Clostridium difficile Infection (CDI)
|
|
- Jeremy Cooper
- 6 years ago
- Views:
Transcription
1 Approved by: Clostridium difficile Infection (CDI) Vice President and Chief Medical Officer Corporate Policy & Procedures Manual VI-8 Date Approved August 22, 2016 September 16, 2016 Next Review (3 years from Effective Date) September 2019 Purpose To provide guidance for the management of patients with Clostridium difficile infections (CDIs) in healthcare facilities. Policy Statement Covenant Health Infection Prevention & Control is committed to patient/resident/client¹ safety at all levels of the organization by supporting and promoting an environment that encourages infection prevention and control best practices in the care and management of patients with CDI. Applicability This policy applies to all Covenant Health facilities, staff, members of the medical staff, volunteers, students and to any other persons acting on behalf of Covenant Health. Responsibility All Covenant Health health care providers* are responsible for creating and sustaining an environment that supports an infection control program that effectively prevents transmission of C. difficile and healthcare-associated CDIs. Principles 1. Precautions Required & Background Contact precautions are required at all times and must be implemented immediately when CDI is suspected. The primary mode of transmission of C. difficile spores is via the hands of healthcare workers and by direct and indirect contact with contaminated equipment. C. difficile is a Gram-positive, spore-forming anaerobic bacillus that produces toxins that cause diarrhea and colitis. CDI is one of the most common and costly healthcare-associated infections, and can cause significant morbidity (i.e., pseudomembranous colitis) and mortality in infected patients. The primary risk factor for CDI is antimicrobial exposure. Therefore, effective antimicrobial stewardship can reduce CDI rates. Thorough cleaning of the hospital environment and patient care equipment is required to reduce spore contamination and incidence of CDI. 2. Hand Hygiene Guidelines Refer to Corporate Policy #VI-10, Hand Hygiene. Hand washing with soap and water must be performed after caring for patients with C. difficile infection. Alcohol-based hand rubs are ineffective against C. difficile spores. If a hand hygiene sink is not available at the point of care or hand hygiene is carried out at the patient/resident sink, there is potential for contamination of the ¹ Hereafter, all references to patients includes residents and clients. *See definitions
2 VI-8 Page 2 of 9 health care provider s hands. In this situation alcohol based hand rub may be used and soap and water hand wash should be performed as soon as an employee designated hand washing sink is available. 3. Patient Hygiene Acute Care: Linen must be changed daily for all patients on additional precautions. Continuing Care: Linen must be changed on shower/bath day and as needed. Acute Care: All patients on additional precautions must be bathed daily using soap and water or pre-packaged rinseless bathing washcloths (for example, Sage, etc.) Continuing Care: At a minimum, resident/client personal hygiene must be maintained daily, i.e., as needed pericare, daily fresh clean clothing, daily bathing with soap and water or pre-packaged rinseless bathing washcloths (for example, Sage, etc.) Patients must have access to appropriate hand hygiene agents, in particular, following pericare/ toileting, prior to meals, etc. 4. Personal Protective Equipment (PPE) Perform a Point of Care Risk Assessment (PCRA)* (see Related Documents section). Prior to every patient interaction, healthcare providers have a responsibility to assess the infectious risk posed to themselves and other patients, visitors and health care providers by a patient, situation or procedure. Routine practices must always be followed, in addition to contact precautions. PPE is single-use only. At a minimum, non-sterile gloves and an isolation gown must be worn when entering the patient s environment. When non-sterile gloves are used, hand hygiene must be performed prior to removing a pair from the box. 5. Communication of Additional Precautions Place a contact precautions sign on the door/curtain and have personal protective equipment outside the room. Communication of CDI status should be placed on the chart and care plan, or other appropriate location, in order to alert staff to use additional precautions, along with routine practices. Additional precautions must be followed by all persons entering the patient s room. Refer to sign on door for further information. Receiving unit/department/facility must be notified of the additional precautions required. 6. Accommodations Single room preferred; door may remain open. If a single room is unavailable, patients should ideally be at least two meters (6.6 feet) apart. If unable to keep patients two meters apart, separate patients
3 VI-8 Page 3 of 9 with the greatest available distance allowed within the room space. The patient with CDI must be placed on additional precautions with dedicated toileting facilities, i.e., commode chair or private bathroom, if available. If patients with CDI need to be grouped together (cohorted), this may only be done under the direction and approval of Infection Prevention & Control. When patients are cohorted, separate additional precautions must be maintained on each patient in the same room and with each patient encounter, including separate and dedicated toileting facilities. 7. Patient/Roommate Contacts If a new positive CDI patient is identified roommate contacts do not need to be placed on contact precautions unless roommate is symptomatic with unexplained diarrhea. 8. Equipment and Supplies Dedicated toileting facilities are required, i.e., separate bathroom or commode chair. Use single-use items whenever possible, or dedicate non-critical patient care items (i.e., blood pressure cuffs and stethoscopes) to a single patient when they are known to have CDI. Avoid use of electronic thermometers and other shared equipment, as equipment is known to become contaminated with C. difficile. When dedicated equipment is not possible, patient items must be thoroughly cleaned and disinfected between uses with hospital-approved disinfectant. Minimize supplies taken into the patient s room. 9. Waste and Laundry Acute Care: Soiled laundry bag/bin must be located inside the patient s room. Continuing Care: Soiled laundry bag/bin must be located as close to the point of use as feasible. Waste/garbage should be discarded into the general waste. Double-bagging for waste or laundry is not required unless the bag is leaking. Disposable meal trays are not required. Commodes and bedpans must be handled very carefully to reduce spread of C. difficile spores from the commode/bedpan to the environment. Spray wands in bathrooms must not be used. 10. Environmental Cleaning Thorough routine cleaning is required according to Environmental Services frequency schedule with hospital-approved detergent/disinfectant as per Covenant Health and/or facility policy/procedure. Notify facility Environmental Services to request a terminal cleaning of the room when precautions are discontinued or upon discharge or transfer of patient. Toilet brush must be dedicated and disposable.
