Download isolation policy - Rotherham Doncaster and South Humber NHS

ISOLATION POLICY
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6
Clinical Effectiveness Group
3 March 2015
Senior Infection Prevention and Control Nurse Specialist
Infection Prevention and Control Committee
9 March 2015
March 2018
The policy applies to all staff providing care to all
patients under the care of the Trust, whether in a direct
or indirect patient care role.
CONTENTS
SECTION
1.
INTRODUCTION
PAGE NO
3
2.
PURPOSE
3
3.
SCOPE
3
4.
RESPONSIBILITIES, ACCOUNTABILITIES AND DUTIES
4
4.1
4.2
4.3
4.4
4.5
Chief Executive, Nurse Director, Deputy Director of Nursing
Infection Prevention and Control Clinical Nurse Specialists
Matrons and Ward/Department Managers
Ward/Department Managers
All staff
4
4
4
4
4
5.
PROCEDURE/IMPLEMENTATION
4
5.1
5.2
5.3
5.4
Principles of isolation
Guidelines for single room and cohort nursing
Management of the isolated patient
Confidentiality
5
6
6
8
6.
TRAINING IMPLICATIONS
8
7
MONITORING ARRANGEMENTS
8
8.
EQUALITY IMPACT ASSESSMENT SCREENING
9
8.1
Privacy, dignity and respect
9
8.2
Mental Capacity Act
9
9.
LINKS TO OTHER TRUST PROCEDURAL DOCUMENTS
9
10
REFERENCES
10
11
APPENDICES
Appendix 1 - Mode of Transmission
Appendix 2 – Local Microbiologists contact details
Appendix 3 – Isolation Precautions – Planning Guide
Appendix 4 - Signage for Isolation Nursing
Appendix 5 – Isolation – Cleaning Checklist
Appendix 6 - Healthcare Associated Infection Risk Assessment
form
11
11
12
16
18
19
Page 2 of 20
1.
INTRODUCTION
Isolation refers to the use of a single room as a barrier in order to prevent the transmission
of organisms responsible for infection. Healthcare associated infections (HCAIs) such as
MRSA, Clostridium difficile, Norovirus and other multi resistant organisms may be
transmitted between patients and potentially between patients, staff and visitors.
When a patient is suspected or known to be suffering from infection, an understanding of
the source, route and mode of transmission (Appendix 1) of infection is essential in order to
institute the appropriate infection prevention and control principles, including isolation
measures.
Standard precautions must be applied to all patients without exception, inclusive of
environmental cleaning, use of personal protective equipment and hand hygiene.
The isolation of patients must be based on the infection risk, symptoms and transmission
route in accordance with the relevant infection prevention and control policy.
Notification of certain infectious diseases is a statutory duty for the medical practitioner.
Further information and notification forms can be obtained in the Surveillance, Prevention &
Management of Infections policy.
For patients living in their own homes isolation is not usually required, however, staff caring
for patients with infections must adhere to the principles of infection prevention and control.
Advice should be sought in the first instance from the Infection Prevention and Control
Team (IPCT) on the appropriateness of isolating patients. Out of hours, at weekends and
bank holidays the Manager on call should be contacted to obtain advice from the local
Microbiology service (Appendix 2).
2.
PURPOSE
This policy has been developed to inform staff of the necessary isolation precautions
needed to minimise the risk of cross infection.
3.
SCOPE
The policy applies to all staff providing care to all patients under the care of the Trust,
whether in a direct or indirect patient care role.
Adherence to this policy is the responsibility of all staff employed by the Trust, including
agency, locum, bank staff, volunteers and contractors working on Trust premises.
Page 3 of 20
4.
RESPONSIBILITIES, ACCOUNTABILITIES AND DUTIES
4.1
Chief Executive, Nurse Director, Deputy Director of Nursing
The Chief Executive has ultimate responsibility for Infection Prevention and Control (IPC)
however; the Nurse Director has designated responsibility as Director of Infection
Prevention and Control (DIPC). The DIPC will provide regular updates to the Board.
The Deputy Director of Nursing also has designated IPC duties in support of the DIPC and
is responsible for implementing infection prevention and control strategies throughout the
Trust.
4.2
Infection Prevention and Control Clinical Nurse Specialists

4.3

To provide expert, specialist advice in accordance with policy to support staff in its
implementation.
To assist in the risk assessment process where complex decisions are required.

