Specimens Collecting, Handling and Transporting. Ref IPC v2. Status: Approved Document type: Procedure
|
|
- Georgina Horton
- 5 years ago
- Views:
Transcription
1 Specimens Collecting, Handling and Transporting Ref IPC v2 Status: Approved Document type: Procedure
2 Contents 1 Purpose Related documents General principles for all specimens to be sent to laboratory Labelling specimens Sputum specimens Blood specimens Other specimens Transporting specimens Using cars or taxis to transport specimens Dealing with a spillage or broken specimen container while transporting specimens In a healthcare setting In the community Procedure Accident/injury References Equality Analysis Screening Form Document control Ref IPC v2 Page 2 of 12 Ratified date: 27 July 2016
3 1 Purpose Following this procedure will help the Trust to:- Ensure the safe collection and handling transportation of specimens; Ensure that staff only collect specimens if they are trained and competent to do so. 2 Related documents This procedure describes what you need to do to implement the collecting, handling and transportation of specimen of the Infection Prevention and Control Policy The Standard (Universal) Precautions for Infection Prevention and Control defines the universal standards for IPC which you must read, understand and be trained in before carrying out the procedures described in this document. This procedure also refers to:- Accidental Inoculation Creutzfeldt-Jacob Disease (CJD) Hand Hygiene Infectious Diseases Ref IPC v2 Page 3 of 12 Ratified date: 27 July 2016
4 3 General principles for all specimens to be sent to laboratory Step Action Done () Reason 1 Explain the procedure to the patient. To obtain patient consent and cooperation. 2 Wash hands as per Trust Hand Hygiene and wear nitrile gloves and disposable apron 3 Place specimens or swabs in the appropriate container and label with full patient s details. 4 Ensure that the pathology request form has been completed correctly including diagnosis and date of onset of suspected illness and any current antibiotic therapy. 5 Ensure that the pathology request form is signed by the doctor (if appropriate). 6 Place specimen into appropriate transport box if available. 7 Transport to the laboratory as soon as possible. To reduce the risk of organisms being transferred to the specimen. To enable laboratory staff to perform the required investigation(s). To enable laboratory staff to select the appropriate test(s) and interpret the results. To enable the laboratory to contact the correct doctor in case of queries regarding the specimen. To ensure security of specimen. In order that the laboratory receive specimens (as soon as possible) while still viable. 3.1 Labelling specimens Label specimens clearly with patient s name, date of birth etc and place into a specimen bag with the pathology request form. The pathology request form must identify the patient s relevant clinical details, including any current antibiotic therapy and the test required. Any specimen which presents a danger of infection to staff, e.g. from a patient with HIV, Hepatitis B, Hepatitis C or Creutzfeldt-Jacob Disease (CJD), must be placed into a minigrip plastic bag before being placed into the bag including a pathology request form. Label the specimen container and both copies of the pathology form with yellow High Risk Danger of Infection stickers. If unlabelled or incorrectly labeled specimens are received, they will be disposed of at the discretion of the relevant Pathology department. Ref IPC v2 Page 4 of 12 Ratified date: 27 July 2016
5 3.2 Sputum specimens Action 1 Encourage patient to cough up sputum first thing in the morning into the appropriate container. 2 Encourage patients who have difficulty in producing sputum to cough deeply. Alternatively ask a physiotherapist to help. 3 Salivary samples must not be submitted. If sent they will be discarded by the laboratory. 4 Send sputum specimen to the laboratory as soon as possible. Reason To obtain specimen for examination. To facilitate expectoration. To prevent poor quality samples from being sent to the laboratory. Sputum is never totally free of organisms and these can rapidly multiply therefore prompt delivery to the laboratory will ensure accurate results. 3.3 Blood specimens See Venepuncture procedure or contact local laboratory. 3.4 Other specimens Contact local laboratories. 4 Transporting specimens All pathology specimens must be transported in a leak-proof container; The leak-proof container must be secured, complying with UN 3373 standards; The container must bear a hazard warning label stating that it should not be opened or tampered with; The transport boxes must be cleaned and disinfected regularly weekly, or immediately if contaminated with blood or body fluids. If a disposable tray is used, disposed of appropriately; (See Clinical Waste Policy) The containers must not be left unattended, unless in a secure designated area. Ref IPC v2 Page 5 of 12 Ratified date: 27 July 2016
