The Gwent Health Community Clinical Governance Collaborative … Home Audit Tool Gwent… · The...
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The Gwent Health Community Clinical Governance Collaborative
The Gwent Health Community Clinical Governance Collaborative
Infection Prevention and Control Audit Tool for Care Homes
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Content
1. Guidelines for Using the Tool
2. Audit Programme Template
3. Audit Tools:
3.1 Infection Control Management
3.2 Environment 3.3 Kitchen
3.4 Hand Hygiene
3.5 Personal Protective Equipment
3.6 Disposal of Waste and Spillage Management 3.7 Prevention of Sharp Injuries
3.8 Specimen Handling
4. Feedback / Action Plan Template 5. Evaluation Form
6. Appendix 1 – Sources of further information
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INFECTION CONTROL AUDIT TOOLS 1. Guidelines for Using the Audit Tools These audit tools are intended for use by care home managers and staff (As appropriate to their function) who are engaged in providing high standards of infection control practice, thereby reducing the risk of healthcare associated infections(HCAIs) and ensuring patients/clients are cared for in a safe environment. They are designed to enable care home staff to monitor their compliance with infection control standards and policies. Planning the Audit Programme The audit tool is intended for use as a guide to review the care environment and infection control practices through the application of an audit programme and the production of an audit report and action plans. Time Required It is envisaged that the audits contained in this audit pack may be carried out at one time. The time required to complete a specific audit will vary according to the standards being audited. Scoring All criteria should be marked either Green if the criteria is met in full Amber if the criteria is met in part Red if the criteria has not been met Non applicable (N/A) where appropriate Comments Comments should be written on the form for each of the criteria at the time of the audit clearly identifying any issues of concern and areas of good practice. These comments may then be incorporated into the action plan. Comments made can indicate where some compliance has been observed e.g. ‘eight out of ten sharps boxes are labelled’. However, if one out of eight sharps boxes are not labelled for example, then the answer should be “No” (i.e. not all boxes are compliant). Practice Related Elements of the Tool When asked to observe practice e.g. hand hygiene, then a minimum of five practices should be observed. If one or more staff member/s fails to comply then the audit response should be “No”
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Example Clinical staff nails are short, clean and free from nail extensions and varnish. If one healthcare worker has nail varnish then the response should be “No”. Action Plans An action plan must be generated for each audit completed (unless all criteria have been met in full during the audit. An action must be documented for all criteria scoring amber or red. Feedback of information and report findings It is advised that the auditor should verbally report any areas of concern and of good practice to the person in charge of the care home being audited prior to leaving work. A written action plan must also be developed by the auditor and should be discussed with the care home manager and staff for action. The manager/auditor should re audit the care home if there are concerns and to assess progress with the action plan.
Care Homes should use the audit results as the basis of a discussion within the care home team Sources of Information and Guidance When the audit highlights practices which require review staff can use the resource guide listed in Appendix 1 for sources of further information and guidance.
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2. Audit Programme Template
Audits for Completion (i.e. full or environmental)
Date Responsible Person Date Action plan completed
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3.1 Infection Control Management Standard: Infection Prevention and Control is an integral part of the culture within the care home
Evidence Green Amber Red N/A Comments 1 A lead for Infection
Prevention and Control has been identified within the Care Home
Ask for evidence
2 The nominated lead has received relevant infection control training
Ask for evidence
3 Staff have access to Infection Control Policies such as the NPHS Care Home Guidelines and the Department of Health Infection Control Guidance for Care Homes (2006)
Look for evidence
4 A training programme for Infection Control is in place
Look at the training log and training materials
5 The infection control training programme includes induction of all staff
Look at the training log
6 The infection control training programme includes the management of patients with infections e.g. patients with diarrhoea, infected wounds etc
Ask for evidence
7 The infection control training programme includes ongoing updates
Look at the training log
8 A programme of audit of infection control practices is in place
Ask for evidence