Provide information to the Trust Board via the DIPC.
Matrons and Ward/Department Managers
It is the responsibility of Matrons and Ward/Department Managers to ensure implementation
and compliance with this policy.
4.4
Ward/Department Managers
It is the responsibility of ward/department managers to ensure:



4.5
All clinical staff can demonstrate compliance with the policy
All relevant staff undertake mandatory infection prevention and control training
Infection prevention and control responsibilities form part of the individuals annual
Personal Development Plan
All staff
All staff must be aware of their personal responsibilities in preventing the spread of
infection. Adherence to this policy is the responsibility of all staff. This applies to staff
employed by the Trust, agency, locum, bank and volunteer staff and those contracted to
the Trust.
5.
PROCEDURE/IMPLEMENTATION
Infection risks should be assessed (risk assessment) and managed accordingly (risk
management). Advice should always be sought from a member of the IPCT.
Page 4 of 20
Isolation of patients is undertaken for two reasons:

Source Isolation
This is when a patient poses a risk to others

Protective Isolation
This is when a patient is at risk from others.
In some cases strict source isolation is required to prevent the spread of highly
transmissible infections e.g. Diphtheria and Viral Haemorrhagic Fevers, using negative
pressure facilities.
Current facilities for isolation within the Trust include limited single room access. These
facilities are not suitable for prolonged accommodation of patients with highly infectious
diseases such as those indicated above.
Guidance must be sought immediately from the Consultant Microbiologist and/or the IPCT.
This will involve transfer of such patients to an identified infectious diseases unit in
specially equipped ambulances.
Principally this policy will refer to source isolation.
5.1
PRINCIPLES OF ISOLATION










Ideally, the most effective form of isolation is a single room.
Single rooms should always be the first choice for placement of an infected patient.
Where this is not possible cohort nursing should be employed.
Cohort nursing involves nursing patients with the same organism (or displaying similar
signs and symptoms of infection) together as an alternative form of isolation nursing
when single room capacity is exceeded.
Cohort patients should be nursed by designated staff.
Advice on the decision to isolate a patient and guidance on isolation management
should always be sought from the IPCT. Additional planning guidance is provided
(Appendix 3).
Individual risk assessment should take into account the infection risk (mode of
transmission and infectivity), severity of illness requiring close observation, patient’s
mental state and the availability of single room accommodation.
Staff must follow standard infection prevention and control procedures at all times in line
with Trust policies.
Whilst isolation precautions are in progress the number of staff entering the isolation
room should be limited. Non-essential treatments or therapies should be postponed
until the precautions are no longer in place. Medical staff and Allied Health
Professionals should ideally visit the patient following completion of other duties if
possible.
For outbreaks of diarrhoea and vomiting please refer to the policy :- Management of
patients and staff with diarrhoea and vomiting
Page 5 of 20
5.2
GUIDELINES FOR SINGLE ROOM AND COHORT NURSING