6 4.1 Using cars or taxis to transport specimens If specimens are transported in cars or taxis, all pathological material and cultures of microorganisms must be placed into a securely-closed container which is robust and leak-proof, complying with UN 3373 standards; Each specimen container must be in a plastic bag with sufficient material to fully absorb any leakage of the specimen; Place the container into a cardboard transport box and label the box with destination and the sender s name and address; There must not be container-to-container contact 4.2 Dealing with a spillage or broken specimen container while transporting specimens In a healthcare setting Collect the spillage kit or equipment from the nearest ward or department In the community Drivers or community staff who transporting specimens in their cars must have a spillage kit, or equipment for cleaning spillages, with them Procedure Do not put chlorine release granules on a large urine spillage as will release toxic fumes. You must: Wear disposable apron and gloves; Cover the broken specimen with disposable paper towels soaked in a 10,000ppm solution of available chlorine; OR Use chlorine release granules. (These are available in spillage kits with all other necessary equipment). Sprinkle over the specimen. Leave for 2 minutes (this allows the chlorine release agent to inactivate any virus particles that may be present); OR Use the spillage kits with super absorbent peracetic acid pads and universal wipes (can be used with all blood and bodily fluids) Pick up any broken glass and place into a sharps container; Wash over the area with chlorine release agent and dry with paper towels; Place disposable paper towels, gloves etc into a clinical waste bag; secure and label; place in a designated collection area. Spillages or broken samples that occur in a vehicle away from a ward or clinic must be transported to a site that has clinical waste disposal facilities; Inform the housekeeper in in-patient facilities who will ensure the floor is cleaned. Ref IPC v2 Page 6 of 12 Ratified date: 27 July 2016
7 5 Accident/injury If you sustain a sharps injury while handling specimens: Stop what you are doing; Gently squeeze the injury to encourage bleeding; Wash injury under running water; Cover injury with a waterproof dressing; Report to supervisor or manager and complete a Datix incident form online; Contact Occupational Health Department Follow the Accidental Inoculation Procedure 6 References Health Services Advisory Committee (1991) Safe Working and the Prevention of Infection in Clinical Laboratories. HMSO: London Health & Safety at Work Act 1974 Control of Substances Hazardous to Health Regulation (1999) The Royal Marsden on line Manual of Clinical Nursing Policies and Procedures. Harper and Row, pp Ayliffe, GAJ, Collins BJ, and Taylor, LJ (1995) Hospital Acquired Infection. Wright PSG London DoH (2006) Essential steps to safe, clean care. Reducing healthcare-associated infections in Primary Care Trust; Mental Health Trusts; Learning disability organisations; Independent Healthcare; Care Homes; Hospices; GP practices and Ambulance Services. Ref IPC v2 Page 7 of 12 Ratified date: 27 July 2016
8 7 Equality Analysis Screening Form Please note; The Equality Analysis Policy and Equality Analysis Guidance can be found on InTouch on the policies page Name of Service area, Directorate/Department i.e. substance misuse, corporate, finance etc. Nursing and Governance/IPC and Physical Healthcare Name of responsible person and job title Name of working party, to include any other individuals, agencies or groups involved in this analysis Elizabeth Moody, Director of Nursing and Governance Elizabeth Moody, Dr D Allison, Dr R Bellamy, Angela Ridley, Emma Rolfe and the Infection Prevention and Control Committee Policy (document/service) name Is the area being assessed a; Policy/Strategy Service/Business plan Project Procedure/Guidance Code of practice Other Please state Geographical area Trustwide Aims and objectives Start date of Equality Analysis Screening (This is the date you are asked to write or review the document/service etc.) End date of Equality Analysis Screening (This is when you have completed the analysis and it is ready to go to EMT to be approved) To set standards in practice to ensure the delivery of patient care is carried out safely and effectively by the trust staff. To comply with the HCAI Code of Practice of the Health and Social Care Act th July th August 2016 Ref: IPC v2 Page 8 of 12 Ratified date: 27 July 2016 Fleas Lice and Scabies Management of Patients Last amended: 27 July 2016
9 You must contact the EDHR team as soon as possible where you identify a negative impact. Please ring Sarah Jay or Tracey Marston on / Who does the Policy, Service, Function, Strategy, Code of practice, Guidance, Project or Business plan benefit? Trust staff and patients 2. Will the Policy, Service, Function, Strategy, Code of practice, Guidance, Project or Business plan impact negatively on any of the protected characteristic groups below? Race (including Gypsy and Traveller) Disability (includes physical, learning, mental health, sensory and medical disabilities) Gender (Men, women and gender neutral etc.) Gender reassignment (Transgender and gender identity) Sexual Orientation (Lesbian, Gay, Bisexual and Heterosexual etc.) Age (includes, young people, older people people of all ages) Religion or Belief (includes faith groups, atheism and philosophical belief s) Pregnancy and Maternity (includes pregnancy, women who are breastfeeding and women on maternity leave) Marriage and Civil Partnership (includes opposite and same sex couples who are married or civil partners) Yes Please describe anticipated negative impact/s Please describe positive impacts/s barriers to access or implementing this procedure Ref IPC v2 Page 9 of 12 Ratified date: 27 July 2016 Fleas Lice and Scabies Management of Patients Last amended: 27 July 2016
