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Infection Prevention and Control Turning policy and guidance into delivery

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Infection Prevention and Control Turning policy and guidance into delivery

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    1. Infection Prevention and Control Turning policy and guidance into delivery Christine Perry Assistant Chief Nurse/DIPC

    2. SPI – Infection Control Drivers

    3. MRSA reduction

    4. MRSA reduction key actions Screening and decolonisation Isolation Aseptic non-touch technique High Impact Interventions RCAs to focus actions

    5. Screening and Decolonisation Risk assessment tool

    8. RCAs to Focus Action IVDUs high prevalence Guidance on safe injecting technique Drug liaison team in partnership with PCT Decolonisation on admission 2% CHG in alcohol wipes in injecting packs

    9. Saving Lives HIIs based on ward type and activity Local completion and data storage Central collation of data Dashboard in development

    10. CDI reduction

    11. CDI Reduction

    12. UHBFT C diff care bundle F Follow antibiotic guidelines L Locate patients with C diff and diarrhoea in isolation/cohort U Use and remove gloves and aprons correctly S Spotlessly clean equipment and environment H Hand washing with soap and water

    13. Follow Antibiotic Guidelines Antibiotic prescribing protocols Bleep sticker Stop/review dates Drug chart stickers Monitoring Antibiotic pharmacists Ward pharmacists/technicians

    14. Locate patients with diarrhoea in isolation Bristol stool chart all patients over 2 years Fortnightly monitoring of use Risk assessment on reverse Stool line and posters 4 hour to isolation target Cubicle Tracker SUI and investigation if not achieved Yellow dot alert 5 bed isolation unit CDI step down unit Monitoring of isolation practice by ICTeam

    17. Use and Remove Protective Clothing Correctly Monitoring by IC Team Immediate feedback Dashboard inclusion

    18. Spotlessly Clean Environment and Equipment Matrons bi-weekly checklist Toilet, bathroom and side room ‘sign off’ Commode cleaning Vernacare tape SOP Daily full clean and sign off Equipment decontamination label

    19. Hand Washing Monthly audit Bi-weekly cross check Investment in additional sinks

    20. Learning from SPI PDSA cycles work Spread methodology vs clinical imperative Immediate feedback 95% compliance level Co-existence and alignment Adaptation SBAR for CDI positive patients Safety briefings

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