5.3
Explanation of infection, isolation procedures and treatment must be given to affected
patients. Any visitors must be made aware of the precautions they need to take to
reduce the risk of transmission whilst maintaining patient confidentiality. There may be a
need to restrict the number of visitors / relatives visiting the affected patient. The nurse
in charge will inform the relatives of any restrictions following consultation with the IPCT.
Rooms, bays and areas designated for isolated patients must have dedicated hand
hygiene and toileting facilities: for example designated commodes.
Use clear signage on doors or walls to alert staff and visitors of isolation precautions
(Appendix 4).
Doors must be kept closed at all times. If patient safety is compromised by closing doors
a risk assessment must be undertaken and documented in the patient records. This
should be reviewed at each shift change.
Preparation of the single room/cohort bay will include:
 The removal of all unnecessary furniture and equipment. This reduces the
potential for contamination and allows thorough cleaning to take place
 All equipment in the room must be dedicated to the patient in isolation
 The room must not be overstocked with consumables. Any items that are
unable to be decontaminated following discontinuation of source isolation will
need to be disposed of
 All personal belongings and equipment should be able to be decontaminated
safely and should be kept to a minimum
 Patient notes and/or charts must be kept outside of the isolation room
 Hand washing facilities must be available including liquid soap and paper
towels. Stock must be replenished on a regular basis
MANAGEMENT OF THE ISOLATED PATIENT
Hand Hygiene



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
Refer to Hand Hygiene policy.
High standards of hand hygiene minimise the risk of cross infection.
Hand hygiene must be performed before and after each direct patient contact
(regardless of glove use) and in accordance with WHO 5 moments for hand hygiene.
Adequate hand washing facilities and alcohol hand gel must be available for use.
Hand washing with soap and water must be undertaken when caring for a patient with
known or suspected C.difficile infection. Alcohol hand gel is not effective in destroying
C.difficile organisms.
Patient hand hygiene must be encouraged especially before eating and after going to
the toilet/using a commode. Hand washing using liquid soap and water or the use of
soapy hand wipes is recommended.
Visitors must be encouraged to decontaminate their hands before and after visiting.
Page 6 of 20
Personal Protective Equipment (PPE)

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Refer to Standard Infection Prevention and Control Precautions policy.
Disposable aprons must be worn by all staff and visitors assisting in the care of the
patient or having contact with their immediate environment. PPE does not need to be
worn by visitors routinely for social visiting.
Disposable gloves must be worn where there is anticipated contact with body fluids and
when handling contaminated items.
Face protection may be necessary where there is a risk of splash from body fluids in to
the face or for certain airborne infections.
Personal protective clothing worn in the isolation room should be disposed of in the
room unless dealing with body fluids that require disposal in the sluice. It must be
discarded immediately following body fluid disposal.
Hand decontamination must take place following removal of PPE.
Cleaning and Decontamination
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Refer to the Decontamination policy.
Where possible single patient use equipment should be used e.g. commodes, blood
pressure cuffs, hoist slings.
Multiple patient use equipment must be thoroughly decontaminated in accordance with
the decontamination policy to minimise the risk of cross infection.
Protective covers should be used on both disposable and non-disposable
bedpans/urinals.
Reusable bedpans, holders, and urinals must be emptied and placed immediately into
a bedpan washer disinfector. The decontamination cycle should reach a temperature of
80 degrees Celsius.
Single use pulp products should be disposed of in to a macerator where available. If
not, body fluids must be disposed of in toilets or sluice hopper facilities. The pulp
products should then be placed in to a hazardous waste bag for disposal.
Treat all linen as infected/contaminated (Refer to Laundry policy).
Waste must be categorised as hazardous waste and orange waste bags used (Refer
to Waste policy).
Cleaning procedures must be rigorously applied.
Enhanced cleaning must be performed twice daily and documented accordingly
(Appendix 5).
All staff must be aware of individual responsibilities for undertaking regular cleaning.
Patient Movement
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

Transfer and movement of patients must be kept to a minimum to reduce the risk of
cross infection and must be based on the clinical needs of the patient.
If transfer is necessary inform the IPCT prior to transfer or at earliest convenience.
Inform the receiving area/organisation of patient’s infection status to ensure infection
control measures can be instigated upon transfer. Ensure the Healthcare Associated
Infection Risk Assessment form is fully completed and is transferred with the patients
notes (Appendix 6).
Equipment used for transfer of patient must be thoroughly decontaminated after use.
Adherence to relevant IPC policies is essential throughout the process.
Page 7 of 20
Discontinuation of Isolation