10 3. Have you considered other sources of information such as; legislation, codes of practice, best practice, nice guidelines, CQC reports or feedback etc.? If, why not? Sources of Information may include: Feedback from equality bodies, Care Quality Commission, Equality and Human Rights Commission, etc. Investigation findings Trust Strategic Direction Data collection/analysis National Guidance/Reports Yes Staff grievances Media Community Consultation/Consultation Groups Internal Consultation Research Other (Please state below) 4. Have you engaged or consulted with service users, carers, staff and other stakeholders including people from the following protected groups?: Race, Disability, Gender, Gender reassignment (Trans), Sexual Orientation (LGB), Religion or Belief, Age, Pregnancy and Maternity or Marriage and Civil Partnership Yes Please describe the engagement and involvement that has taken place Please describe future plans that you may have to engage and involve people from different groups t relevant to this procedure Ref IPC v2 Page 10 of 12 Ratified date: 27 July 2016 Fleas Lice and Scabies Management of Patients Last amended: 27 July 2016
11 5. As part of this equality analysis have any training needs/service needs been identified? Please describe the identified training needs/service needs below t relevant to this procedure A training need has been identified for; Trust staff Service users Contractors or other outside agencies Make sure that you have checked the information and that you are comfortable that additional evidence can provided if you are required to do so The completed EA has been signed off by: You the Policy owner/manager: Type name: Elizabeth Moody Date: 11/8/16 Your reporting (line) manager: Type name: Angela Ridley Date: 11/8/16 If you need further advice or information on equality analysis, the EDHR team host surgeries to support you in this process, to book on and find out more please call: /6542 or traceymarston@nhs.net Ref IPC v2 Page 11 of 12 Ratified date: 27 July 2016 Fleas Lice and Scabies Management of Patients Last amended: 27 July 2016
12 8 Document control Next review date: 26 July 2019 This document replaces: IPC v1 Specimens collection handling and transporting Lead: Name Title Angela Ridley Head of IPC and Physical Health and Back Care (Nursing) Members of working party: Name Title Angela Ridley Emma Rolfe Andrea Brodie Senior Nurse IPC and Physical Health and Back Care Lead Nurse IPC and Physical Healthcare Information Mapping and Policy Development Manager This document has been agreed and accepted by: (Director) Name Elizabeth Moody Title Director of Nursing and Governance This document was approved by: An equality analysis was completed on this document on: Date Name of committee/group 26 July 2016 Infection Prevention and Control Committee 11 August 2016 Change record Version Date Amendment details Status 1 7 Mar 2013 Withdrawn 2 26 July 2016 Full revision Published Ref IPC v2 Page 12 of 12 Ratified date: 27 July 2016
MRSA Management of patients with meticillin-resistant staphylococcus aureus. Ref IPC v3. Status: Approved Document type: Procedure
MRSA Management of patients with meticillin-resistant staphylococcus aureus Ref IPC-0001-009 v3 Status: Approved Document type: Procedure Contents 1. Purpose... 3 2. Related documents... 3 3. Management
More informationSpillage of Blood and Other Body Fluids
Spillage of Blood and Other Body Fluids This procedural document supersedes: Spillage of Blood and Other Body Fluids PAT/IC 18 v.5 Did you print this document yourself? The Trust discourages the retention
More informationBLOOD AND BODILY FLUID GUIDELINES
BLOOD AND BODILY FLUID GUIDELINES Version Number 3.1 Version Date January 2016 Policy Owner Author First approval or date last reviewed Staff/Groups Consulted Director of Infection Prevention and Control
More informationPolicy on the collection, handling and transport of clinical specimens
Policy on the collection, handling and transport of clinical specimens Page 1 of 6 Document Control Sheet Name of Document: Policy on the collection, handling and transport of clinical specimens Version:
More informationNo. 7 Dealing with Spills of Blood and Body Fluids
No. 7 Dealing with Spills of Blood and Body Fluids Page 1 of 6 INDEX SUBJECT PAGE 1.1 Training and competency 3 1.2 Introduction 3 1.3 Spills in Clinical Areas 3 1.4 Spills in the Home Environment 4 1.5
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Decontamination of Healthcare Equipment following Patient Use and Prior to Service or Repair
The Newcastle upon Tyne Hospitals NHS Foundation Trust Decontamination of Healthcare Equipment following Patient Use and Prior to Service or Repair Version No.: 5.0 Effective From: 27 December 2017 Expiry
More informationPOLICY FOR THE MANAGEMENT OF BLOOD AND BODY FLUID SPILLAGES
POLICY FOR THE MANAGEMENT OF BLOOD AND BODY FLUID SPILLAGES DOCUMENT CONTROL: Version: V61 Ratified by: Clinical Quality and Standards Group Date ratified: 5 May 2015 Name of originator/author: Senior
More informationFirst Aid Policy. Appletree Treatment Centre
First Aid Policy Appletree Treatment Centre This document has been prepared to provide guidance on the policy and procedures for dealing with First Aid emergences at Appletree Treatment Centre. As a company
More informationThis guideline is for nursing staff within the Pain Services assisting with the administration of botulinum toxin.