4 VI-8 Page 4 of Patient Transport and Movement Within Acute Care Site Patient should remain in room unless essential medical/diagnostic/ rehabilitative services must be performed. If patient leaves room: o does not need to wear gloves but must perform hand hygiene with soap and water, o should wear a clean hospital housecoat, or clean clothing. Alert receiving unit/department of patient s CDI status and that additional precautions are required. It is recommended that the patient be accompanied by a health care provider. Health care providers transporting the patient must wear a gown and gloves. 12. Resident Flow/Activity in Continuing Care Resident may leave room only if diarrhea can be contained, hand hygiene with soap and water is performed and resident is wearing clean clothes. Instructions/Assistance should be provided to resident and documented regarding hand hygiene following toileting and prior to leaving room. Resident participation in group/recreation activities should be restricted if unable to contain diarrhea and perform hand hygiene. Resident transfer to another facility, or attendance at outside appointments should be avoided unless medically necessary if resident does not meet the criteria for leaving their room. 13. Patient/Resident Transport and Movement Outside Facility Information about the patient s CDI status and required additional precautions must be communicated directly to transport personnel and staff at the receiving site. If patient/resident is attending an appointment, request the patient/resident be seen promptly so minimal time is spent in public waiting areas. 14. Testing for CDI Routine testing for C. difficile in asymptomatic patients is not recommended, including use as a test of cure. Test for CDI if bowel movements are unusual or different for that patient, and if there is no other recognized explanation for the diarrhea (for example, laxative use, adverse effect of other medication, etc.) Testing for CDI should only be performed on diarrheal (unformed) stools (i.e., stool poured into a container must conform to the shape of the container), unless ileus due to CDI is suspected. The presence of three or more unformed or watery stools in a 24-hour period or 6 or more watery stools in a 36 hour period which is new or unusual for the patient is sufficient indication to perform testing for CDI. If Clostridium difficile testing was recently performed, repeat testing will not be done within seven days. If symptoms persist despite a negative CDI test, please contact the attending physician.
5 VI-8 Page 5 of Frequency of Testing for CDI Positive Cases Do not repeat testing for C. difficile as a test of cure if a patient has previously had a stool sample positive for C. difficile, unless symptoms resolved with treatment and then reoccurred after treatment. C. difficile toxin testing should NOT be used to evaluate for C. difficile 'clearance' or as a 'test of cure'. Testing in this scenario will create results that will be ambiguous and difficult to interpret. 16. Documentation Communication of CDI status should be placed on the chart and care plan, or other appropriate location (but not the patient s room door), in order to alert staff to use additional precautions, along with routine practices. Document all education provided to the patient and family regarding CDI, hand hygiene and personal protective equipment. Accurate documentation of stool consistency and frequency is required. In Acute Care, this information is mandatory and is reported to Alberta Health Services (AHS) Provincial Surveillance. Accurate documentation is essential when considering discontinuation of precautions (Appendix B). If documentation is not complete, this may delay discontinuation of precautions. For assistance with identifying stool consistency, refer to Bristol Stool Chart (Appendix A). 17. Discontinuation of Precautions Contact precautions may be discontinued after 48 hours of normal stool pattern. As per #10 Environmental Cleaning room must be terminally cleaned prior to discontinuation of precautions. Patient must be bathed or showered upon discontinuation of precautions. Emphasis should be placed on patient hygiene (refer to #3). Vigilance should be undertaken for relapse of C. difficile infection. Many patients are at high risk of relapse for disease. 18. Patient Teaching Patients are required to perform hand hygiene with soap and water after toileting and before eating. If patients are unable to mobilize to a sink, hand washing may be accomplished with a soapy wash cloth. All education provided to the patient/family must be documented in the patient record. Definitions Health care professional means an individual who is a member of a regulated health discipline, as defined by the Health Disciplines Act [Alberta] or the Health Professions Act [Alberta], and who practices within scope and role.