9 A policy relating to the management of patients who are admitted with or develop an infection in the home is available
Ask for evidence
10 A policy is in place to ensure staff assess patients prior to or on admission for any current infections
Ask for evidence
11 A written and verbal communication procedure is in place to ensure care home staff are informed of the infection status of those transferred out of
Ask for a description of the process
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hospitals/other care organisations
12 A written and verbal communication procedure is in place to inform receiving hospitals/organisations of the infection status of those transferred out of the home
Ask for a description of the process
13 Staff always inform the hospital (Royal Gwent and Neville Hall) if a patient develops a wound infection up to 30 days after a surgical operation
Ask staff. If no - advise to ring 01633 238058 if post operative infections are identified*
* This question is specific to Gwent
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3.2 Environment Standard: The environment will be maintained appropriately to reduce the risk of cross infection
Evidence Green Amber Red N/A Comments1 The organisation has
comprehensive written cleaning standards and procedures (use national standards of cleanliness for Wales 2004 as a guide)
Ask for evidence
2 Organisational structures are in place to ensure standards of cleanliness are audited in accordance with national cleanliness standards as above
Ask for evidence
3 Overall appearance of the environment is tidy and uncluttered
Observe
4 Fabric of the environment and equipment smells clean
Observe
5 The allocation of rooms for clinical practice is fit for purpose (treatment/Pharmacy rooms)
Observe
6 Rooms where clinical practice takes place are not carpeted
Observe
7 Floor coverings in clinical practice/treatment rooms are washable and impervious to moisture and are sealed and clean
Observe
8 All floors, including edges and corners are visibly clean with no visible body substances, dust, dirt or debris
Observe
9 Furniture in patient areas e.g. chairs and couches are made of impermeable and washable materials
Observe
10 Furniture in patient contact that cannot be cleaned is condemned
Ask staff
11 Tables are tidy and uncluttered to enable cleaning
Observe
12 Chairs are free from rips and tears
Observe
13 Furniture, fixtures and fittings are visibly clean with no visible body substances, dust, dirt or debris
Observe
14 Pillows/mattresses are enclosed in a washable and impervious cover
Observe
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15 All dispensers, holders and all parts of the surfaces of dispensers soap and alcoholic gels, paper towel/couch roll/toilet paper holders are visibly clean with no visible body substances, dust, dirt or debris
Observe
16 Toilets are visibly clean with no body substances, dust, lime scale stains, deposits or smears – including underneath the toilet seat
Observe
17 Hand wash basins are visibly clean with no body substances, dust, lime scale stains, deposits or smears
Observe
18 Facilities are available for the safe disposal of continence products
Observe
19 Baths and bath hoists are visibly clean and are cleaned between patients
Observe
20 All patients have individual toiletries which are stored in patient’s rooms and not in communal areas
Observe
21 There is a procedure in place for regular decontamination of curtains and blinds e.g. minimum of 6 monthly
Ask for evidence
22 Dressing trolleys are clean and in a good state of repair
Observe
Sluice 23 A sluice room is available
Observe
24 The integrity of fixtures and fittings is intact
Observe
25 Separate hand washing facilities are available
Observe
26 The room is clean and free from inappropriate items
Observe
27 The floor is clean and free from spillages
Observe
28 Floors including edges and corners are free from dust and grit
Observe
29 Shelves and cupboards are clean inside and out
Observe
30 A suitably located sluicing disinfector or other appropriate disinfection procedures are in place to maintain hygiene standards and infection control (CSSIW standard)
Observe
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31 A separate dedicated sink is available for decontamination of patient equipment
Observe
32 A sluice hopper is available for the disposal of bodily fluids
Observe
33 Equipment in sluice room is visibly clean
Observe
34 There is sufficient provision of commodes and bedpans to minimise risks of cross infection. (CSSIW standard)
Observe and discuss
35 Commodes/Bedpan holders/urinals and jugs are disinfected after each use either in a washer disinfector or with general-purpose detergent and disinfectant solution, rinsed, dried and stored inverted or on racks
Observe/discuss
36 Commodes are clean and free from organic matter on all surfaces, are in a rust free condition and in a good state of repair.
Observe
37 There is evidence of a planned maintenance schedule (regular service contract) for macerators and/or washers disinfectors within the nursing home
Ask for evidence
38 There is evidence within the nursing home of a ‘contingency plan’ in the event of the macerator and/or washer disinfector breaking down.