5.4
The need for isolation must be reviewed regularly and should be discontinued once
deemed safe to do so. Where practicably possible the decision to discontinue isolation
should be discussed with the IPCT
Nursing and domestic staff must adhere to the terminal cleaning procedure and
complete the associated documentation. The nurse in charge must be satisfied the room
has been cleaned to a high standard before the documents are signed off and the room
can be used again.
CONFIDENTIALITY
All patients have a right to dignity, privacy and respect.
It is essential to maintain
confidentiality regarding the patient's illness. Certain infections or outbreaks of infection
arouse interest and speculation by the media and staff must not divulge such information
within or outside the hospital.
6.
TRAINING IMPLICATIONS
There are no specific training needs in relation to this policy, but all staff will need to be
aware of its contents. Staff will be made aware through:





7.
Line Manager
Team Brief
Team Meetings
One to one meetings/supervision
Trust Policy web site
MONITORING ARRANGEMENTS
Area
for How
monitoring
Breaches
policy
Who by
of IR1
Staff
knowledge of
when to Isolate
Modern
Matrons and
IPCT
Incorporated in IPCT
IPC audit tool
Page 8 of 20
Reported to
Frequency
ICC Committee As they occur
Audit results to Annually
Modern Matron
and
Ward
Managers
8.
EQUALITY IMPACT ASSESSMENT SCREENING
The completed Equality Impact Assessment for this Policy has been published on the
Equality and Diversity webpage of the RDaSH website click here
8.1
8.2
Privacy, Dignity and Respect
The NHS Constitution states that all patients should feel
that their privacy and dignity are respected while they
are in hospital. High Quality Care for All (2008), Lord
Darzi’s review of the NHS, identifies the need to
organise care around the individual, ‘not just clinically
but in terms of dignity and respect’.
No issues have been identified
in relation to this policy.
As a consequence the Trust is required to articulate its
intent to deliver care with privacy and dignity that treats
all service users with respect. Therefore, all procedural
documents will be considered, if relevant, to reflect the
requirement to treat everyone with privacy, dignity and
respect, (when appropriate this should also include how
same sex accommodation is provided).
Mental Capacity Act
Central to any aspect of care delivered to adults and
young people aged 16 years or over will be the
consideration of the individuals capacity to participate in
the decision making process. Consequently, no
intervention should be carried out without either the
individuals informed consent, or the powers included in
a legal framework, or by order of the Court
Therefore, the Trust is required to make sure that all
staff working with individuals who use our service are
familiar with the provisions within the Mental Capacity
Act. For this reason all procedural documents will be
considered, if relevant to reflect the provisions of the
Mental Capacity Act 2005 to ensure that the interests of
an individual whose capacity is in question can continue
to make as many decisions for themselves as possible.
9.
Indicate how this will be met
Indicate How This Will Be
Achieved.
All individuals involved in the
implementation of this policy
should do so in accordance with
the Guiding Principles of the
Mental Capacity Act 2005.
(Section 1)
LINKS TO OTHER PROCEDURAL DOCUMENTS
This policy should be read in conjunction with other Trust infection prevention and control
policies, particularly:
 Standard Infection Prevention & Control Precautions
 Hand Hygiene
 Laundry
 Waste Management
 Decontamination
 Surveillance, Prevention & Management of Infections
 Management of patients and staff with diarrhoea and vomiting
And policies relating to a specific infection/disease eg: Clostridium difficile, MRSA,
Chickenpox.
Page 9 of 20
10.
REFERENCES
1. Hospital Infection Society (2001) - Review of Hospital Isolation and Infection Control
Related Precautions - Report of the Joint Working Group.