6 VI-8 Page 6 of 9 Health care provider means any person who provides goods or services to a patient, inclusive of health care professionals, staff, students, volunteers and other persons acting on behalf of or in conjunction with Covenant Health. Point of Care Risk Assessment (PCRA) - an evaluation of the risk factors related to the interaction between the health care provider, the patient and the patient s environment to assess and analyze potential for exposure to infectious agents and identify risks for transmission. Related Documents The following resources are Covenant Health Corporate Policy #VI-10, Hand Hygiene. Covenant Health Infection Prevention & Control Posters: Personal Protective Equipment Putting on (Donning) Personal Protective Equipment Detailed Taking off (Doffing) Personal Protective Equipment Detailed Clostridium difficile Covenant Health Infection Prevention & Control Additional Precaution Toolkits: Acute Care CDI Toolkit Covenant Health Infection Prevention & Control Outbreak Toolkits: Acute Care CDI Toolkit Covenant Health IPC Diseases & Conditions Table: Recommendations for Management of Acute Care Recommendations for Management of Continuing Care Covenant Health Infection Prevention & Control Routine Practices: Point of Care Risk Assessment Covenant Health Infection Prevention & Control Information for Staff: Management of Clostridium difficile Acute Care Quick Reference for Charge Nurses Covenant Health Infection Prevention & Control Information for Patients, Residents & Visitors: Clostridium difficile Covenant Health Infection Prevention & Control Continuing Care Resource Manual: Clinical Care Clostridium difficile (CDI) Covenant Health Infection Prevention & Control Best Practice Guidelines: Patients/Residents on Additional Precautions Participation in Group Therapies: Occupational, Physical and Recreational
7 VI-8 Page 7 of 9 References 1. Alberta Health Services - IPC Surveillance Committee (2015). Clostridium difficile Infection (CDI) Surveillance Protocol. 2. Association for Professionals in Infection Control and Epidemiology Inc. (2013). APIC Implementation Guide: Guide to Preventing Clostridium difficile Infections. Retrieved May 15, 2015 from: e8be75d86888/file/2013cdifffinal.pdf 3. Bowling, J.E. (2014). Clostridium difficile infection and pseudomembranous colitis. In R. Carico (Ed.), APIC Text of Infection Control and Epidemiology. Retrieved May 15, 2015 from: 4. Cohen S.H. et al (2010). Clinical Practice Guidelines for Clostridium difficile Infections in Adults: 2010 Update by the Society of Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infection Control & Hospital Epidemiology, May 2010, 31 (5): Continence Foundation of Australia (2015). Bristol stool chart. Retrieved June 16, 2015 from: 6. Dubberke, E.R. et al. (2014). Strategies to Prevent Clostridium difficile Infections in Acute Care Hospitals: 2014 Update. Infection Control, 35(6), Provincial Infectious Diseases Advisory Committee (2013). Annex C: Testing, Surveillance and Management of Clostridium difficile in all Health Care Settings. Retrieved May 15, 2015 from: IPC_Annex_C_Testing_SurveillanceManage_C_difficile_2013.pdf 8. Public Health Agency of Canada (2013). Clostridium difficile Infection: Infection Prevention and Control Guidance for Management in Acute Care Settings. Retrieved May 15, 2015 from: 9. Public Health Agency of Canada (2013). Clostridium difficile Infection: Infection Prevention and Control Guidance for Management in Long Term Care Facilities. Retrieved May 15, 2015 from: Public Health Agency of Canada (2013). Routine Practices and Additional Precautions for Preventing the Transmission of Infection in Healthcare Settings. Retrieved May 15, 2015 from: Revisions October 9, 2015 February 6, 2012 November 1, 2011 November 3, 2010
8 VI-8 Page 8 of 9 Appendix A: Bristol Stool Chart
9 Clostridium difficile Infection (CDI) Appendix B: Stool Chart/Bowel Record VI-8 Page 9 of 9
Vancomycin-Resistant Enterococcus (VRE)
Approved by: Vancomycin-Resistant Enterococcus (VRE) Vice President & Chief Medical Officer Corporate Policy & Procedures Manual VI-40 Date Approved July 14, 2016 August 12, 2016 Next Review (3 years from
More informationGuidelines for the Management of C. difficile Infections in. Healthcare Settings. Saskatchewan Infection Prevention and Control Program November 2015
Guidelines for the Management of C. difficile Infections in Healthcare Settings Saskatchewan Infection Prevention and Control Program November 2015 Agenda What is C. difficile infection (CDI)? How do we
More informationClostridium difficile
Clostridium difficile Michelle Luscombe & Karly Herberholz Hagel 5/14/2012 1 Outline What is clostridium difficile infection (CDI)? Symptoms & Complications Risk Factors Transmission Prevention and Control
More informationClostridium difficile Infection (CDI) in children (3-16 years ) Transmission Based Precautions