Ask for evidence/discuss
39 Cleaning equipment is colour coded to denote specific areas (refer to NPSA national colour coding)
Observe
40 Mops and buckets are stored clean, dry and inverted
Observe
41 Mop heads are laundered daily or are disposable
Observe /Discuss
Pets 42 Pets which live in the home have
evidence that all appropriate worming and vaccinations are up to date and have a flea management programme
Ask for evidence
43 Pets which are resident in the home are well trained (do not soil the environment)
Observe
44 Staff wash their hands after handling pets
Observe
45 Clients are able to wash their Observe
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hands after handling pets, prior to eating
Linen 46 Clean linen is stored in a clean
designated area separate from used linen (not in the sluice or bathroom)
Observe
47 Clean linen is free from stains Randomly check linen
48 Clean linen store is clean and free from dust
Observe
49 Clean linen store is free from inappropriate items
Observe
50 Linen is segregated in appropriate colour coded bags according to policy
Observe
51 Bags are less than 2/3 full and are capable of being secured
Observe
52 Bags are stored correctly prior to disposal
Observe
53 Linen skips and the appropriate bags are taken to the area required (staff are not carrying soiled linen or leaving it on the floor)
Observe
54 Gloves and apron are worn when handling contaminated linen
Observe
55 Any washing machines used are situated in an appropriate designated area
Observe
56 There is written guidance regarding how to use the washing machine
Observe
57 There is evidence that the guidelines are being adhered to
Ask staff and observe
58 If a washing machine is in use a tumble dryer is also available which is externally exhausted
Observe
59 There is evidence that the washing machine and tumble drier are on a pre-planned maintenance programme
Look for evidence
60 Facilities are available for staff to wash their hands in the laundry room
Observe
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3.3 Kitchen Area Standard: Kitchens will be maintained to reduce the risk of transmission of infection in accordance with current legislation
Evidence Green Amber Red N/A Comments 1 The kitchen is subject to a regular
inspection from Environmental Health or other agency
Ask for evidence
2 The kitchen is free from infestation or animals
Observe
3 Fly screens are in place where required
Observe
4 The floor is clean and dry Observe 5 Cleaning materials used in the
kitchen are identifiable and are stored separately to other cleaning equipment and away from food
Observe
6 A dedicated hand wash basin with liquid soap and paper towels is available
Observe
7 Fixtures and fittings are in a good state of repair
Observe
8 Fixtures, surfaces and appliances are clean and dry
Observe
9 Shelves cupboards and drawers are clean and dry, free from dust and in a good state of repair
Observe
10 All cooking appliances are visibly clean
Observe
11 Refrigerators/freezers are clean and free from ice build up
Observe
12 A thermometer is observed in the Refrigerator and freezer
Observe
13 There is evidence that daily refrigerator temperatures are recorded and appropriate action is taken if standards are not met (refrigerator temperature must be less than 8 degrees c, freezer 18 degrees c)
Check records
14 Resident and staff food stored in the refrigerator is labelled and there is a system in place to determine when it was opened and/or when it should be used by
Observe
15 The refrigerator is free of Inappropriate items e.g. medications or specimens
Observe
16 Milk is stored in the refrigerator Observe 17 Bread is stored in a clean dry
container Observe
18 All food products are within their Observe
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expiry date 19 Opened food is covered or stored
in containers Observe
20 Water coolers/ice machines are mains supplied, visibly clean and are on a planned maintenance programme
Observe/ ask for evidence
21 Ice machines dispense the ice from nozzles directly into a receptacle on demand
Observe
22 Ice making machines are visibly clean and are cleaned at least once weekly
Observe
23 A dishwasher is used to wash cutlery and crockery which is achieving disinfection temperatures evidenced by a maintenance programme
Observe/ ask for evidence
24 The dishwasher is clean and well maintained
Observe
25 Disposable paper roll is available for drying equipment and surfaces
Observe
26 The kitchen is free from fabric tea towels or dish cloths
Observe
27 The kitchen is free from inappropriate items or equipment
Observe
28 Waste bins are foot operated and in good working order
Observe
29 Waste bins are clean Observe
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3.4 Hand Hygiene Standard: Hands will be decontaminated correctly and in a timely manner using a cleansing agent to reduce risk of cross infection
Evidence Green Amber Red N/A Comments 1 The organisation has a policy for
hand hygiene Look for the policy
2 Organisational structures are in place to ensure that all staff are aware of the hand hygiene policy and procedures
Look for evidence
3 Hand hygiene is an integral part of induction for all staff
Look for evidence
4 Staff have received training in hand hygiene procedures
Ask a member of staff
5 Staff nails are short, clean and free from nail extensions and varnish
Observe all staff on duty
6 No wrist watches, stoned rings or other jewellery are worn during clinical procedures
Observe all staff on duty
7 Hand hygiene is actively promoted for example posters promoting hand hygiene are available and are on display
Look for posters
8 There is a dedicated hand wash basin in each treatment/clinical area
Observe
