Download Practice No - Hampshire County Council

Practice No.
407
Reference: 10/06
Version 3
Page 1 of 5
Last up-dated
April 2008
HCC AS 31/00
WORK RESTRICTIONS FOR STAFF WITH INFECTIOUS
CONDITIONS
This summarises the measures to be taken when a member of staff contracts, or is in
contact with, an infectious/notifiable disease. It specifies any need to restrict the
employee’s activities within their workplace - to the point of exclusion until free from
infection, and supports infection control measures:
Hampshire County Council Occupational Health Unit is available to give advice
and provide support in respect of all infectious conditions that affect staff.
1.
These guidelines will apply in the following circumstances:
1.1
Where an employee is suffering from, or suspected to be suffering
from, an infectious / notifiable disease.
1.2
Where an employee is in close contact with a case of infection within
their own home.
2.
All staff will receive appropriate training in infection control. This will include
an understanding of the need to prevent cross infection between staff, service
users and others.
3
Where there may be a risk to service users and other staff, all staff are
required to report any occurrences of infection, as described in 1, to their
immediate line manager or duty manager.
4.
Each case reported will be reviewed individually and any action taken will be
determined by the following factors and circumstances:
4.1
The nature of the disease or infection.
4.2
The likely routes of its transmission.
4.3
The persons most likely to be infected.
4.4
The employee's specific role profile and accountabilities - those with
responsibility for service user care and/or food handling will be
considered as being a very high risk.
4.5
For the specific member of staff involved:
i. Their degree of susceptibility to infection (based on previous
sickness absence / Pre-employment Questionnaires and
medical history where relevant).
ii. Their level of job related training.
iii. The effect of any restrictions on their ability to fulfil their role
responsibilities.
5.
Dependant upon circumstances, and the outcome of 4, the employee may be:
5.1
Re-deployed to duties which pose less risk of cross infection. Such redeployment would be considered temporary until such time as the
infection has cleared.
5.2
Excluded from work until the infection has cleared.
6.
The following table summarises recommended work restrictions for staff with
known or suspected infectious diseases or conditions.
7.
In all cases of staff re-deployment or exclusion, proof that the infection
has cleared must be obtained in the form of a medical certificate before
the employee is allowed to resume normal duties.
WORK RESTRICTIONS / EXCLUSIONS
for
STAFF MEMBERS WITH KNOWN OR SUSPECTED INFECTIONS / DISEASES
Table page 1 of 3
HPA = Health Protection Agency
DISEASE or INFECTIOUS
CONDITION
RISK
MINIMUM PERIOD OF
RESTRICTIONS
Direct
Service User
Contact
Body and Head Lice
Food
Preparation,
Handling or
Serving
No = Not Permitted
Yes = Permitted with
condition and
monitored
NO
NO
Chicken Pox
NO
NO
Cold Sore
YES
YES
YES UNLESS
infection is
severe
NO
YES UNLESS
infection is
severe
NO
NO
NO
YES IF
Lesions
Covered
NO
YES IF
Lesions
Covered
NO
Common Cold
Conjunctivitis
Dysentery / Infective Diarrhoea
Eczema
Gastroenteritis
Employee
who is
Infected
Employee who is in
contact with
Infection at home
Until treated
No restrictions
and cleared
7 days from
No restrictions
the onset of
the rash
No restrictions No restrictions
normally
necessary
No
No restrictions
restrictions
normally
necessary
Until
No restrictions
discharges
cease
Until symptoms have resolved.
Seek advice from the HPA. Do not
return to work until there has been a
clear stool sample, especially
kitchen staff and food handlers.
No restrictions No restrictions
Until clear of
Diarrhoea or
vomiting for
48 hours
Do not return to
work until there
has been a clear
stool sample,
especially kitchen
staff and food
handlers.
WORK RESTRICTIONS / EXCLUSIONS
for
STAFF MEMBERS WITH KNOWN OR SUSPECTED INFECTIONS / DISEASES
Table page 2 of 3
HPA = Health Protection Agency
DISEASE or INFECTIOUS
CONDITION
RISK
MINIMUM PERIOD OF
RESTRICTIONS
Direct
Service User
Contact
German Measles
Food
Preparation,
Handling or
Serving
No = Not Permitted
Yes = Permitted with
condition and
monitored
NO
NO
Glandular Fever
NO
NO
Hepatitis A
NO
NO
Hepatitis B or C
NO
in the Acute
stage of the
illness
NO
Human Immunodeficiency
Virus - positive infection (HIV) and where this has
accelerated to Acquired
Immune Deficiency Syndrome
(AIDS)
Influenza
YES UNLESS
duties
involve
invasive
procedures
NO
YES
Impetigo
NO
NO
Measles
NO
NO
Meningitis
NO
NO
cases normally admitted
to hospital
Employee
Infected
Employee in
contact with
Infection at home
5 days from
No
the onset of
the rash
Until medically
No
cleared
7 days after
No restrictions,
onset of
immunisation
jaundice
advised
Care staff who perform invasive
procedures need not be restricted
from work, but must wear PPE until
blood tests confirm they are clear of
infection
Care staff who have made it known
to the employer that they are HIV
positive, and who do not perform
invasive procedures such as
phlebotomy, need not be restricted
from work on this basis alone.
Until
No restrictions
temperature
has been
within the
normal range
for 48 hours
Until lesions
No restrictions
are dry
7 days from
No restrictions
the onset of
the rash.
Seek advice
from HPA
Until clinically No restrictions
well. Seek
advice from
HPA
WORK RESTRICTIONS / EXCLUSIONS
for
STAFF MEMBERS WITH KNOWN OR SUSPECTED INFECTIONS / DISEASES
Table page 3 of 3
HPA = Health Protection Agency
DISEASE or INFECTIOUS
CONDITION
RISK
MINIMUM PERIOD OF
RESTRICTIONS
Direct
Service User
Contact
Mumps
Salmonella Food Poisoning
Food
Preparation,
Handling or
Serving
No = Not Permitted
Yes = Permitted with
condition and
monitored
NO
NO
Employee
Infected
Employee in
contact with
Infection at home
10 days from
No restrictions
the onset of
swelling.
Seek advice
from HPA
Seek advice from HPA. Do not
return to work until there has been a
clear stool sample, especially
kitchen staff and food handlers.
24 days after
No restrictions
onset of
treatment
NO
NO
Some
restrictions
apply, refer to
line manager
NO
NO
Shingles
YES
YES
Tuberculosis
NO
NO
Threadworm
YES
NO
Typhoid
NO
NO
Until free of
No restrictions
fever for 48
hours after
administration
of antibiotics
Until all
No restrictions
lesions are
dry. Minimum
7 days from
onset of rash
Until medically No restrictions, but
cleared by
there should be
Tuberculosis
clinical monitoring
specialist.
of the family in
Seek advice
place.
from HPA
No
No restrictions
restrictions,
but requires
treatment
Seek advice from HPA
Whooping Cough
NO
NO
Seek advice from HPA
Scabies
Scarlet Fever
NO