Page 1 of 9 Standard Operating procedure (SOP) Objective To provide HCWs with details of the care required to prevent cross-infection in children s with Clostridium difficile Infection (CDI). This SOP
More informationInvestigating Clostridium difficile Infections
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH Investigating Clostridium difficile Infections Erin P. Garcia, MPH, CPH Healthcare-Associated Infections (HAI) Program Center for Health Care Quality California Department
More informationClostridium difficile Algorithms for Long-term Care
Clostridium difficile lgorithms for Long-term Care 1 Early Recognition and esting 2 Contact Precautions 3 Room Placement 3.1 Identifying Lower Risk Roommates 4 Environmental Cleaning and Disinfection 5
More informationPOLICIES & PROCEDURES. Number: Clostridium difficile. Authorization: SHR Infection Prevention & Control Committee Facility Board of Directors
POLICIES & PROCEDURES Number: 40-30 Title: Clostridium difficile Authorization: SHR Infection Prevention & Control Committee Facility Board of Directors Source: Infection Prevention & Control Date Initiated:
More informationChecklists for Preventing and Controlling
Checklists for Preventing and Controlling Clostridium difficile Infection (CDI) This document has been developed to specifically assist senior management and all ward staff to take appropriate actions,
More informationIC CONTACT and CONTACT PLUS PRECAUTIONS REV. JULY 2017
IC.04.03 CONTACT and CONTACT PLUS PRECAUTIONS REV. JULY 2017 Standard In addition to Routine Practices, Contact Precautions or Contact Plus Precautions will be used for patients known or suspected to have
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 informationInfection Control and Prevention On-site Review Tool Hospitals
Infection Control and Prevention On-site Review Tool Hospitals Section 1.C. Systems to Prevent Transmission of MDROs Ask these questions of the IP. 1.C.2 Systems are in place to designate patients known
More informationClostridium difficile Infection (CDI) Trigger Tool
Hospital ward/clinical Area Date Trigger Tool Commenced Date Trigger Tool Closed Person closing the CDI Trigger Health Protection Scotland V2.0 November 2011 A CDI Trigger is the point at which the Infection
More informationClostridium difficile Infection (CDI) Trigger Tool
Hospital ward/clinical Area Date Trigger Tool Commenced Date Trigger Tool Closed Person closing the CDI Trigger Health Protection Scotland March 2014 Version 3.0 A CDI trigger is the number of new CDI
More informationGuideline for the Management of Patients with Known or Suspected Diarrhoea / Viral Gastroenteritis
Guideline for the Management of Patients with Known or Suspected Diarrhoea / Viral Gastroenteritis 1. Introduction 1.1 Patients with diarrhoea pose a risk to other patients from micro-organisms contaminating
More informationInfection Prevention, Control & Immunizations
Infection Control: This facility task must be used to investigate compliance at F880, F881, and F883. For the purpose of this task, staff includes employees, consultants, contractors, volunteers, and others
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 informationClostridium difficile
Clostridium difficile C difficle Oral Metronidazole and Oral Vancomycin Promote Persistent Overgrowth of VRE during treatment of Clostridium difficile-associated Disease. (Al-Nassir, W.N. et al, 2008)
More informationHSE West, Mid-Western Regional Hospitals, Limerick, Guidelines for The Management of Clostridium Difficile, MGIP&C 09/10, Revision 02, 09/12 pg 1 of
Clostridium Difficile, MGIP&C 09/10, Revision 02, 09/12 pg 1 of 21 Table of Contents 1.0 POLICY STATEMENT...3 2.0 PURPOSE...3 3.0 SCOPE...3 4.0 LEGISLATION/OTHER RELATED POLICIES...3 5.0 GLOSSARY OF TERMS
More informationObjectives. IPC Open calls - bi-weekly series. Introduction to Infection Prevention & Control (IPC) Open Call Series
Introduction to Infection Prevention & Control (IPC) Open Call Series #4 Transmission Precautions Isolate the Organism and Not the Resident Diane Dohm MT, IP, CIC, CPHQ MetaStar Anne Haddad, MPH MPRO March
More information8. Droplet/Contact Precautions. 8.1 Introduction
8. Droplet/Contact Precautions 8.1 Introduction Droplet/Contact Precautions are required for patients diagnosed with, or suspected of having infectious microorganisms transmitted by the droplet route and
More informationInfection Control and Prevention On-site Review Tool Hospitals
Infection Control and Prevention On-site Review Tool Hospitals Section 1.C. Systems to Prevent Transmission of MDROs Ask these questions of the IP. 1.C.2 Systems are in place to designate patients known
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 informationName of Assessor Unit Date. Element Yes No Action Needed
Figure 10.5 Checklist: Contact Precautions Name of Assessor Unit Date Element Yes No Action Needed CONTACT PRECAUTIONS GENERAL Contact Precautions are used for patients with known or suspected infections
More informationProtocol for the Prevention and Management of Clostridium difficile.