9 Hand washing facilities are clean and intact (check sinks, taps, splash backs, soap, and towel dispensers)
Observe
10 Hand wash basins are dedicated for that use only and are free from used equipment and inappropriate items
Observe
11 There is easy access to hand basins
Observe
12 Dedicated hand wash basins comply with HTM 64 i.e. no plugs, no overflows, water from taps not directly situated above the plug hole
Observe
13 Elbow operated taps are available at all hand wash basins in clinical areas
Observe
14 Liquid soap is available at each hand wash basin and is in the form of single use cartridge dispensers
Observe
15 Bar soap is not used for staff hand washing
Observe
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16 Soft absorbent paper towels are available at all hand wash sinks
Observe
17 Re-usable terry cotton towels are not used by staff to dry hands
Observe
18 There are no re-usable nailbrushes used or present at hand wash sinks
Observe
19 There is a foot operated bin for waste towels in close proximity to the hand wash sinks which are lined and fully operational
Observe
20 Staff use the correct procedure for washing hands (observe staff i.e. use running water, soap, cover all area of the hands, rinse and dry on paper towels)
Observe
21 Alcohol hand rub is available for use where appropriate
Observe
22 Staff can indicate when it is appropriate to use alcohol hand rub i.e. on clean hands
Ask staff
23 Staff can indicate when it is inappropriate to use alcohol hand rub i.e. on physically contaminated hands, when caring for patients with diarrhoea (ask staff)
Ask staff
25 Clinical staff are encouraged to use hand moisturisers that are pump operated for personal use
Observe
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3.5 Personal Protective Equipment Standard: Personal protective equipment is available and is used appropriately to reduce risk of cross infection
Evidence Green Amber Red N/A Comment 1 The organisation has a policy for the
appropriate use of personal protective equipment
Ask for evidence
2 Staff are trained in the use of personal protective equipment as part of induction
Ask for evidence
Gloves 3 Sterile and non-sterile gloves
(powder free) conforming to European Community (EC) standards are fit for purpose (no splitting etc) and are available in all clinical areas
Observe
4 Alternatives to natural rubber latex (NRL) gloves are available for use by practitioners and patients with NRL sensitivity
Observe
5 Powdered or polythene gloves are no longer in use
Observe/ discuss
6 There is an appropriate range of sizes of gloves available
Observe
7 Gloves are worn as single use items for each clinical procedure or episode of patient care
Observe
8 Hands are decontaminated following the removal of gloves
Observe
9 Gloves are stored appropriately away from the risk of contamination
Observe
Aprons 10 Disposable plastic aprons are worn
as single-use items for each clinical and environmental procedure or episode of patient care
Observe
11 Disposable plastic aprons are worn as part of food hygiene practices i.e. food preparation and serving meals
Observe
12 Aprons are stored appropriately away from the risk of contamination
Observe
Face and Eye Protection 13 Clean facemasks and eye protection
are worn when there is a risk of any bodily fluids splashing into the face and eyes (COSHH Control of Substances Hazardous to Health)
Observe/ discuss
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3.6 Disposal of Waste and Spillage Management Statement: Waste is disposed of safely without the risk of contamination or injury and in accordance with legislation
Evidence Green Amber Red N/A Comment 1 The organisation has a
procedure/policy for the disposal of waste
Look for the policy
2 Audits are used to monitor waste procedures
Look for evidence
3 Staff have attended a training session which includes the correct and safe segregation and disposal of waste
Ask a member of staff
4 There is evidence that the waste contractor is registered with valid carrier and management licences
Check records
5 If generating Clinical (Hazardous – DoH 2006) waste the care home is registered to do so
Check records
6 Clinical (Hazardous) waste is disposed of and transported in UN approved appropriate sharps containers OR suitable colour coded waste bags
Observe
7 All other clinical (non –hazardous – DoH 2006) offensive/hygiene waste (e.g. incontinence pads) is disposed of in tiger bags (yellow with black stripe)
Observe
8 There is evidence that staff are segregating waste correctly. (e.g. domestic and non-hazardous waste are not being placed in clinical waste bags)
Observe/ ask a member of staff
9 A waste disposal poster identifying waste segregation is available in the sluice
Look for posters
10 All plastic waste sacks are fully enclosed within bins to minimise risk of injury
Observe
11 All Clinical and Offensive waste bins are foot operated, lidded and in good working order
Observe
12 All waste bins are visibly clean – externally and internally
Observe
13 There is no emptying of waste from one bag to another
Observe/Discuss
14 There are no overfilled bags. Bags are no more than 2/3 full
Observe
15 Waste bags are removed from clinical areas daily
Observe/Discuss
16 Clinical (Hazardous) waste bags are Observe
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labelled and secured before disposal
17 Waste awaiting collection is only stored in the designated area. (Check that waste bags are not being stored in corridors or in other inappropriate areas)
Observe
18 The waste storage area is clean and tidy
Observe
19 All Clinical (Hazardous) and offensive waste bins containers are kept secure and are inaccessible to the public
Observe
20 Waste storage bins in the outside compound (dedicated area for the safe storage of waste bins) are locked and secured.