2. Wilson, J. (2001) - Infection Control in Clinical Practice. London: Bailliere Tindall.
3. Department of Health (2008). The Health and Social Act: Code of Practice for health
and adult social care on the prevention and control of infections and related guidance.
London. Crown Copyright.
4. Department of Health (2009) Clostridium difficile infection : How to deal with the
problem
5. Department of Health (2007a) Saving Lives: Reducing Infection, Delivering Clean and
Safe Care. www.dh.gov.uk
6. Department of Health (2007b) High Impact Intervention No 7. Care Bundle to Reduce
the Risk from Clostridium Difficile. www.dh.gov.uk
7. Department of Health (2007c). A Simple Guide to Clostridium Difficile. www.dh.gov.uk
8. Department of Health (2006). Essential Steps to Safe, Clean Care. London. Crown
Copyright.
9. Department of Health (2006). A Health Technical Memorandum: Safe Management of
Healthcare Waste. London. Crown Copyright.
10. Department of Health (2006). Saving Lives Programme. Isolating patients with
healthcare associated infection. A summary of best practice. London. Crown Copyright.
11. Healthcare Commission and the Health Protection Agency (2005). Management,
prevention and surveillance of Clostridium Difficile: Interim findings from a national
survey of NHS acute trusts in England. December 2005.
12. Healthcare Commission (2007) Investigation in to outbreaks of Clostridium difficile at
Maidstone and Tunbridge Wells NHS Trust. London. October (2007).
13. Pratt RJ, Pellowe CM, Wilson JA, LovedayHP et al (2007) epic2: National evidence
based guidelines for preventing healthcare associated infections in NHS hospitals in
England. Journal of Hospital Infection 65 (Supplement).
14. National Institute for Health and Clinical Excellence (2012) Prevention of healthcareassociated infection in primary and community care. NICE.London
15. World Health Organisation (2009) Guidelines on Hand Hygiene in Health Care: First
Global Patient Safety Challenge, Geneva.
Page 10 of 20
11.
APPENDICES
APPENDIX 1
Mode of Spread and Means of Transmission
Mode of Spread
Direct
Skin/mucous membrane exposure to blood/body fluid infected with organism
Indirect
Exposure via contaminated equipment, environment or food
Parenteral
Exposure via needlestick/sharps injury or contaminated infusion fluids
Means of Transmission
Hand Hygiene
Isolation Precautions
Standard Precautions
Decontamination
Ventilation
Filters
Masks
Decontamination
Contact
Direct & Indirect (Fomites)
Airborne
Dust, droplet & aerosols
Food & Water
Hands, cloths, equipment &
surfaces
Food Hygiene Practices
APPENDIX 2
Microbiologist
Contact Number
Doncaster
01302 366666 ask for on call
Microbiologist
N & NE Lincs
01302 366666 ask for on call
Microbiologist
Rotherham
01709 820000 Bleep holder 221 and ask
for on call Microbiologist
Page 11 of 20
APPENDIX 3
ISOLATION PRECAUTIONS - PLANNING GUIDE This guide outlines measures to prevent cross-infection within the hospital environment.
Notifiable to CCDC
Disease
Acquired Immune
Deficiency Syndrome
(AIDS) or HIV
infection
What is infected
Blood and body
fluids
Route of Spread
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Campylobacter*
Faeces
Chickenpox
Respiratory
secretions and
discharge from
vesicle fluid
CJD and vCJD
Brain, eye,
nerves and
lymphoid tissue
Single room

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

Period of
precaution
Comments
Full face visor if risk of
splashes or sprays
No -unless
bleeding
profusely
Yes - for contact with
blood & body fluids
On-going throughout
admission
Yes
Yes - for contact with
diarrhoea
Until symptom free
for 48 hrs
Direct contact with
vesicles
Droplet/airborne
Indirect contact
with freshly soiled
clothing/linen
Yes with door
closed
Yes
For direct patient
contact
Until lesions are
crusted and dry
Direct and indirect
contact
Not usually
Yes for contact with blood
& body fluids
On-going throughout
admission
Blood or infected
tissue
Sexual exposure
Vertical
transmission
Breast milk
Occupational
exposure e.g.
sharps injury
Faecal oral
ingestion of organism

