In all other circumstances, use alcohol-based handrubs (ABHRs) for routine hand hygiene during care.ĪBHRs must be available for staff as near to the point of care as possible. caring for a patient with a suspected or known gastrointestinal infection, eg norovirus or a spore-forming organism such as clostridioides difficile.caring for patients with vomiting or diarrhoeal illnesses.Wash hands with non-antimicrobial liquid soap and water if: *refer to NHS England uniforms and workwear guidance (Appendix B) for more information on the use of over-sleeves and longer-sleeved uniforms. cover all cuts or abrasions with a waterproof dressing.ensure fingernails are clean and short, and do not wear artificial nails or nail products.A religious bangle can be worn but should be moved up the forearm during hand hygiene and secured during patient care activities The wearing of a single, plain metal finger ring, eg a wedding band, is permitted but should be removed (or moved up) during hand hygiene. If disposable over-sleeves are worn for religious reasons, these must be removed and disposed of before performing hand hygiene, then replaced with a new pair* expose forearms (bare below the elbow).Hand hygiene facilities should include instructional posters. have wall mounted liquid soap and paper towel dispensers.have mixer taps, no overflow or plug and be in a good state of repair.be used for that purpose only and not used for the disposal of other liquids.Hand hygiene is considered one of the most important ways to reduce the transmission of infectious agents that cause healthcare associated infections (HCAIs). who have been an inpatient in any hospital in the UK or abroad or are a known epidemiological link to a carrier of CPE.įurther information can be found in the patient placement literature review.known to have been previously positive with a multi-drug resistant organism (MDRO), eg MRSA, CPE.with diarrhoea, vomiting, an unexplained rash, fever or respiratory symptoms.Patients who may present a cross-infection risk include those: This assessment should influence placement decisions in accordance with clinical/care need(s). Patients must be promptly assessed for infection risk on arrival at the care area, eg inpatient/outpatient/care home, (if possible, prior to accepting a patient from another care area) and should be continuously reviewed throughout their stay. occupational safety/managing prevention of exposure (including sharps).safe disposal of waste (including sharps).safe management of blood and body fluids.safe management of the care environment.patient placement/assessment of infection risk.SICPs implementation monitoring must also be ongoing to ensure compliance with safe practices and to demonstrate ongoing commitment to patient, staff and visitor safety as required by the Health and Safety Executive and the care regulators, the Care Quality Commission. To protect effectively against infection risks, SICPs must be used consistently by all staff. This includes the task, level of interaction and/or the anticipated level of exposure to blood and/or other body fluids. The application of SICPs during care delivery is determined by assessing risk to and from individuals. Sources of (potential) infection include blood and other body fluids, secretions or excretions (excluding sweat), non-intact skin or mucous membranes and any equipment or items in the care environment that could have become contaminated. SICPs are the basic infection prevention and control measures necessary to reduce the risk of transmitting infectious agents from both recognised and unrecognised sources of infection. Standard infection control precautions (SICPs) are to be used by all staff, in all care settings, at all times, for all patients whether infection is known to be present or not, to ensure the safety of those being cared for, staff and visitors in the care environment. 1.1 Patient placement/assessment for infection riskġ.6 Safe management of the care environmentġ.8 Safe management of blood and body fluid spillagesġ.9 Safe disposal of waste (including sharps)ġ.10 Occupational safety: prevention of exposure (including sharps injuries)
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