Observe/Discuss
21 Clinical (Hazardous) and offensive waste is labelled and segregated from other waste for transportation
Observe
22 There is no storage of inappropriate items in the waste compound
Observe
23 The waste compound is kept clean and tidy
Observe
24 The organisation has a procedure for dealing with body fluid spillages
Ask for evidence
25 Staff have received training in dealing with body fluid spillages
ask a member of staff
26 Dedicated spillage kits/ or the necessary equipment is available for decontaminating and cleaning body fluids: Disposable apron and gloves Waste bags Paper towels Hypochlorite granules and or bleach/hypochlorite solution
Observe/Discuss
27 Equipment used to clear up body fluid spillage is disposable or able to be decontaminated
Observe/Discuss
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3.7 Prevention of Sharp Injuries Statement: Sharps will be handled safely to prevent the risk of needle stick/inoculation injury
Evidence Green Amber Red N/A Comments 1 The organisation has a
procedure/policy for the management of sharps/needlestick injuries or splashes and bites
Look for evidence
2 Staff are aware of the policy Ask a member of staff
3 There are arrangements in place to ensure that hepatitis B immunisation is recommended for relevant staff
Discuss
4 There are arrangements in place that ensures staff are dealt with appropriately in the event of a needlestick or bite/splash
Ask a member of staff to describe the procedure
5 All staff receive training in sharps/splash/bites management and are aware of the actions to take following an injury
Ask a member of staff
6 All needlestick/sharps/bites/splash injuries are recorded
Look for evidence
7 There is signage (e.g. a poster) displayed for the management of needlestick/sharps injuries and/or bites and splashes
Look for a poster
8 Sharps containers comply with BS 7320 (1990)/UN 3291
Observe
9 Sharps containers are correctly assembled
Observe
10 All sharps containers in use are labelled with date, locality and signed prior to disposal
Observe
11 Sharps containers are available at the point of use
Observe/Discuss
12 Sharps containers are visibly clean with no body substances, dust, dirt or debris
Observe
13 Sharps containers are stored safely away from the public out of the reach of children
Observe all boxes in use
14 Sharps containers are not filled beyond the indicator mark i.e. 2/3 full
Observe all boxes in use
15 The temporary closure mechanism is used when the
Observe all boxes
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sharps container is not in use in use 16 There are no inappropriate items
e.g. packaging or swabs in the sharps containers
Observe all boxes in use
17 Needles and syringes are discarded as a single unit
Observe/Discuss
18 Inappropriate re-sheathing of needles does not occur (ask a member of staff)
Observe
19 Sharps boxes with residue of prescription only contained within are disposed of by incineration
Observe/Discuss
20 Full sharps containers are sealed with the integral lock – tape or stickers are not used
Observe
21 When full and ready for disposal all sharps containers are dated and signed
Observe
22 Sharps containers are not placed in waste bags prior to disposal
Ask a member of staff
23 Sealed and locked sharps containers are stored in a locked facility away from public access
Observe
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3.8 Specimen Handling Standard: Specimens are handled in a way that negates the risk of cross infection to all staff
Evidence Green Amber Red N/A Comments 1 The organisation has a policy for
Specimen Handling Look for the policy
2 All staff handling specimens, including reception staff, are trained to do so
Ask a staff member
3 Specimens that are to be sent to the microbiology laboratory are in appropriate containers
Observe
4 Specimens are sealed in designated plastic transit bags
Observe
5 Request forms are not in the same section of the bag as the specimen
Observe
6 Specimens awaiting transit are kept in a designated area, away from the public and staff rest areas
Observe
7 Refrigeration for specimens is available where required
Observe
8 Specimens are not stored with food
Observe
9 Specimens are transported in leak-resistant boxes with lids that can be fastened
Observe/Discuss
10 Specimen transport boxes are visibly clean
Observe
11 There is no evidence of leaking or externally contaminated specimen containers being sent to the laboratory
Observe/Discuss