CLINICAL GUIDELINE FOR THE SAFE ADMINISTRATION OF BOTULINUM NEURO TOIN FOR INJECTION within the PAIN SERVICE. Botox and eomin (trade names) 1. Aim/Purpose of this Guideline This guideline is for nursing
More informationPolicy for staff on the use of Standard Precaution Procedures
Policy for staff on the use of Standard Precaution Procedures Page 1 of 9 Document Control Sheet Name of document: Policy for staff on the use of standard precaution procedures Version: 6 Status: Owner:
More informationPolicy Number F9 Effective Date: 17/07/2018 Version: 3 Review Date: 17/07/2019
Aim of the Policy This document outlines the policy of Carefound Home Care (the Company ) in relation to infection control. Infection control is the name given to a wide range of policies, procedures and
More informationStandard Precautions for Infection Control
Standard Precautions for Infection Control Author(s) & Designation Lead Clinician if appropriate In consultation with To be read in association with Ratified by Suzanne Golding-Ellis, Head of Patient Safety
More informationFIRST AID POLICY. (to be read in conjunction with Administration of Medicines Policy) CONTENTS
FIRST AID POLICY (to be read in conjunction with Administration of Medicines Policy) CONTENTS Authority & circulation... 2 Definitions...... 2 Aims of this policy...... 2 Who is responsible...... 3 First
More informationReference Check Completed by Joanne Shawcross..Date
Document Type: Procedure Document Title: Blood and Body Fluid Spillage Procedure Scope: All staff at UHMBT Author / Title: Vanessa Morris, Lead Nurse Infection Prevention & Control Replaces: Version 2,
More informationINFECTION PREVENTION AND CONTROL
INFECTION PREVENTION AND CONTROL MANAGEMENT OF SPILLAGES POLICY REFERENCE NUMBER: Clin 021 NUMBER VERSION 2 RATIFYING COMMITTEE DATE Infection Prevention and Control Committee 03/12/2009 Provider Integrated
More informationStep 1A: Before entering patient room, be sure you have all the material ready and available:
RECOMMENDATIONS FOR SAFELY COLLECTION AND PROPERLY MANAGEMENT OF POTENTIALLY INFECTED SAMPLES WITH HIGHLY PATHOGENIC AGENTS 1 (Adapted from How to safely collect blood samples from persons suspected to
More informationThe Newcastle Upon Tyne Hospitals NHS Foundation Trust. Standard Precautions Policy
The Newcastle Upon Tyne Hospitals NHS Foundation Trust Version.: 3.2 Effective From: 21 July 2015 Expiry date: 21 July 2018 Date Ratified: 10 July 2015 Ratified By: IPCC 1 Introduction Standard Precautions
More informationPolicy for Handling the Spillage of Cytotoxic and Anti-Cancer Drugs
Policy for Handling the Spillage of Cytotoxic and Anti-Cancer Drugs Department / Service: Pharmacy Originator: Stephanie Cook Accountable Director: Nick Hubbard Approved by: Medicines safety committee
More informationInfection Control Safety Guidance Document
Infection Control Safety Guidance Document Lead Directorate and Service: Corporate Resources - Human Resources, Safety Services Effective Date: June 2014 Contact Officer/Number Garry Smith / 01482 391110
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Ventilation Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Ventilation Policy Version.: 1.0 Effective From: 15 January 2016 Expiry Date: 15 January 2019 Date Ratified: 22 December 2015 Ratified By: Estates
More informationManagement of Blood / Bodily Fluid Spillages
Management of Blood / Bodily Fluid Spillages Reference No: Version: 5 Approved by: G_IPC_31 LCHS Trust Board Date Approved: 14 th November 2017 Name of originator/author: Name of approving committee/responsible
More informationWelcome to Risk Management
Welcome to Risk Management Risk Management is the Safety Net Report, Report, Report! Keeping Your Back Safe Follow the guidelines Associates are responsible and will be held accountable Use proper lift
More informationHouston Controls, Inc Safety Management System
Preparation: Safety Mgr Authority: Dennis Johnston Issuing Dept: Safety Page: Page 1 of 8 Purpose This Bloodborne Pathogen Exposure Control Plan has been established to ensure a safe and healthful working
More informationThe Newcastle upon Tyne NHS Hospitals Foundation Trust. Latex Operational Policy
The Newcastle upon Tyne NHS Hospitals Foundation Trust Version No.: 4.2 Effective From: 27 October 2015 Expiry Date: 27 October 2018 Date Ratified: 1 July 2015 Ratified By: Clinical Risk Group 1 Introduction
More informationPROCEDURE FOR TAKING A WOUND SWAB
CLINICAL PROCEDURE PROCEDURE FOR TAKING A WOUND SWAB Issue History Issue Version Purpose of Issue/Description of Change Planned Review Date 2 To provide a standardised process of the fundamental principles
More informationPOLICY FOR TAKING BLOOD CULTURES
