Infection Prevention and Control (IPC) Mandatory Training for Corporate Induction

Aim of infection prevention and control training To increase infection prevention and control knowledge throughout EMAS, which will lead to compliance of infection prevention and control practices.

Healthcare Associated Infections (HCAI)  HCAI prevalence rate is 8.2% (Department of Health, 2006)  Annually at least 300,000 patients develop a HCAI (British Medical Association, 2006)  Costs NHS £1 billion per annum  15-30% are preventable by better practice (National Audit Office, 2000)

Infection transmission and Your protection Infections can spread by direct contact, through the air, via blood or the faecal/oral route There are many infections which can be caused by bacteria/viruses- MRSA-Meticillin Resistant Staphylococcus Aureus C. diff-Clostridium difficile (sometimes referred to as Anti biotic associated diarrhoea) TB-Tuberculosis Winter vomiting bug-often caused by Norovirus Head colds/sore throats-often caused by viruses

How can you protect patients and yourself against infections? Hand hygiene is the single most important measure to prevent and control infection activity Decontaminate your hands with liquid soap and water and/or alcohol hand rub Comply with Bare Below the Elbows (BBE) Wear personal protective equipment (PPE), such as gloves, aprons, sleeve protectors, eye protection and masks appropriately

Hand Hygiene Hand wash On soiled hands After using the toilet Before eating On removing soiled gloves If near a sink Alcohol hand rub On visibly clean hands After hand washing On entering and leaving clinical areas Before and after wearing gloves

Hand Hygiene – after hand washing Front Back Least frequently missed Less frequently missed Most frequently missed

Hand washing technique Posters like this one detailing the step by step hand washing technique are located above hand wash basins throughout EMAS premises

Hand washing exercise

Decontamination of medical equipment and vehicle cleanliness All single use equipment should be discarded after single patient use All medical equipment should be cleaned as per manufacturers guidance All medical equipment on vehicles should be cleaned after every patient use as per the Post Handover Vehicle Preparation SOP All medical equipment on vehicles should be deep cleaned on a 28/42 day cycle-dependant on the type of vehicle

Cleaning and Decontamination Product typeApplication Detergent wipe (Primary cleaning product) General cleaning and wiping of surfaces and equipment. Detergent should always be the primary cleaning agent Sodium Hypochlorite solution (1%) (Disinfection) Use on areas contaminated with blood Sodium Hypochlorite granules (1%) (disinfectant) Use on large blood spillages

National colour coded cleaning system There is a national colour coding system in place for the NHS This system should be followed at all times by staff undertaking cleaning activities

Waste disposal-Sharps

NEW DISPOSAL COLOURS OFFENSIVE WASTE FOR DEEP LANDFILL E.g. non infectious dressings, sanitary/incontinence waste non infectious single use plastic non sharp instruments etc WASTE FOR ALTERNATIVE TREATMENT E.g. dressings wipes gloves assessed as non Cat ‘A’ infectious with no pharmaceutical contamination etc WASTE FOR INCINERATION E.g. anatomical, pharmaceutical, contaminated sharps etc. CYTOTOXIC / CYTOSTATIC FOR INCINERATION Cytotoxic / cytostatic drugs and items contaminated with these drugs DOMESTIC (HOUSEHOLD) WASTE FOR LANDFILL Clean packaging, hand towels, general / food waste uncontaminated gloves &aprons

IPC Auditing (1) IPC Auditing monitors compliance with IPC policies and Standard Operating Procedures (SOPs) Seven IPC audit tools: A&E/PTS Observed practice/Safeguarding Vehicle cleanliness for PTS vehicles Vehicle cleanliness for A&E vehicles Vehicle cleanliness for FRV/ECP/PTS cars Premise audit-stations Training premise audit Make Ready Quality audit

IPC Auditing (2) The audit results are analysed by the Business Intelligence Team at HQ who create detailed reports Any areas of non compliance should be addressed timely to ensure compliance as per the IPC Audit Programme Audit reports are disseminated to staff via notice boards, station meetings and communication briefings The Director of Nursing and Quality reports the IPC Audit results to the Trust Board.

Audit results from the IPC Team for all divisions

Saving Lives (1) Saving Lives: reducing infection, delivering clean and safe care is a Department of Health programme to make IPC everyone’s business The focus is High Impact Intervention (HII) care bundles which relate to key clinical procedures EMAS has implemented 2 HII-numbers 2 and 8. Monitoring of compliance is via the observed practice audit tool

Saving Lives (2) HII No 2-Peripheral intravenous cannula care bundle HII No 8-Cleaning and decontamination of clinical equipment Further information about Saving Lives HII 2 and 8 can be located via the IPC pages on Insite, from the hard copies located on stations and training centres or via the link below:

Your IPC responsibilities Ensure you are up-to-date with current IPC policies and procedures to ensure patients receive care in a clean and safe environment We all play a part in following the Hygiene Code your daily IPC actions contribute to achieving the Trust’s overall compliance

Further resources Infection Prevention and Control Toolkit available at each HQ reception/stations/education centres Your manager CQMs Insite – Infection Prevention and Control Team