Infection Prevention And Control (IPC) Standard Operating .

Infection Prevention and Control(IPC)Standard Operating Procedure (SOP)COMMUNICABLE DISEASESACTIONS TO BE TAKEN FOR STAFF ANDPATIENT CASESWARNING – This document is uncontrolled when printed.Check local intranet site for current versionStandard Operating Procedure for Communicable DiseasesActions to be Taken for Staff and Patient Casesv01.2, May 2018Page 1 of 7

Document Control SheetTitle:Standard Operating Procedure (SOP) for CommunicableDiseases, Actions to be taken for Staff and Patient CasesDocument Status:ApprovedDocument Type:SOPVersion Number:v01.2, May 2018Document location:Infection Control Athena SiteAuthor:Gillian Rankin, Infection Control NurseOwner:Infection Prevention and ControlApproved By:Robert Wilson, Infection Control ManagerDate EffectiveFrom:May 2018Revision History:Version:Date:Issue 1.1v01.2September2017May 2018Summary of Changes:Policy ReviewResponsibleOfficer:Gillian RankinAddition of Document Control SheetSharon LeitchApprovals: this document was formally approved by:Name & Title / Group:Robert Wilson, Infection Control ManagerDissemination Arrangements:IntendedMethod:audience: NHSThroughoutAnnouncement on Daily Digest / WeeklyA&ANews BulletinDate:May 2018Version:v01.2Date:May 2018Version:v01.2Standard Operating Procedure for Communicable DiseasesActions to be Taken for Staff and Patient Casesv01.2, May 2018Page 2 of 7

Linked Documentation:Document Title:National Infection Prevention andControl ManualDocument File Path:National Infection Prevention and ControlManualHealth and Safety Manual, Screeningand Immunisation of Staff for InfectiousDiseases nfection Prevention and Control Team(IPCT) nal Health Team MailboxOccupational.Health@aapct.scot.nhs.ukPublic Health - Health Protection TeamAthena fault.aspxPolicy StatementIt is the responsibility of all staff to ensure that they consistently maintain a highstandard of infection control practice.NB. This document is uncontrolled when printed. The contents of thisdocument are subject to change, any paper copy is only valid on the day ofprinting. To ensure you have the most up to date version of this document,please use the link to access the document directly from AthenA or contact theAuthor.Standard Operating Procedure for Communicable DiseasesActions to be Taken for Staff and Patient Casesv01.2, May 2018Page 3 of 7

1.0INFECTION CONTROL PRECAUTIONS1.1Standard Infection Control Precautions (SICPs)Standard Infection Control Precautions (SICPs), Section 1 of the Health ProtectionScotland (HPS) National Infection Prevention and Control Manual, must be used byall staff, in all care settings, at all times, for all patients whether infection is knownto be present or not to ensure the safety of those being cared for, as well as staff andvisitors in the care environment.SICPs are the fundamental IPC measures necessary to reduce the risk oftransmission of infectious agents from both recognised and unrecognised sources ofinfection.Potential sources of infection include blood and other body fluids secretions orexcretions (excluding sweat), non-intact skin or mucous membranes and anyequipment or items in the care environment that could have become contaminated.1.2Transmission Based Precautions (TBPs)TBPs are implemented in addition to SICPs to provide further protection wheninfection is known or suspected. TBPs are categorised by the route of transmissionof the infectious agents (some infectious agents can be transmitted by more thanone route). Organisms can be cross transmitted via Contact (direct and indirect),Droplet and Airborne routes: ContactUsed to prevent and control infections that spread via direct contact with the patientor indirectly from the patient’s immediate care environment (including careequipment). This is the most common route of cross-infection transmission. DropletUsed to prevent and control infections spread over short distances (at least 3 feet (1metre)) via droplets ( 5μm) from the respiratory tract of one individual directly onto amucosal surface or conjunctivae of another individual. Droplets penetrate therespiratory system to above the alveolar level. AirborneUsed to prevent and control infections spread without necessarily having closepatient contact via aerosols ( 5μm) from the respiratory tract of one individualdirectly onto a mucosal surface or conjunctivae of another individual. Aerosolspenetrate the respiratory system to the alveolar level.Standard Operating Procedure for Communicable DiseasesActions to be Taken for Staff and Patient Casesv01.2, May 2018Page 4 of 7