Sponsor: Reviewer(s): Dr Roberta Parnaby (Consultant Microbiologist) Dr Alicja Baczynska (F2 Microbiology) Dr Chris Gordon (Medical Director) Dr Roberta Parnaby Dr Matthew Dryden (Consultant Microbiologists)
More informationAPPENDIX 1: THE 5 MOMENTS FOR HAND HYGIENE
APPENDIX 1: THE 5 MOMENTS FOR HAND HYGIENE (WHO 2009) Page 1 APPENDIX 2 - HAND WASHING TECHNIQUE WITH SOAP AND WATER Page 2 Page 3 APPENDIX 3: SKIN CONDITIONS Page 4 APPENDIX 4 - GUIDE TO GLOVE SELECTION
More informationPreventing Infection Workbook
Guidance for staff providing Care at Home Preventing Infection Workbook Guidance for staff providing Care at Home Name Job Title 1 Section 5: Content Section 4: Specific infections Section 3: Key topics
More informationStandard Precautions
Community Infection Prevention and Control Guidance for Health and Social Care Standard Precautions Version 1.01 May 2015 Harrogate and District NHS Foundation Trust Standard Precautions May 2015 Version
More informationHealth and Safety Performance Standard HSPS 004 Body Fluid Spillages
Health and Safety Performance Standard HSPS 004 Body Fluid Spillages HSPS.004/Safety, Health and Environment Unit/SCM/27.09.04 1 Safety, Health and Environment Unit Title Reference Number Body Fluid Spillages
More informationInfection Prevention and Control Guidelines: Spillage Management
Infection Prevention and Control Guidelines: Spillage Management CLINICAL GUIDELINES ACE 639 (formerly section 6 of 16 from ACE153) VERSION No 2 DATE OF FIRST ISSUE May 2017 REVIEW INTERVAL 2 Yearly AUTHORISED
More informationHANDLING AND DELIVERY OF LABORATORY SPECIMENS POLICY
HANDLING AND DELIVERY OF LABORATORY SPECIMENS POLICY Version: 3 Ratified by: Date ratified: July 2016 Title of originator/author: Title of responsible committee/group Date issued: July 2016 Review date:
More informationStandard Precautions Policy IC/277/10
BASINGSTOKE AND NORTH HAMPSHIRE NHS FOUNDATION TRUST Standard Precautions Policy IC/277/10 Supersedes: Standard Precautions Policy IC/277/07 Owner Name Linda Swanson Job Title Infection Control Nurse Final
More informationCAPE ELIZABETH SCHOOL DEPARTMENT Cape Elizabeth, Maine
In accordance with OSHA Bloodborne Pathogens standards, 29 CFR 1910.1030, the following exposure control plan has been developed. 1. EXPOSURE DETERMINATION The purpose of this plan is to limit occupational
More informationSTANDARD OPERATING PROCEDURE (SOP) TERMINAL CLEAN OF ISOLATION ROOMS
Page 1 of 5 This SOP applies to all staff employed by NHS Greater Glasgow & Clyde and locum staff on fixed term contracts and volunteer staff. SOP Objective To minimise the risk of healthcare associated
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Water Safety Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Water Safety Policy Version No.: 2.0 Effective From: 09 February 2018 Expiry Date: 09 February 2021 Date Ratified: 09 November 2017 Ratified By: Infection
More informationHepatitis B Immunisation procedure SOP
Hepatitis B Immunisation Procedure SOP Standard Operating Procedure (SOP) Ref No: 1992 Version: 3 Prepared by: Karen Bennett Presented to: Care and Clinical Policies Sub Group Ratified by: Care and Clinical
More informationLincolnshire Partnership NHS Foundation Trust (LPFT) Title of Policy
Lincolnshire Partnership NHS Foundation Trust (LPFT) Title of Policy REF: 7n DOCUMENT VERSION CONTROL Document Type and Title: Correct Use of Personal Protective Environment Authorised Document Folder:
More informationAgency workers' Personal Hygiene and Fitness for Work
Policy 17 Infection Control A24 Group recognises its duty to promote a safe working environment for domiciliary care workers and clients. The control of infectious diseases is an important aspect of this
More informationEXPOSURE CONTROL PLAN
OVERVIEW Revised, 2/14/12 OSHA EXPOSURE TO BLOODBORNE PATHOGENS 29 CFR 1910.1030 WESTERN NEW ENGLAND UNIVERSITY DEPARTMENT OF ATHLETICS EXPOSURE CONTROL PLAN The purpose of this Exposure Control Plan is
More informationHygiene Policy. Arrangements for Review:
Hygiene Policy Arrangements for Review: Kika Andreou is responsible for the implementation of this policy and conducting regular reviews. This policy was adopted in July 2011 and reviewed in: September
More informationCORPORATE SAFETY MANUAL
CORPORATE SAFETY MANUAL Procedure No. 27-0 Revision: Date: May 2005 Total Pages: 9 PURPOSE To make certain that our employees are duly aware of the hazards of blood exposure or other potentially infectious
More informationInfection Control Care Plan. Patient Demographic / label. Hospital: Ward:
Patient Demographic / label Infection Control Care Plan for a patient with loose stools of unknown origin Statement: This care plan should be used with patients who have loose stools of unknown origin.