Personal Protective
Equipment
Page 12 of 20
Non immune staff to
avoid contact with
affected patient
* -
Disease
What is infected
Route of Spread
Single room
Personal Protective
Equipment
Period of
precaution
Comments
Clostridium difficile
Faeces
Faecal oral ingestion of
organism
Yes – with
door closed
Yes - for close
contact with patient
and diarrhoea
Until symptom free
for 48 hrs
Review antibiotic use.
Stringent
environmental cleaning
Diarrhoea +/Vomiting, known or
suspected food
poisoning *
E coli 0157
Faeces and
vomit
Faecal oral
ingestion of organism from
faeces or vomit
Yes – with
door closed
Yes - for close contact
with patient and
diarrhoea
Until symptom free
for 48 hrs
Refer to outbreak
policy if more patients
affected
Faeces
Group A
Streptococcus
Saliva and
wound exudate
Faecal oral
ingestion of organism
Respiratory secretions
andfluid from lesions
Yes – with
door closed
Yes - – with
door closed
Yes - for contact with
diarrhoea
Yes - for direct patient
contact
Can cause haemolytic
uraemic syndrome
Staff developing a sore
throat refer to
Occupational health
Hepatitis A *
Faeces
Yes
Hepatitis B *
Blood and body
fluids
Yes - for contact with
diarrhoea
Yes - for contact with
blood &body fluids
Hepatitis C *
Blood and body
fluids
Faecal oral
ingestion of organism
 Blood or infected
tissue
 Sexual exposure
 Vertical
transmission
 Breast milk
 Occupational
exposure e.g.
sharps injury
 Blood or infected
tissue
 Sexual exposure
 Vertical
transmission
 Breast milk
 Occupational
exposure e.g.
sharps injury
Until symptom free
for 48 hrs
Until 48 hrs of
appropriate
antibiotics or advised
by IPCT
Until symptom free
for 48 hrs
On-going throughout
admission
No - unless
bleeding
profusely
No
-unless
bleeding
profusely
Page 13 of 20
Yes for contact with blood
& body fluids
On-going throughout
admission
Disease
What is
infected
Route of Spread
Single room
Personal Protective
Equipment
Influenza
Respiratory
secretions


Respiratory
Airborne
Yes with door closed
Yes for direct patient
contact
Legionnaires
Lung tissue


Airborne
Water
No
No
Measles
Respiratory
secretions


Droplet spread
Indirect contact
Yes with door closed
Meningococcal
Meningitis
(bacterial)
Respiratory
secretions


Droplet spread
Direct contact –
mucous membrane
Yes – with door
closed
Yes for contact with
respiratory secretions
Yes for contact with
respiratory secretions
Pneumococcal
Meningitis
Respiratory
secretions


Droplet spread
Direct contact
withmucous
membrane
Yes – with door
closed
Yes for contact with
respiratory secretions
MRSA
Dependent
on site and
extent of
colonisation
/ infection
Respiratory
secretions

Direct contact
Yes – with door
closed
Mumps
Rotavirus
Faeces,
vomit and
respiratory
secretions




Droplet spread
Direct
contact
withmucous
membrane
Droplet spread
Faecal oral
Period of
precaution
Comments
Duration of
illness
Masks must be worn Refer
to HPA pandemic flu
guidance
Not thought to be
transmissible person to
person
Non immune staff to avoid
contact with affected patient
Yes - for direct patient
contact
For 4 days
after the rash
has appeared
Until patient
has received
24 hrs of
appropriate
antibiotic
therapy
Until patient
has received
24 hrs of
appropriate
antibiotic
therapy
Until advised
by IPCT
Yes – with door
closed
Yes for
contact
with
respiratory secretions
For 9 days
after onset of
swollen glands
Non immune staff to avoid
contact with affected patient
Yes – with door
closed
Yes for
contact
with
diarrhoea
and
respiratory secretions
Until symptom
free for 48 hrs
Refer to outbreak policy if
many babies affected
Page 14 of 20
Prophylaxis indicated for
close family contacts discuss with Microbiologist
Refer to MRSA policy
Disease
What is
infected
Route of Spread
Respiratory
secretions