Protocol for the Prevention and Management of Clostridium difficile. Policy Profile Policy Reference: Clinical care protocol 14. App D Clin 2.0 Version: Version 2.1 Author: Selma Mehdi, Lead Nurse Infection
More informationInfection Control: You are the Expert
Infection Control: You are the Expert The engaged participant will be able to: List Recognize Identify Three most frequently cited deficiencies Two ways to make hand washing safer Most important practice
More informationINCREASED INCIDENT /OUTBREAK OF DIARRHOEA AND/OR VOMITING
INCREASED INCIDENT /OUTBREAK OF DIARRHOEA AND/OR VOMITING Documentation to support the management of an increased incident or outbreak of Diarrhoea and/or Vomiting including Norovirus Developed by Amanda
More informationPrinciples of Infection Prevention and Control
Principles of Infection Prevention and Control Liz Van Horne Manager, Core Competencies Senior Infection Prevention & Control Professional OAHPP Outbreak Management Workshop September 15, 2010 Objectives
More informationGuidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings
Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings : Program Goal Improve personnel safety in the healthcare environment through appropriate use of PPE. :
More informationKristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals
Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals Resident safety-priority for staff and for CMS Providing care in a homelike environment but still
More informationDeveloped in response to: Best Practice Infection Prevention and Control
Transfer of patients within MEHT Clinical Guideline Developed in response to: Best Practice Infection Prevention and Control Version Number 1.0 Issuing Directorate Corporate Governance Approved by Clinical
More informationAssessment and Educational Tools. Marilyn Weinmaster RN BScN CIC CHICA-SASKPIC September 20,2013
Assessment and Educational Tools Marilyn Weinmaster RN BScN CIC CHICA-SASKPIC September 20,2013 Present Context Describe Assessment and Educational Tools Demonstrate Point of Care Risk Assessment Introduce
More informationInfection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care
Infection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care Melissa Schaefer, MD Division of Healthcare Quality Promotion Centers for Disease Control and Prevention
More informationTaking Action to Prevent and Manage Multidrug-resistant Organisms and C. difficile in the Nursing Home: Part 3 Strategies to prevent
Taking Action to Prevent and Manage Multidrug-resistant Organisms and C. difficile in the Nursing Home: Part 3 Strategies to prevent Nimalie D. Stone, MD,MS Division of Healthcare Quality Promotion National
More informationClostridium difficile Infection (CDI)
Page 1 of 16 Policy Objective To provide HCWs with details of the care required to prevent cross-infection in patients with. This policy applies to all staff employed by NHS Greater Glasgow & Clyde and
More informationCDI Preventing and Managing Clostridium Difficile - A Provider's Perspective
Thank You for Joining! CDI Preventing and Managing Clostridium Difficile - A Provider's Perspective New England Nursing Home Quality Care Collaborative Webinar Will Begin Shortly. Call-In Number: (888)
More informationPersonal Hygiene & Protective Equipment. NEO111 M. Jorgenson, RN BSN
Personal Hygiene & Protective Equipment NEO111 M. Jorgenson, RN BSN Hand Hygiene the single most effective way to help prevent the spread of infections agents. (CDC, 2002.) Consistency & Compliancy 50%
More informationSingle room with negative pressure ventilation in relation to surrounding areas
7. Airborne/Contact Precautions 7.1 Introduction Airborne/Contact Precautions are required for patients diagnosed with, or suspected of having an infectious microorganism transmitted by the airborne and
More informationDISEASE TRANSMISSION PRECAUTIONS AND PERSONAL PROTECTIVE EQUIPMENT (PPE)
DISEASE TRANSMISSION PRECAUTIONS AND PERSONAL PROTECTIVE EQUIPMENT (PPE) Course Health Science Unit VII Infection Control Essential Question What must health care workers do to protect themselves and others
More informationPersonal Protective Equipment Use for Patients with Clostridium difficile
Murray State's Digital Commons Scholars Week Fall Scholars Week 2016 Nov 14th, 11:30 AM - 1:30 PM Personal Protective Equipment Use for Patients with Clostridium difficile Mallory L. Compton Murray State
More informationINFECTION C ONTROL CONTROL CONTROL EDUCATION PROGRAM
INFECTION CONTROL EDUCATION PROGRAM Isolation Precautions Isolating the disease not the patient The Purpose is To protect compromised patient from environment To prevent the spread of communicable diseases.
More informationInfection Control Resource Teams The First Five Years
Infection Control Resource Teams The First Five Years A Review and Analysis of the Recommendations Made to Hospitals for Clostridium difficile Infection (CDI) Outbreaks February 2017 Public Health Ontario
More informationSelf-Instructional Packet (SIP)
Self-Instructional Packet (SIP) Advanced Infection Prevention and Control Training Module 4 Transmission Based Precautions February 11, 2013 Page 1 Learning Objectives Module One Introduction to Infection
More informationClostridium difficile GDH positive (Glutamate Dehydrogenase) toxin negative
Patient information Clostridium difficile GDH positive (Glutamate Dehydrogenase) toxin negative i Important information for all patients. Golden Jubilee National Hospital Agamemnon Street Clydebank, G81
More informationPHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards. Infection Prevention and Control: Personal Protective Equipment
PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards : Personal Protective Equipment PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards 2016 PERSONAL PROTECTIVE EQUIPMENT Personal protective
More informationInfection Control. Regulatory Changes and Interpretive Guidance Surveyor Training
Infection Control Regulatory Changes and Interpretive Guidance Surveyor Training 1 F Tags Regulatory Group: Infection Control F880: Infection Prevention and Control ( Old F441 ) 483.80 (a)(1-2)(4)(e-f)
More informationGuidelines on Infection Prevention and Control for Cork Kerry Community Healthcare 06: Transmission Based Precautions
Guidelines on Infection Prevention and Control for Cork Kerry Community Healthcare 06: Transmission Based Precautions This guidance document has been adopted as the policy document by: Organisation:...