More information03/09/2014. Infection Prevention and Control A Foundation Course. Linen management
Infection Prevention and Control A Foundation Course 2014 Standard Precaution Element 6 : Spillages, Laundry and Waste Management Niamh Allen CNMII Hygiene Co-ordinator Dip H Ed Nursing, H DIP (Hons) Gerontology
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Visitors Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Visitors Policy Version No. 1.1 Effective From 18 th October 2012 Expiry Date 30 th September 2015 Date Ratified 14 th September 2012 Ratified By
More informationThe Newcastle Upon Tyne Hospitals NHS Foundation Trust. Use of Patients Own Drugs (PODs)
The Newcastle Upon Tyne Hospitals NHS Foundation Trust Use of Patients Own Drugs (PODs) Version.: 2.2 Effective From: 20 January 2016 Expiry Date: 20 January 2019 Date Ratified: 13 January 2016 Ratified
More informationSpecimen Transport Procedure
Trust Standard Operating Procedure Specimen Transport Procedure Issue Date Review Date Version October 2017 October 2020 2.3 Purpose To describe the procedures to be followed for packaging clinical specimens
More informationAdministration of urinary catheter maintenance solution by a carer
Document level: Trustwide Code: CP71 Issue number: 1 Administration of urinary catheter maintenance solution by a carer Lead executive Director of Nursing Therapies Patient Partnership Authors details
More informationInfection Prevention and Control Policy
Infection Prevention and Control Policy Version: 2 V Ratified By: Quality Sub Committee R Date Ratified: vember 2016 D Date Policy Comes Into Effect: vember 2016 D Author: Karen Taylor A Responsible Director:
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures. Breastfeeding Supporting Staff Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Employment Policies and Procedures Breastfeeding Supporting Staff Policy Version No.: 2.1 Effective From: 20 June 2018 Expiry Date: 30 June 2020 Date
More informationFirst Aid in the Workplace Procedure
First Aid in the Workplace Procedure Related Policy Work Health and Safety Policy Responsible Officer Executive Director Human Resources Approved by Executive Director Human Resources Approved and commenced
More informationISOLATION TABLE OF CONTENTS STANDARD PRECAUTIONS... 2 CONTACT PRECAUTIONS... 4 DROPLET PRECAUTIONS... 6 ISOLATION PROCEDURES... 7
ISOLATION TABLE OF CONTENTS STANDARD PRECAUTIONS... 2 BARRIERS INDICATED IN STANDARD PRECAUTIONS... 2 PERSONAL PROTECTIVE EQUIPMENT... 3 CONTACT PRECAUTIONS... 4 RESIDENT PLACEMENT... 4 RESIDENT TRANSPORT...
More informationInfection Control Care Plan for a patient with Group A Streptococcus
Infection Control Care Plan for a patient with Group A Streptococcus Statement: This Care Plan should be used with patients who are suspected of or are known to have Group A Streptococcal infection. This
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Animals on Hospital Premises Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Animals on Hospital Premises Policy Version No. 6.0 Effective From: 16 March 2018 Expiry Date: 16 March 2021 Date Ratified: 06 March 2018 Ratified
More informationEAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY
EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Department: Neurology (Hemby Lane) Date Originated: 2/20/14 Date Reviewed: 6.5.18 Date Approved: 6/3/14 Page 1 of 7 Approved by: Department Chairman Administrator/Manager
More informationInfection Prevention and Control (IPC) Standard Operating Procedure for LICE (PEDICULOSIS AND PHTHIRIASIS) in a healthcare setting
Infection Prevention and Control (IPC) Standard Operating Procedure for LICE (PEDICULOSIS AND PHTHIRIASIS) in a healthcare setting WARNING This document is uncontrolled when printed. Check local intranet
More informationInfection Prevention and Control and Isolation Authored by: Infection Prevention and Control Department
Infection Prevention and Control and Isolation 2015 Authored by: Infection Prevention and Control Department Objectives After you complete this Computer-Based Learning (CBL) module, you should be able
More informationCommunity Infection Prevention and Control Guidance for Health and Social Care. Waste Management
Community Infection Prevention and Control Guidance for Health and Social Care Waste Management Version 1.01 May 2015 Harrogate and District NHS Foundation Trust Waste Management May 2015 Version 1.01
More informationSpecimen and Request Form Labelling Policy
Directorate of Pathology Specimen and Request Form Labelling Policy This procedural document supersedes: Policy for Specimen and Request Form Labelling PAT/T v.5. Did you print this document yourself?
More informationBloodborne Pathogens Exposure Control Plan. Approved by The College at Brockport, Office of Environmental Health and Safety, February 2018
Kinesiology, Sport Studies and Physical Education Athletic Training Program Bloodborne Pathogens Exposure Control Plan Approved by The College at Brockport, Office of Environmental Health and Safety, February
More informationComply with infection control policies and procedures in health work
Student Information Course Name Course code Contact details Partial completion of one of these qualification Description of this unit against the qualification Descriptor Comply with infection control
More informationPreventing Infection in Care
Infection Prevention and Control: Older Person Care Homes & Home Environment Learning Programme Workbook NHS Education for Scotland 2011. You can copy or reproduce the information in this document for
More informationInfection Control Care Plan for a patient with confirmed/ suspected Active Pulmonary Tuberculosis. Patient Demographic / Label
Patient Demographic / Label Infection Control Care Plan for a patient with Statement: This Care Plan should be used with patients who are suspected of or are known to have active pulmonary tuberculosis.