2.0ACTIONS TO BE TAKEN WITH STAFF CASES OF COMMUNICABLEDISEASEStaff Exclusion Refer to Health and Safety Manual, Screening andImmunisation of Staff for Infectious Diseases (PN29) Thisgives a list of communicable diseases for which staffshould be excluded from dutyRefer the staff member immediately to the OccupationalHealth Team for review and adviceRefer the staff member to their GP if confirmation ofinfection status is required (e.g. rash suspicious ofshingles)Inform RelevantDepartmentsFollowing exclusion of staff member you must inform: Infection Prevention and Control Team (IPCT) byphoning (01563) 825765 or by emailing the IPCT mailboxInfectionControl@aapct.scot.nhs.uk Occupational Health Team by phoning (01563) 827306 al.Health@aapct.scot.nhs.ukContact TracingIn some instances a list of patient and staff contacts will berequired for consideration of exposure and possible additionalactions needed. If required (usually advised by IPCT andOccupational Health) the following information will berequested: Shifts worked during the period of communicability Areas worked in during shifts Other staff members on duty (especially those working inclose contact if known) Volunteers on duty (especially those working in closecontact if known) Patients the staff member has had contact with duringshifts worked (i.e. given direct care and/or within the samerooms during the relevant time period) Family members of patients with close contact during therelevant time periodNote: Where possible, it should be indicated whether acontact is immunosuppressed, pregnant or has othersignificant risk factors.The Occupational Health Team will review immunisationstatus of staff contacts.You will be supported in gathering patient contact details bythe IPCT.Standard Operating Procedure for Communicable DiseasesActions to be Taken for Staff and Patient Casesv01.2, May 2018Page 5 of 7

IncidentManagement Team(IMT) ation of ongoing actions are required for staff andpatient contacts then an Incident Management Team (IMT)will be called to review the situation and agree actions.These are usually held urgently and are called by eitherthe IPCT or the Health Protection Team (HPT)Clinical and Management representation from theward/department would be required at this meetingACTIONS TO BE TAKEN WITH PATIENT CASES OF COMMUNICABLEDISEASEOrganismRefer to IPCT SOPs for Communicable Diseases to finddisease specific information including: Route of Transmission Incubation Period Period of Communicability Individuals most at riskTransmissionBased PrecautionsRefer to IPCT SOPs for Communicable Diseases to finddisease specific transmission based precautions to beimplemented, including patient placement.Informing the IPCTFollowing implementation of all relevant infection preventionand control precautions you must inform the InfectionPrevention and Control Team (IPCT) by phoning ntrol@aapct.scot.nhs.ukNotifiable diseaseSome organisms and diseases are notifiableConsultant in Public Health Medicine (CPHM).totheRefer to the Health Protection Team site on Athena for a list ofnotifiable diseasesInitial notification should be made by telephone to the HPT atAfton House, Ailsa Campus on 01292 885858 or, out of hours,to the on-call CPHM via University Hospital Crosshouseswitchboard on 01563 521133. The HPT should then alsobe formally notified within 3 days using the Scottish CareInformation (SCI) system or SCI form.Standard Operating Procedure for Communicable DiseasesActions to be Taken for Staff and Patient Casesv01.2, May 2018Page 6 of 7

Contact TracingIn some instances a list of patient and staff contacts will berequired for consideration of exposure and possible additionalactions needed. If required (usually advised by IPCT andOccupational Health) the following information will berequested: Staff members with direct contact during the period ofcommunicability Volunteers with direct contact during the period ofcommunicability Level of personal protective equipment (PPE) worn duringperiod of communicability (organism specific) Patients in adjacent spaces (or in some instances withinthe same room) Family members of infected patient with direct contactNote: Where possible it should be indicated whether a contactis immunosuppressed, pregnant or has other significant riskfactors.The Occupational Health Team will review immunisationstatus of staff contactsYou will be supported in gathering patient contact details bythe IPCTIncidentManagement Team(IMT) on of ongoing actions is required for staff andpatient contacts, an IMT will be called to review thesituation and agree actions. These are usually heldurgently and are called by either the IPCT or the HPTClinical and Management representation from theward/department would be required at this meetingStandard Operating Procedure for Communicable DiseasesActions to be Taken for Staff and Patient Casesv01.2, May 2018Page 7 of 7

Document location: Infection Control Athena Site Author: Gillian Rankin, Infection Control Nurse Owner: Infection Prevention and Control Approved Robert Wilson, Infection Control ManagerBy: Date Effective From: May 2018 Revision History: Version: Date: Summary of Changes: Responsible Officer: Issue 1.1 September 2017 Policy Review Gillian Rankin v01.2 May 2018 Addition of Document Control .