More informationInfection Prevention and Control
Infection Prevention and Control Infection Prevention and Control Program IPAC program consists of three healthcare professionals IPAC department is located on the 9 th floor and is available Monday to
More informationApproval Signature: Date of Approval: December 6, 2007 Review Date:
Personal Care Home/Long Term Care Facility Infection Prevention and Control Program Operational Directive Management of Methicillin-Resistant Staphylococcus Aureus (MRSA) Approval Signature: Supercedes:
More informationNHS GREATER GLASGOW & CLYDE CONTROL OF INFECTION COMMITTEE STANDARD OPERATING PROCEDURE (SOP) GROUP A STREPTOCOCCUS (Streptococcus pyogenes)
Page Page 1 of 9 SOP Objective To ensure Healthcare Workers (HCWs) are aware of the actions and precautions necessary to minimise the risk of cross-infection and the importance of diagnosing patients clinical
More informationOutbreak Management. Gastroenteritis Outbreak Protocol
INFECTION PREVENTION AND CONTROL (IPAC) Outbreak Management Gastroenteritis Outbreak Protocol Infection Prevention and Control Guidelines for Acute and Residential Care R:Infection Control Manual\Outbreak
More informationPrevention and Control of Infection in Care Homes. Infection Prevention and Control Team Public Health Norfolk County Council January 2015
Prevention and Control of Infection in Care Homes Infection Prevention and Control Team Public Health Norfolk County Council January 2015 Content for today Importance of IPAC -refresher IPAC audits in
More informationSTANDARD OPERATING PROCEDURE (SOP) SCABIES POLICY TRANSMISSION BASED PRECAUTIONS.
Page Page 1 of 10 SOP Objective To provide Heath Care Workers (HCWs) with details of the care required to prevent crossinfectionin patients with Scabies.. This SOP applies to all staff employed by NHS
More informationBEHAVIORAL HEALTH & LTC. Mary Ann Kellar, RN, MA, CHES, IC March 2011
BEHAVIORAL HEALTH & LTC Mary Ann Kellar, RN, MA, CHES, IC March 2011 CDC Isolation Guidelines-adapting to special environments MDRO s CMS-F 441 C.difficile Norovirus Federal (CMS), State & Joint Commission
More informationOregon Health & Science University Department of Surgery Standard Precautions Policy
Standard Precautions Policy 1. Policy Standard Precautions are to be followed by all employees for all patients within and entering the OHSU system. Standard Precautions are designed to reduce the risk
More informationContinuing Care Health Service Standards Standard 11.0 Audit Readiness Checklist (ARC)
This Audit Readiness Checklist (ARC) is an optional resource intended to provide an overview of the evidence required to ensure a site or program is compliant with Infection Control and Prevention Standard
More informationSafe Care Is in YOUR HANDS
Safe Care Is in YOUR HANDS 1 in25 patients has a Healthcare-Associated Infection Would you like to be part of prevention? It s EASY and we can start TODAY! STOP the spread of germs! Hand Hygiene Before
More informationLightning Overview: Infection Control
Lightning Overview: Infection Control Gary Preston, PhD, CIC, FSHEA Terry Caton, CIC Carla Ward, CIC 2012 Healthcare Management Alternatives, Inc. Objectives At the end of this module you will know: How
More informationClostridium difficile (C. diff)
Patient & Family Guide Clostridium difficile (C. diff) 2017 www.nshealth.ca Clostridium difficile (C. diff) What is C. diff? C. diff is a type of bacteria (germ) that is found in the intestine (gut or
More informationCLOSTRIDIUM DIFFICILE INFECTION INFECTION PREVENTION AND CONTROL GUIDANCE FOR MANAGEMENT IN ACUTE CARE SETTINGS
0 CLOSTRIDIUM DIFFICILE INFECTION INFECTION PREVENTION AND CONTROL GUIDANCE FOR MANAGEMENT IN ACUTE CARE SETTINGS To promote and protect the health of Canadians through leadership, partnership, innovation
More informationStandard Precautions must always be used in addition to Transmission Based Precautions.