More informationChapter 4 - Employee First Aid, Medical and Emergency Procedures
Chapter 4 Employee First Aid, Medical and Emergency Procedures Chapter 4 - Employee First Aid, Medical and Emergency Procedures Non-Occupational Illness or Injury Diagnosis and treatment of non-occupational
More informationSection G - Aseptic Technique. Version 5
Section G - Aseptic Technique Version 5 Important: This document can only be considered valid when viewed on the Trust s Intranet. If this document has been printed or saved to another location, you must
More informationEmployee First Aid, Medical and Emergency Procedures
Chapter 4 - Employee First Aid, Medical and Emergency Procedures Chapter 4 Employee First Aid, Medical and Emergency Procedures Non-Occupational Illness or Injury Diagnosis and treatment of non-occupational
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Patients Wills Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Version No: 5.0 Effective From: 7 September 2017 Expiry Date: 31 August 2018 Date Ratified: 30 August 2017 Ratified By: Executive Team 1 Introduction
More informationASEPTIC TECHNIQUE POLICY
SECTION 3b ASEPTIC TECHNIQUE POLICY INFECTION CONTROL MANUAL Read in conjunction with: o Hand hygiene policy (also section 3) o Standard (Universal) Precautions policy (section 4) o Decontamination policy
More informationSharps Safety Policy
Sharps Safety Policy Version Number 3.1 Version Date March 2016 Guideline Owner Author Staff/Groups Consulted Discussed by Infection Prevention and Control Committee Approved by Infection Prevention and
More informationPROCEDURE FOR CHECKING THE WATER IN BALLOON RETAINED GASTROSTOMY TUBE / LOW PROFILE DEVICES FOR BOTH ADULTS AND CHILDREN
PROCEDURE FOR CHECKING THE WATER IN BALLOON RETAINED GASTROSTOMY TUBE / LOW PROFILE DEVICES FOR BOTH ADULTS AND CHILDREN First Issued Issue Version Purpose of Issue/Description of Change Planned Review
More informationIntravenous Medication Administration via a Central Venous Line
Standard Operating Procedure 11 (SOP 11) Intravenous Medication Administration via a Central Venous Line Why we have a procedure? This procedure is to assist/ inform healthcare professionals on how to
More informationMSAD 55. Blood Borne Pathogens Control Plan. 137 South Hiram Road Hiram, Maine (207)
MSAD 55 Blood Borne Pathogens Control Plan 137 South Hiram Road Hiram, Maine 04041 www.sad55.org (207) 625-2490 MSAD 55 BLOOD BORNE PATHOGENS EXPOSURE CONTROL PLAN 1 PURPOSE In accordance with the OSHA
More informationIsolation Care of Patients in Isolation due to Infection or Disease
Infection Prevention and Control Assurance - Standard Operating Procedure 6 (IPC SOP 6) Isolation Care of Patients in Isolation due to Infection or Disease Why we have a procedure? The spread of infection
More informationBloodborne Pathogen Exposure Control Plan
Bloodborne Pathogen Exposure Control Plan September 19, 2017 1 2 Table of Contents Review/Revision Summary... 5 Introduction... 6 Purpose... 6 General Program Structure... 6 Personnel... 6 Accessibility
More informationMODULE 22: Contingency Planning and Emergency Response to Healthcare Waste Spills
MODULE 22: Contingency Planning and Emergency Response to Healthcare Waste Spills Module Overview Present examples of contingencies related to HCWM Describe steps in developing a contingency plan Describe
More informationInfection Control Manual Section 9.2 Clinical Waste Policy. Infection Prevention Control Team
Title Document Type Document Number Version Number Approved by Infection Control Manual Section 9.2 Clinical Waste Policy Policy IPCT001/10 4 th Edition Infection Control Committee Issue date May 2014
More informationJCI Experiences in Improving Quality in Resource Restricted Countries. Paula Wilson CEO and President March 10, 2011
JCI Experiences in Improving Quality in Resource Restricted Countries Paula Wilson CEO and President March 10, 2011 Mission of Joint Commission International To improve the safety and quality of care in
More informationBLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN
BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN School Name: Eastern Local School District Date of Preparation: August 2, 2000 (Revised August 22, 2002) In accordance with the PERRP Bloodborne Pathogens standard,
More informationInfection Control Policy
Infection Control Policy Category Summary Policy This policy outlines BAPAM s principles and procedures for infection prevention and control in the clinics environment. It is applicable to all BAPAM personnel
More informationyour hospitals, your health, our priority CATHETERISATION Urethral/ supra-pubic POLICY NAME: VERSION NUMBER : 1 PROFESSIONAL ADVISORY BOARD (PAB)
POLICY NAME: POLICY REFERENCE: CATHETERISATION Urethral/ supra-pubic TW12/016 VERSION NUMBER : 1 APPROVING COMMITTEE: PROFESSIONAL ADVISORY BOARD (PAB) DATE THIS VERSION APPROVED: RATIFYING COMMITTEE:
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Strategy for the Prevention of Slips, Trips and Falls
The Newcastle upon Tyne Hospitals NHS Foundation Trust Strategy for the Prevention of Slips, Trips and Falls Version No: 3.2 Effective From: 6 October 2016 Expiry Date: 7 July 2018 Date Ratified: 12 May
More informationEbola guidance package
Ebola guidance package August 2014 World Health Organization 2014 All rights reserved. The designations employed and the presentation of the material in this publication do not imply the expression of
More informationApplication for Clinical / Medical Waste Collection
Application for Clinical / Medical Waste Collection From 1 st April 2017 Walsall Council will be responsible for collecting medical and clinical waste produced by residents in their own homes. If you produce
More informationA list of authorised referrers will be retained by the Colposcopy team and the Clinical Imaging Department.