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4. Feedback Report / Action Plan Date: Care Home: Areas of non compliance Action Required Responsible Person Target Date Review Date
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Date: Care Home: Areas of non compliance Action Required Responsible Person Target Date Review Date
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Date: Care Home Areas of non compliance Action Required Responsible Person Target Date Review Date
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5. Evaluation Form Please complete this evaluation form to enable an assessment of the suitability of the audit tools to be undertaken 1. Grade of staff completing the Audit (please circle) Manager Registered Nurse Support Worker Other Please state 2. Time taken to complete the audit …………………………………………. 3. How useful did you find the audit in identifying infection control issues within the care home Please circle (1 = not useful 3 = useful 5 = very useful) 1 2 3 4 5 4. Please comment on any specific questions which you felt were difficult to assess
7. Any other comments regarding the audit tool Please return this form to your Governance Facilitator within your Local Health Board
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Appendix 1
Sources of Information
Useful Websites National Public Health Service for Wales www.nphs.wales.nhs.uk NPHS Welsh Healthcare Associated Infection Programme (WHAIP). http://www.wales.nhs.uk/sites/home.cfm?OrgID=379 Infection Prevention Society (previously the Infection Control Nurses Association) www.ips.uk.net Hospital Infection Society www.his.org.uk Healthcare A-Z information on Healthcare Associated Infections http://healthcarea2z.org/index.aspx National Electronic Library of Infection www.neli.org.uk National Resource for Infection Control www.nric.org.uk Health Protection Agency www.hpa.org.uk Strategy Documents in Wales Healthcare Associated Infections, A Community Strategy for Wales http://new.wales.gov.uk/dphhp/publication/protection/communicable-disease/haistrategy/hia-strategy-e.pdf?lang=en Healthcare Associated Infections A Strategy for Hospitals in Wales http://www.wales.nhs.uk/documents/healthcare-associated-infections-e.pdf National Standards for Cleanliness: http://new.wales.gov.uk/about/departments/dhss/publications/health_pub_index/guidance/national_standards_cleanliness?lang=en
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Care Home Guidelines
NPHS Wales Infection Control Guidelines for Care Homes http://www2.nphs.wales.nhs.uk:8080/WHAIPDocs.nsf/61c1e930f9121fd080256f2a004937ed/5523c78f45f742ce80257305003d0e71/$FILE/Guidelines%20for%20Care%20Homes%20FINAL%20V9.doc.pdf
Department of Health Infection Control Guidance for Care Homes http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4136381 Education
HAI Champions Infection Control E-Learning Package for Wales http://www.wales.nhs.uk/sites3/page.cfm?orgid=379&pid=24141 Guidelines/Standards Evidence Based Practice in Infection Control (EPIC) guidelines http://www.epic.tvu.ac.uk/ World Health Organization (WHO): WHO guidelines on hand hygiene in healthcare (advanced draft): summary - clean hands are safer hands http://www.who.int/patientsafety/events/05/HH_en.pdf Infection Control in the Built Environment http://howis.wales.nhs.uk/sites3/Documents/254/InfectControl2nded.pdf
NICE Infection control, prevention of healthcare-associated infection in Primary and Community care 2003 http://www.nice.org.uk/guidance/index.jsp?action=byID&r=true&o=10922 DoH HTM 07 – 01 Safe Management of Healthcare Waste (Nov 2006) http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_063274 The Hazardous Waste (England and Wales) Regulations 2005 http://www.opsi.gov.uk/SI/si2005/20050894.htm The Waste Management (England and Wales) Regulations 2006 http://www.opsi.gov.uk/si/si2006/20060937.htm Healthcare Waste Strategy for Wales Guidance (Nov 2006) http://www.wales.nhs.uk/documents/WHC_2006_043.pdf
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This Audit Tool has been developed by the Gwent Health Community Clinical Governance Collaborative. If you would like to use the tool in a
care home in Gwent contact the local Governance Facilitator within your Local Health Board
For further General Information on the Audit Tool Contact Dawn Hill Nurse Consultant Welsh Healthcare Associated Infection Programme [email protected]
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