4. Airborne Precautions Airborne Precautions are recommended in addition to Standard Precautions to prevent the transmission of infections spread by very small respiratory particles which are expelled
More informationClostridium difficile Infection (CDI)
Page 1 of 17 Policy Objective To provide HCWs with details of the care required to prevent cross-infection in patients with. This policy applies to all staff employed by NHS Greater Glasgow & Clyde and
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 Prevention Strategies. For Clinical Personnel
Infection Control Prevention Strategies For Clinical Personnel What is Infection Control? Infection Control is EVERYONE s responsibility It protects patients, employees and visitors by preventing and controlling
More informationINFECTION CONTROL POLICY DATE: 03/01/01 REVISED: 7/15/09 STATEMENT
Of, INFECTION CONTROL POLICY DEPARTMENT OF RADIOLOGY DATE: 03/01/01 REVISED: 7/15/09 STATEMENT GENERAL The Department of Radiology adheres to the Duke Infection Control policies and the DUMC Exposure Control
More informationChapter 10. medical and Surgical Asepsis. safe, effective Care environment. Practices that Promote Medical Asepsis
chapter 10 Unit 1 Section Chapter 10 safe, effective Care environment safety and Infection Control medical and Surgical Asepsis Overview Asepsis The absence of illness-producing micro-organisms. Asepsis
More informationClostridium difficile policy
Clostridium difficile policy Document level: Trustwide (TW) Code: IC5 Issue number: 4 Lead executive Director of Infection, Prevention and Control Author and contact number Infection Prevention and Control
More informationCLOSTRIDIUM DIFFICILE INFECTION INFECTION PREVENTION AND CONTROL GUIDANCE FOR MANAGEMENT IN LONG-TERM CARE FACILITIES
0 CLOSTRIDIUM DIFFICILE INFECTION INFECTION PREVENTION AND CONTROL GUIDANCE FOR MANAGEMENT IN LONG-TERM CARE FACILITIES To promote and protect the health of Canadians through leadership, partnership, innovation
More informationa. Goggles b. Gowns c. Gloves d. Masks
Scrub In A patient is isolated because of an undetermined respiratory condition. Which PPEs will healthcare professionals need before caring for the patient? a. Goggles b. Gowns c. Gloves d. Masks A patient
More informationTRUST POLICY AND PROCEDURE FOR THE MANAGEMENT AND CONTROL OF DIARRHOEA AND VOMITING (NOROVIRUS) INFECTIONS
TRUST POLICY AND PROCEDURE FOR THE MANAGEMENT AND CONTROL OF DIARRHOEA AND VOMITING (NOROVIRUS) INFECTIONS Reference Number POL-IC/1079/2011 Old ref no. CL-RM/2014/066 Version 1.2.0 Status Final Author:
More informationPolicy Objective To provide Healthcare Workers with details of the precautions necessary to minimise the risk of RSV cross-infection.
Page Page 1 of 6 Policy Objective To provide Healthcare Workers with details of the precautions necessary to minimise the risk of RSV cross-infection. 1 Responsibilities 2 General information on RSV 3
More informationIncludes GP flow chart & out of hours protocols. Page 1 of 11
Clostridium Difficile Policy. Precautions to be observed when caring for ECCH in-patients colonised or infected with Clostridium Difficile (C.difficile) Includes GP flow chart & out of hours protocols
More informationC.difficile Associated Disease: A Financial Burden Analysis Dr. Ralf-Peter Vongerg, Hanover Medical School A Webber Training Teleclass
C. difficile-associated diseases: A financial burden analysis PART #1 Epidemiology of C. difficile-associated disease (CDAD) Hosted by Paul Webber paul@webbertraining.com 02 Clostridium difficile (CD)
More informationOutbreak Management 2015
Outbreak Management 2015 Learning Outcomes For staff to be able to Define an outbreak To recognise an outbreak Identify the actions to be taken when an outbreak occurs Implement specific actions to be
More informationInfection Control Manual. Table of Contents
This policy has been adopted by UNC Health Care for its use in infection control. It is provided to you as information only. Infection Control Manual Policy Name Patients with Cystic Fibrosis Policy Number
More informationRecommendations for Isolation Precaution Step Down and Discharge of Persons Under Investigation or Confirmed Ebola Virus Disease Patients
Recommendations for Isolation Precaution Step Down and Discharge of Persons Under Investigation or Confirmed Contents A. Preamble... 2 B. Background and Clinical Course of EVD... 2 C. Persons Under Investigation:
More informationBackground of Initiative
Outline 2 Background of Initiative 3 Development of Recommendations 4 5 6 Development and Recommendations 7 Routine Practices Based on the premise that: All patients are potentially infectious (even if
More informationPolicy Objective To provide Healthcare Workers with details of the precautions necessary to minimise the risk of RSV cross-infection.