Rubella *
Respiratory
secretions
Salmonella *
Faeces




Scabies
Skin


SARS *
Respiratory
secretions
Shingles
Vesicle fluid





Respiratory
virus (RSV)
Syncytial

Pulmonary TB*
Whopping
(pertussis)
cough*
Sputum



Respiratory
secretions


Single room
Personal Protective
Equipment
Period of
precaution
Droplet spread
Direct contact with
respiratory secretions
Droplet spread
Direct contact with
respiratory secretions
Faecal oral
Yes – with door
closed
Until symptom
free
Scabies mite
Direct skin to skin
contact
Droplet spread
Direct contact with
respiratory secretions
Airborne
Direct contact with
vesicle fluid
Indirect contact with
contaminated
equipment and linen
Airborne
Direct contact with
respiratory secretions
No
Yes for
contact
with
respiratory secretions
Yes for
contact
with
respiratory secretions
Yes for
contact
with
diarrhoea
Yes - for direct patient
contact
Airborne
Direct contact with
nasal and throat
secretions
Yes – with door
closed
Yes
Comments
For 7 days
after onset of
rash
Until 48 hrs
symptom free
Until
successfully
treated
Duration
of
illness
Dermatology
referral
is
recommended for in patient
areas.
Masks must be worn. Seek
urgent advice from IPCT
Yes with door closed
Yes
Yes – with door
closed
Yes for direct contact with
vesicle fluid
Until
lesions
are crusted and
dry
Staff who are not immune to
chickenpox to avoid contact
with affected patient
Yes with door closed
Yes for
contact
with
respiratory secretions
Until 2 weeks
after effective
compliant
treatment
Yes with door closed
Yes for
contact
with
respiratory secretions
Until 5 days
appropriate
antibiotic
therapy
Staff should wear special
filter masks when exposed
to respiratory droplets
Only immune staff to attend
patient
Restrict contact with infants
and young children until
patient has received at least
5 days treatment
Page 15 of 20
APPENDIX 4
Signage for Isolation Nursing
STOP AND THINK!
Isolation Nursing
All Visitors:
All Staff
 Please wash and dry your hands before
entering and on exiting the room
 Please ask the nurse before entering so
that she/he can explain any precautions
you need to take
 Please close the door behind you
 Please ask the nurse/matron or member
of the infection control team to explain
anything you are unsure of
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 Please adhere to standard
infection control precautions at
all times
 Please check care plan/ward
guidance if you are unsure
about any infection control
procedure
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APPENDIX 5
ISOLATION – CLEANING CHECK LIST
Domestic Services provided by_____________________________________
Ward:
Room/Bay:
Date Isolation Cleaning Commenced:
Domestic/Service/Ward Assistants should wear a yellow plastic apron and yellow gloves to carry out
the cleaning. All cleaning equipment should be colour coded yellow.
Chlor-clean ( or alternative antimicrobial detergent) must be used as per manufacturer’s instructions
Patient Environment - 2 x Daily Clean
On discharge full terminal clean to be performed
Responsibility –Domestic services
Date
Time
Signature
Day 1
Frequency 1
Frequency 2
Day 2
Frequency 1
Frequency 2
Day 3
Frequency 1
Frequency 2
Day 4
Frequency 1
Frequency 2
Day 5
Frequency 1
Frequency 2
Day 6
Frequency 1
Frequency 2
Day 7
Frequency 1
Frequency 2
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Print Name
APPENDIX 6
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