THE AVENUE SURGERY
Infection Control Annual Statement
In line with the Health and Social Care Act 2008: Code of Practice on Prevention and Control of Infection and its related guidance, 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 Events Report procedures)
- Details of any infection control audits undertaken and actions taken
- Details of any infection control risk assessments undertaken
- Details of staff training
- Any review and update of policies, procedures and guidelines.
The Practice Infection Control Link is Practice Nurse Pippa Halley Gehrels. Nurse Pippa keeps up to date on infection control and attended the Infection Prevention and Control Link Update meeting in September 2017 and the Link Practitioners Infection Control Mandatory Training in January 2017. She provides update training to the practice team at least annually. Staff who are unable to be present at the training are given a one-to-one update and a copy of the handouts.
There was one significant event in the last year relating to infection prevention and control. This was a Clostridium Difficile infection. Root cause analysis was performed and a significant event meeting with clinical staff was held. This incident helped clinical staff to re-visit the high risks for developing clostridium, how to prevent it and the ongoing health needs of someone who has had clostridium.
In July 2017 our Infection Control Link completed the Infection Prevention Quality Improvement Tool Audit covering:
Policies, Procedures and Guidelines
The Surgery Environment including Management of Toys and Baby Changing Facilities
Sharps Handling and Disposal
Personal Protective Equipment
Vaccine Storage and Transport
Transportation of Specimens
Risk assessments are carried out to ensure that best practice is established and followed. Risk assessments carried out during the year under review included:
December 2016 General Risk Assessment included legionella, infection, sharps, cleaning and general housekeeping, waste and hazardous substances risk assessments.
A sharps safety risk assessment was carried out.
Sussex, Kent and Medway Trust performed a Clinical Waste Audit and an action plan was formulated in response to this.
A vaccine fridge audit was conducted in September 2017.
Key audit/risk assessment findings/recommendations:
- Hand hygiene audits to be implemented in 2017/18
- Ensure newly appointed GP is up to date with infection control procedures
- Review patient leaflet and books display to allow effective cleaning
- Robust cleaning and deep cleaning schedules established with new cleaning company
- Soap and alcohol gel to be wall mounted in treatment rooms in 2017/18
- Equipment inventory and cleaning schedule to be updated in 2017/18
All clinical and non-clinical staff have received infection control update training from the Infection Control Link within the audit period.
POLICIES, PROCEDURES AND GUIDELINES
All Infection Control policies have been reviewed and updated annually as appropriate. This is on-going and amendments will be made as current advice changes.
Ros Clayton Nurse Pippa Halley Gehrels
Practice Manager Infection Control Link