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The Director of Infection Prevention and Control (DIPC) has responsibility to give assurance to the Board and to have direct accountability for the management of outbreaks within the NHS Kirklees. The Infection Prevention and Control team will: • • •

Ensure this policy is reviewed as required and work with Heads of Service to implement necessary changes in practice. Act as a link between the Trust and specialist agencies and networks Take a lead role in investigating outbreak incidents and the dissemination of findings

Heads of Service are responsible for ensuring that healthcare professionals involved in the management of outbreaks adhere to policy. 8. Isolation Refer to Isolation Policy. 9. Documentation of affected patients In accordance with the Nursing Midwifery Council (NMC) 2008, clear and accurate records must be kept of all patient’s discussions, assessments, treatments, medicines and how effective these have been. All patients affected by the outbreak must be recorded on the patient daily review outbreak details form and information disseminated to the infection prevention and control team. (See Appendix A). 10. Patient hygiene facilities • • • •

Use en suite facilities or a dedicated commode or toilet for each patient Commodes and toilets must be decontaminated between each use with detergent wipes Bathrooms must be de-cluttered A designated hand hygiene pack must be available for each patient and particular emphasis given to hand hygiene: i) Before and after meals ii) Before and after using the toilet/commode

11. Hand hygiene Hand hygiene is the single most important factor in the prevention of healthcare associated infections (Ayliffe et al 2000). NHS Kirklees employs a Dress Code Policy for Clinical Staff which states that “bare below the elbow” is an essential part of practice and must be engaged by all staff caring for patients. Hand hygiene using soap and water is essential before and after every patient contact. Alcohol hand rub in these instances should only be used AFTER washing with soap and water if the removal of resident bacteria is necessary, for example when carrying out an Aseptic technique. 12. Compulsory daily uniform change Refer to Dress Code Policy for Clinical Staff. 6