Infection Control

1. Infection Control S.G. Harnisch on behalf of NDSA

2. Infection Control Standard There are 8 Standards: • Standard 1 - sets the context • Standard 2 – governance • Standard 3 – infection control team • Standard 4 – policies and procedures

3. Infection Control Standard • Standard 5 – education • Standard 6 – surveillance • Standard 7 – antimicrobial usage • Standard 8 – quality and risk management

4. Contract Audit Requirements Infection Control Management Documentation and Implementation: • Residential and non-residential services • Within the context of the services provided • Residential services need to implement the Infection Control Standard as part of their certification

5. Considerations • Protecting yourself • Preventing yourself from spreading diseases • Prevention of spread of infection between people • who are the people I deal with? • Are there particular clients for whom I may need to take special precautions

6. Considerations • What kind of contact do I have with clients • What are the jobs I do, that may involve increased risk of exposure to infection (example: preparing food, handling money) • What tools or equipment do I use which are a potential source of spreading infection (incl. phone, computer)

7. Considerations • How do we need to clean those tools and equipment • What are the potential sources for spread of infection in my environment (furniture, examination tables, doorknobs, telephones, toys, washrooms, sinks) • How do we need to clean, disinfect or sterilize the environment

8. Standard 1 Is an introduction to the standard • How does infection control fit into the bigger picture of the organisation • Defining a clear purpose of infection control and management for your specific service • Accountabilities are defined • Getting clear with obligations and legislation

9. Standard 2- Governance • Creating an environment which minimizes infections • Integrating infection control measures in the organisations risk management system • Ensuring training occurs – need to decide whether this will include clients/consumers

10. Standard 2 - Governance • Ensuring that a infection control committee is established and functional • Ensure that a infection control reporting structure is in place

11. Standard 3 – Infection Control Team • Can be a mixture of internal and external people • Negotiate with the DHB infection control staff how/if they are willing to play a role • Establish a infection control committee with a TOR which includes all aspects from the standard

12. Standard 4-Policies and Procedures • Discuss and discern what is relevant • Most area’s in the manual provided apply to all services • Standard precautions apply to every and all services

13. Standard Precautions • Hand hygiene • Personal protective equipment when handling blood, body fluid and substances • Handling of client care equipment and soiled linen • Prevention of needle stick/sharp injuries • Environmental cleaning • Handling of waste • Taking care of yourself – Immunization for example

14. Standard 5 - Education • Training for staff • Training for clients • What training is necessary • All services to train in standard precautions

15. Standard 6 - Surveillance • Use the result of the consideration principles to discern what needs to be monitored and audited • Use quality systems to manage any findings – continuous improvement measures, corrective action requests • Report to the ICC or whatever structure is in place

16. Standard 7- Antimicrobial Usage • Is this only relevant to residential providers? • Other services have any educational role? • Refer to infection control manual for details

17. Standard 8 – Quality and Risk Management • Use a quality and risk management model: • Identify possible risks • Implement measures to minimise those risks • Pro-actively monitor those risks • Improve risk management measures • Analyse any findings of your surveillance, monitoring data and audits • Develop measures to avoid/manage any infection control incidents/occurrences/findings