Page Page 1 of 9 Policy Objective To provide Healthcare Workers with details of the precautions necessary to minimise the risk of RSV cross-infection. This policy applies to all staff employed by NHS Greater
More informationSelf-Assessment Summary Report 2017 Accreditation
FLA LEEND: UNMET MET ONOIN R 5.2 Team members, clients and families, and volunteers are engaged when developing the multi-faceted approach for IPC. R 1.3 The resources needed to support the IPC program
More informationPharmacy Sterile Compounding Areas
Approved by: Pharmacy Sterile Compounding Areas Corporate Director, Environmental Supports Environmental Services/ Nutrition Food Services Operating Standards Manual Number: Date Approved June 17, 2016
More informationInfection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases
Infection Prevention Infection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases to yourself, family members,
More informationAssessment Tool Environmental Services
POLICIES AND PROCEDURES The following policies have been developed, implemented and staff are aware of their location: 1. Infection Prevention and Control (IP&C) policy or manual 2. Environmental Services
More informationRunning Head: REDUCING THE RISK OF CLOSTRIDIUM DIFFICILE HOSPITAL-WIDE 1. Reducing the Risk of Clostridium Difficile Hospital-Wide
Running Head: REDUCING THE RISK OF CLOSTRIDIUM DIFFICILE HOSPITAL-WIDE 1 Reducing the Risk of Clostridium Difficile Hospital-Wide Minot State University Senior Nursing Minot State University REDUCING THE
More informationPRECAUTIONS IN INFECTION CONTROL
PRECAUTIONS IN INFECTION CONTROL Standard precautions Transmission-based precautions Contact precautions Airborne precautions Droplet precautions 1 2/25/2015 WHO HAVE TO PROTECT IN HOSPITALS? Patients
More informationSECTION 11.4 VANCOMYCIN RESISTANT ENTERCOCCUS (VRE)
SECTION 11.4 VANCOMYCIN RESISTANT ENTERCOCCUS () Introduction Definitions Associated with Risk Groups Signs and Symptoms Source Mode of Transmission Diagnosis Treatment Screening Transport Communication
More informationInfection Control Prevention Strategies. For Clinical Personnel
Infection Control Prevention Strategies For Clinical Personnel What is Infection Control? Infection Control is EVERYONE s responsibility It protects patients, employees and visitors by preventing and controlling
More informationDepartment of Public Health Infection Control Survey
Patient Care Services, uality and Safety Being Ready for Every Patient Every Day Department of Public Health Infection Control Survey Resource Guide for Patient Care ssociates Excellence Every Day The
More informationBest Practices Document for the Management of Clostridium difficile in all health care settings
Provincial Infectious Diseases Advisory Committee (PIDAC) Best Practices Document for the Management of Clostridium difficile in all health care settings Ministry of Health and Long-Term Care Published
More informationEAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY
EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Family Medicine Physical Therapy Date Originated: February 25, 1998 Dates Reviewed: 2.25.98, 2.28.01 Date Approved: February 28, 2001 3.24.04; 9/10/13
More informationPreventing Hospital Acquired Infections: Clostridium difficile
Washington State Hospital Association Safe Table Preventing Hospital Acquired Infections: Clostridium difficile January 31, 2017 Lucia Austin-Gil, RN Jessica Symank, RN 2017 Infections Catheter Associated
More informationFall HOLLY ALEXANDER Academic Coordinator of Clinical Education MS157
Fall 2010 HOLLY ALEXANDER Academic Coordinator of Clinical Education 609-570-3478 AlexandH@mccc.edu MS157 To reduce infection & prevent disease transmission Nosocomial Infection: an infection acquired
More informationEbola Virus Disease (EVD)
Ebola Virus Disease (EVD) Information available as of December 2015 Reservoir and transmission to humans Researchers believe that the virus is animal-borne and that bats are the most likely reservoir Bats
More informationSTANDARD PRECAUTIONS POLICY Page 1 of 8 Reviewed: May 2017
Page 1 of 8 Policy Applies to: All Mercy Staff, Credentialed Specialists, Allied Health Professionals, students, patients, visitors and contractors will be supported to meet policy requirements Related
More informationPOLICY FOR THE PREVENTION AND CONTROL OF CLOSTRIDIUM DIFFICILE INFECTION (CDI)
POLICY FOR THE PREVENTION AND CONTROL OF CLOSTRIDIUM DIFFICILE INFECTION (CDI) Please be aware that this printed version of the Policy may NOT be the latest version. Staff are reminded that they should
More informationInfection Control Manual. Table of Contents
This policy has been adopted by UNC Health Care for its use in infection control. It is provided to you as information only. Infection Control Manual Policy Name Patients with Cystic Fibrosis Policy Number
More informationPOLICY FOR THE MANAGEMENT OF PATIENTS WITH CLOSTRIDIUM DIFFICILE INFECTION
POLICY FOR THE MANAGEMENT OF PATIENTS WITH CLOSTRIDIUM DIFFICILE INFECTION DOCUMENT CONTROL: Version: 3 Ratified by: Clinical Effectiveness Committee Date ratified: 9 August 2012 Name of originator/author:
More informationStrategies to Prevent Clostridium difficile Infections in Acute Care Hospitals: 2014 Update
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY JUNE 2014, VOL. 35, NO. S2 SHEA/lDSA PRACTICE RECOMMENDATION Strategies to Prevent Clostridium difficile Infections in Acute Care Hospitals: 2014 Update Erik
More informationEAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY
EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Department: Pediatrics-Hem/Onc-Module F Date Originated: 03/6/2012 Date Reviewed: 6/14, 9/12/17 Date Approved: 6/5/12 Page 1 of 8 Approved by: Department
More informationINFECTION CONTROL ORIENTATION TRAINING 2006
INFECTION CONTROL ORIENTATION TRAINING 2006 INFECTION CONTROL OSHA BLOODBORNE PATHOGEN STANDARD STANDARD PRECAUTIONS RISK OF EXPOSURE TO CONTAMINATED MATERIALS USE OF PROTECTIVE EQUIPMENT FOLLOW-UP OF
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 informationPolicy for the Control and Management of patients Colonised or Infected with Vancomycin resistant enterococci (VRE)
Policy for the Control and Management of patients Colonised or Infected with Vancomycin resistant enterococci (VRE) Author: Responsible Lead Executive Director: Endorsing Body: Governance or Assurance
More information