Infection Control Annual Statement 2014
Purpose
This annual statement will be generated each year in August. It will summarise:
- Any infection transmission incidents and any action taken (these will have been reported in accordance with our Significant Event procedure)
- Details of any infection control audits undertaken and actions undertaken
- Details of any control risk assessments undertaken
- Details of staff training
- Any review and update of policies, procedures and guidelines
Background
Dr Hill and Partners has one lead for infection, prevention and control, Teresa Malton, Lead Practice Nurse and she is supported by Patricia Cooper, Practice Manager.
Teresa Malton attends annual infection control training and keeps up to date with regulations and changes. These are disseminated to staff and staff training takes place yearly.
Significant Events
In the past year there have been no significant events raised that related to infection control.
Audits
In August 2014 an Infection, Prevention and Control audit was carried out by City Health Care Partnership CIC, Teresa Malton, Lead Nurse and Patricia Cooper, Practice Manager. The practice’s compliance has increased from 81% in 2013 to 94% compliant in 2014.
Infection Control Comparison 2013 and 2014
Section | % Compliance |
2013 | 2014 |
Governance and Documentary Evidence | 89% | 100% |
Staff Records | 100% | 50% |
Clinical Environment | 67% | 87% |
Clinical Practice | 83% | 100% |
Clinical Equipment | 88% | 94% |
Hand Hygiene | 73% | 87% |
Sharps Management | 79% | 100% |
Waste Management | 86% | 92% |
Decontamination of Environment | 93% | 100% |
Vaccine Management including transport and storage | 69% | 100% |
Total | 81% | 94% |
Risk Assessment and corrective actions:
An infection control inspection was carried out on the 13th August 2014 and the following actions were noted:
Staff Records – ensure that hand hygiene refresher training is conducted annually and documented: Action – Teresa Malton
Clinical Environment – cleaning schedules should include high surfaces: Action – Patricia Cooper
Clinical Equipment – Sterile medical devices/items to be stored away from exposure to water/moisture, preferably in a cupboard, drawers or covered shelving: Action – Teresa Malton
Hand Hygiene – Taps on clinical hand wash basins should not have ‘swan neck’ fittings and should be considered for replacement. Splashbacks should be free from damage and in a good state of repair to enable adequate cleaning (1 tile broken): Action – Patricia Cooper
The hand hygiene refresher training has since been completed.
We will aim to do more to share information with our patients and will therefore place a copy of this Annual Statement on our practice website. We will notify patients of any seasonal influenza outbreaks that they may need to be aware of via the waiting room TV and our website.
Staff training
At the time of the publication of the annual infection control statement all clinical staff were in date for infection control training.
Policies, procedures and guidelines
Policies, relating to Infection Prevention and Control are reviewed and updated annually. However, all are amended on an on-going basis as current advice changes.
Infection Control Annual Statement 2015
Purpose
This annual statement will be generated each year. It will summarise:
- Any infection transmission incidents and any action taken (these will have been reported in accordance with our Significant Event procedure)
- Details of any infection control audits undertaken and actions undertaken
- Details of any control risk assessments undertaken
- Details of staff training
- Any review and update of policies, procedures and guidelines
Background
Teresa Malton, Lead Practice Nurse is the practice lead for infection, prevention and control. She is supported by Nurse Emma Pollard, Deputy.
Teresa Malton attends annual infection control training and keeps up to date with regulations and changes. These are disseminated to staff. Staff training takes place yearly.
Significant Events
In the past year there have been no significant events raised that related to infection control.
Audits
In July 2015 an Infection, Prevention and Control audit was carried out by City Health Care Partnership CIC with Emma Pollard, Deputy Nurse and Patricia Cooper, Practice Manager. The practice’s compliance overall was 93%.
Infection Control Compliance 2015
Section | % Compliance |
Governance and Documentary Evidence | 95% |
Expertise | 100% |
Clinical Environment | 93% |
Clinical Practice | 100% |
Clinical Equipment | 89% |
Hand Hygiene | 84% |
Sharps Management | 100% |
Waste Management | 80% |
Decontamination of Environment | 90% |
Minor Surgery | 95% |
Total | 93% |
Risk Assessment and corrective actions:
An infection control inspection was carried out on the 28th July 2015 and the following actions were noted:
Governance and Documentary Evidence – Toy cleaning schedules should be available to provide information on the type and frequency of cleaning. Action: Pat Cooper
Clinical Environment – The clinical/treatment/consulting room should be tidied up and all inappropriate items removed to facilitate cleaning and minimise the risk of contamination. Action: Emma Pollard
Clinical Equipment – Medical devices (non-surgical)/clinical equipment should be visibly clean and fee from stains, spills, dust etc Action: Emma Pollard
Hand Hygiene – Taps on clinical hand wash basins should not have ‘swan neck’ fittings and should be considered for replacement. Action: Patricia Cooper
Waste Management – All waste bins should be fire retardant. If plastic, these must be heavy duty and labelled fire retardant. Action: Patricia Cooper/Emma Pollard
Decontamination of Environment – The designated cleaning cupboard should be free of inappropriate items and only be used to store cleaning equipment and products (coat had been left). Action: Patricia Cooper
Minor Surgery – Swan neck fittings on taps at clinical hand wash basins are present. Clinical waste bins should be foot operated and in good working order.
We will aim to do more to share information with our patients and will therefore place a copy of this Annual Statement on our practice website. We will notify patients of any seasonal influenza outbreaks that they may need to be aware of via the waiting room TV and our website.
Staff training
At the time of the publication of the annual infection control statement all clinical staff were in date for infection control training.
Policies, procedures and guidelines
Policies, relating to Infection Prevention and Control are reviewed and updated annually. However, all are amended on an on-going basis as current advice changes.