Download Infection control annual statement 2015/2016

Kippax Hall Surgery
Infection Control Annual Statement 2015 / 2016
13 April 2016
Purpose
This annual statement will be generated each year. It will summarise:
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Any infection transmission incidents and any action taken (these will have been recorded in
accordance with our significant event procedure)
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
Background
Kippax Hall Surgery has one clinical and one non-clinical lead for infection prevention control
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Annemarie Lowe- Practice Nurse
Karen Taylor – Practice Manager
Significant events
In the past year there have been no significant events raised that related to infection control
Audits
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An audit of minor surgery is undertaken quarterly by the Practice Manager. No infections
were reported in the last year
An infection control audit is carried out quarterly by the Practice Nurse and Practice
Manager
The following main areas were identified during the past year as requiring further action
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Waste segregation posters
Sharps injuries posters
Keyboard cover for minor surgery
Urine / vomit spill kit
Cleaning of store room
Scale on taps
Cleaning of window frames
All actions have been completed with the exception of the key board cover
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Introduced hand hygiene audit
Infection control self-assessment tool completed October 2015
Risk Assessments
The following risk assessments were already in place and are reviewed / updated on an annual basis
Risk Assessment
Last Reviewed
Infection Control
5 June 2015
Legionella
28 September 2015
Sharps
27 April 2015
Immunisations / injections
29 October 2015
Cervical smears / swabs
29 October 2015
Dressings
29 October 2015
Ear syringing
29 October 2015
MRSA
01 December 2015
Phlebotomy
29 October 2015
Respiratory devices
01 December 2015
Spirometry
29 October 2015
Staff Training
All staff receive infection control training at induction and undertake annual refresher training.
All staff have completed their annual update
The infection control leads meet at regular intervals throughout the year
Infection control is a set item on the monthly nurse meeting
Policies, Procedures and Guidelines
Polices are formally reviewed annually; however all are amended on an on-going basis as current
advice changes, or needs arises.
Policy
Last Reviewed
Infection Control
10 April 2016
Managing bodily fluid spillages
24 October 2015
Handling and storage of specimens
5 June 2015
Environmental cleaning
20 March 2015
Hand washing
5 June 2015
Legionella
4 September 2015
Needle stick injuries
27 April 2015
Nursing uniforms
27 November 2015
Sharps
27 April 2015
Sterilisation and single use
13 January 2016
Waste management
4 September 2015
Aseptic technique
2 December 2015
Interventional procedure
1 November 2015
Acquisition and maintenance of medical devices
29 August 2014
Cold Chain
1 December 2015
COSHH
31 October 2015
Outbreaks of communicable disease
08 April 2016
Isolation of service users with an infection
7 July 2015
Occupational exposure to blood borne viruses
7 July 2015
Antimicrobial prescribing
7 July 2015
Management of patients with alert organisms
16 April 2015
Disinfectants and antiseptics
26 June 2016