ISSUES IN RISK MANAGEMENT - HEALTHCARE ASSOCIATED INFECTION

2. Risk Management n Identification n Assessment – analyse / evaluate risk n Action - eliminate / reduce risk n Monitor and review

3. RISK OF HAI Exposure to micro-organisms: n Person to person spread e.g., hands n Medical devices e.g., surgical instruments n Airborne / droplet e.g, sneezing, contaminated humidifiers air conditioning n Environment e.g., contamination present floors fittings, in dust etc. n Contaminated food

4. RISK OF HAI Other factors: n High prevalence of micro-organism e.g., high carriage in staff or patients n Concentration of compromised patients e.g., broken skin, reduced immunity n Potential routes of transmission e.g., invasive devices

5. Control Measures for HAI Result from risk identification and analysis but will include: nPolicies / procedures / guidance e.g., -Infection Control -Health & Safety

6. Key Guidance n Handwashing n PPE n Decontamination n Sharps use n Laundry n Waste n Patient isolation n Patient personal care/hygiene n Aseptic techniques

7. They Look Alright To Me! The Patient!

8. PATIENT INFECTION RISK ASSESSMENT  Part of care planning cycle  Systematic process  Identify patients who might develop an infection or to be source of infection  Identification of hazards or risks to health  Target preventative measures

9. INFORMATION  Observation  Patient  Family  GP  Laboratory  Other professionals e.g., continence advisor

10. Infection risk assessment/reassessment Is patient a risk to others?Is patient at increased risk? No further action Assess degree of risk No further action Plan patient’s care Protect staff, other patients & visitors Protect the patient at risk Implement care Evaluate care No Yes No Ref: Bowell 1992

11.  What is infected?  How is infection spread?  What symptoms affect degree of risk?  What could be contaminated?  How can contamination be prevented? RISK TO OTHERS

12. RISK TO OTHERS ASSESSMENT TOOL Ref: Bowell 1990

13. POLICY GUIDANCE ? Required for consistent approach -high standard of care: -appropriate to needs; -to routine activities