Clinical Guideline for Clinical Imaging Referral Protocol for Nurse Colposcopist within Colposcopy Dept. Royal Cornwall Hospital 1. Aim/Purpose of this Guideline 1.1 This protocol applies to Nurse Colposcopist
More informationFirst Aid Policy. Date of Policy Issue / Review January Review Cycle: 3 yearly max. Name of Responsible Manager. Mr A Clarke
First Aid Policy Date of Policy Issue / Review January 2017 Review Cycle: 3 yearly max Name of Responsible Manager Mr A Clarke Name of First Aid Co-ordinator Mr S Edney Signature of Responsible Manager
More informationBLOODBORNE PATHOGENS EXPOSURE PREVENTION POLICY AND PROCEDURE BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN
BLOODBORNE PATHOGENS EXPOSURE PREVENTION POLICY AND PROCEDURE This sample plan is provided only as a guide to assist in complying with the OSHA Bloodborne Pathogens standard 29 CFR 1910.1030, as adopted
More informationSAFE HANDLING AND DISPOSAL OF SHARPS AND PREVENTION OF OCCUPATIONAL EXPOSURE TO BLOODBORNE VIRUSES (BBVs) POLICY
SAFE HANDLING AND DISPOSAL OF SHARPS AND PREVENTION OF OCCUPATIONAL EXPOSURE TO BLOODBORNE VIRUSES (BBVs) POLICY Document Author Written By: Joint Head of Occupational Health, Infection Prevention & Control
More informationSOUTH DARLEY C of E PRIMARY SCHOOL INTIMATE AND PERSONAL CARE POLICY
SOUTH DARLEY C of E PRIMARY SCHOOL INTIMATE AND PERSONAL CARE POLICY Person/Committee responsible for reviewing/updating this plan Premises, Health & Safety Date of Review Governors Meeting Reference Number
More informationInfection Prevention & Control Guideline Sharp Safe Handling and Use
Infection Prevention & Control Guideline Sharp Safe Handling and Use Reference No: G_IPC_41 Version: 4 Ratified by: Infection Prevention Committee Date ratified: Name of originator/author: Infection Prevention
More informationJOB DESCRIPTION. Pathology CHFT
JOB DESCRIPTION POST TITLE: POST REFERENCE: Bank Medical Laboratory Assistant (Blood Sciences) BAND: AFC Band 2 ACCOUNTABLE TO: RESPONSIBLE TO: LINE MANAGEMENT RESPONSIBILITY FOR: BASE: Laboratory Manager,
More informationVersion: 2. Date adopted: 17 May publication: Review date: September Expiry date: March 2019
Pest Control Policy This policy outlines the arrangements of management of pests on and within Trust properties Key words: Pest, Control Version: 2 Adopted by: Quality Assurance Committee Date adopted:
More informationPOLICY & PROCEDURES MEMORANDUM
Policy No. *SF-1373.6 POLICY & PROCEDURES MEMORANDUM TITLE: BLOODBORNE PATHOGENS: EXPOSURE CONTROL PLAN (ECP) EFFECTIVE DATE: November 25, 2002* (*ORM Regulations Update 9/24/12; Title Updates 5/7/05)
More information- E - COMMUNICABLE DISEASES AND INFECTIOUS DISEASE CONTROL
- E - COMMUNICABLE DISEASES AND INFECTIOUS DISEASE CONTROL Every child is entitled to a level of health that permits maximum utilization of educational opportunities. It is the policy of the Duval County
More informationRegulations that Govern the Disposal of Medical Waste
Regulations that Govern the Disposal of Medical Waste In Louisiana, there are three (3) sources of regulations for medical wastes: OSHA, the Louisiana Department of Health and Hospitals, and the Louisiana
More informationa health care guide for nursing staff Care of wound equipment and dressing field
a health care guide for nursing staff Care of wound equipment and dressing field Why is it important? Wound dressings and equipment can become contaminated by the environment in which they are stored,
More informationThe most up to date version of this policy can be viewed at the following website:
Page Page 1 of 6 Policy Objective To ensure that HCWs are aware of the actions and precautions necessary to minimise the risk of cross-infection and the importance of diagnosing patients clinical conditions
More informationInfection Control Policy
Infection Control Policy August 2014 Version V2 Supersedes August 2012 Applies to Author Approved by All Staff, Duty Doctors and Pharmacists Belinda Coker Clinical Governance Team Issue date August 2014
More informationHealth, Safety and Welfare. Study guide
Health, Safety and Welfare Study guide Health, Safety and Welfare Regulations CQC Outcome 10 Working together to improve health and safety Key health and safety statistics according to the Health and Safety
More informationUniversal Precautions & Bloodborne Pathogens Staff Training Guidelines
Universal Precautions & Bloodborne Pathogens Staff Training Guidelines To view the training video: 1) Go to http://moodler.doe.in.gov/ 2) Log in Username: acsc Password: acsc 3) Click on Mr. Teach Learns
More informationFIRST AID PROCEDURE. A First Aider is a person who has a valid certificate in either first aid at work or emergency first aid at work training.
FIRST AID PROCEDURE Introduction This procedure sets the standards for the provision of first aid to staff, pupils and others within the school and is intended to assist in meeting the requirements of
More information