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NHS Fife Winter 2009-2010 Norovirus . Presenters Deirdre Harris, Nurse Consultant IC. NHS Fife Rosemary Shannon, ICN. NHS Fife Janice Barnes, ICN. NHS Fife. Background – Wards affected by norovirus . I mportant Aspects. Communication Multidisciplinary Meetings e.g.
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NHS FifeWinter 2009-2010Norovirus Presenters Deirdre Harris, Nurse Consultant IC. NHS Fife Rosemary Shannon, ICN. NHS Fife Janice Barnes, ICN. NHS Fife
Important Aspects • Communication • Multidisciplinary Meetings e.g. - Problem Assessment Group (PAG) - Hospital Control Team - Wash-up
What did we do differently this year? • Laboratory Results • Patient Movement • Timing
Other Considerations • Staff Toilets • Movement of Staff
How did we manage Norovirus coming into the hospital? • Patients admitted via AMAU and surgical admissions • Visitors • Staff
Opening a ward • Planning - Nursing duties - Domestic duties • Terminal Clean
CHP Hospitals • Impact on Operational Division • Specific problems • Opening the ward
What did we learn? • This winter was different to other winters - ‘Outbreak season’ was prolonged. - More than one genotype. - Could not rely on past experience alone. - Work flexibly and take calculated risks. - No blame supportive culture was essential for staff moral. - Wards required to be closed for a longer time than normal.