1. Trust Induction Blackpool Victoria Hospital
Dr Ruth Palmer
Consultant Microbiologist (FRCPath, MRCOG, MD)
Jo Lickiss, Nurse Consultant Infection Prevention

2. WELCOME!

3. Trust Induction Statutory requirement Important information
Listen, digest and follow policy
Remember your duties & responsibilities

4. Infection Prevention & Control
Infection is taken seriously in this Trust
Everyone has a role to play
Everyone should challenge poor standards
Everyone with poor standards should be challenged
Five moments of Hand Hygiene

5. Infection Prevention & Control
MRSA Bacteraemias- trust target - 0
There is a procedure for taking blood cultures that must be followed (ANTT),
Contaminated specimens are a pain in general but with respect to MRSA lead to avoidable fines.
Don’t forget decontamination treatment
If known MRSA positive patient then ADJUST EMPIRIC REGIME to cover (it may avoid bacteraemia)
CDI - 59 cases now breaching target
CPE and MDRO
There is a screening policy in position to ensure cases are detected
Your role is to make sure that it is implemented
Where CPE is a significant risk or is known the formulary will not cover call microbiology

7. Infection Prevention & Control
Antibiotic prescribing- legible documentation
Initial prescription of 5 days
24 and 48-hour review of antibiotic prescription
Review potential to change IV to oral (CHORAL)
Review microbiology results and de-escalate antibiotics
When rewriting after 5 days put the stop date in
Talk safe initiative/reflecting on unsafe practices- Hand Hygiene
Covert audits and performance management in place
It may come from nurses, pharmacists or AHPs
Reflection on practice
Bare or appropriate PPE covered below the elbows

8. Contacting Microbiology Consultants
Your own team is the first source of advice
In hours use NERVECENTRE it gets us wherever we are in the hospital
OOH discuss with your clinical team who will contact microbiology service often simple problems such as alternatives to penicillin and oral regimes can be dealt with by them

9. HPAT/OPAT Outpatient/ Home IV therapy (COMMIT pilot
Please see trust intranet for referal mecahnisms further details
Reducing LoS- reducing risk of HAIs.

10. THANK YOU!