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INFECTION PREVENTION & CONTROL ANNUAL STATEMENT

 SOUTH READING & SHINFIELD GROUP MEDICAL PRACTICE 2017/2018

 

Purpose

The annual statement will be generated each year in March.

It will summarise:

  • Any infection transmission incidents and action taken (these will be reported in accordance with our Significant Incident procedure The annual infection control audit summary and actions undertaken
  • Control risk assessments undertaken
  • Details of staff training (both as part of induction and annual training) with regards to infection prevention & control
  • Details of infection control advise to patients
  • Any review and update of policies, procedures and guidelines.

 

 

Background:

 

Adesola Sogbesan is the Lead Nurse for Infection Prevention & Control at our surgery. She is supported by the nursing team and every member of staff, as we all have a role to play in Infection Prevention and Control in the surgery.

 

Carole Durrant our HCA, Haley Thomas our Phlebotomist, Cathy McCrow our new Practice nurse and over 90% of our staff have undergone Infection Prevention Control training online. We are in the process of booking for an in-house training by Michaela Hooper, Infection Prevention & Control Nurse for West Berkshire CCGs (Wokingham CCG, Newbury & District CCG, N&W Reading CCG, South Reading CCG) AND East Berkshire CCGs (NHS Bracknell & Ascot CCG, NHS Slough CCG, NHS Windsor Ascot & Maidenhead CCG).

The previously organised training with her was cancelled for a reason beyond our control.

 

This surgery nursing will team keep updated with infection prevention & control practices and share necessary information with staff and patients throughout the year.

 

Significant events:

 

In the past year 01/04/2017-31/03/2018 there have been two significant events related to infection prevention & control.

 

The first incidence was in regards to specimens’ collection and handling policy. The midwifery team and the District nurses used to bring their samples to us for collection by the hospital courier. They would sometimes bring the samples late when the collection had already taken place, hence the samples will end up in our samples fridge, leaving us the responsibilities for their samples. Our receptionists were instructed to inform whosoever brought their samples late, to take it to the Royal Berkshire Hospital themselves. Whilst some nurses adhered to instructions, others ignored the instructions, and dropped their samples anyway. When this happened that we had samples in the fridge over the weekend, which should have gone to the laboratory if the person had adhered to collection times. The surgery had a meeting and it was decided that, the surgery will only accept samples brought in outside of the collection times. The decision was emailed to the departments concerned by the previous Manager, and the problems had since ceased.

 

On 27-28th of April 2018 the pipes supplying the Portakabin at South Reading Surgery became frozen because of the snow, and as a result, water supply to the Portakabin was cut off. This was risk assessed and business action plan was put in place for any future occurrences. The incidence was reported to the CCG, and we were adequately advised.

The following business action plan has been put in place in case of any future reoccurrence

 

Business Action Plan in case of a freezing pipe at South Reading Surgery

-Close toilets and put a sign on it for patients to use the toilet in the main building.

--the surgery will risk assess the type of patients that can be seen in the Portakabin such as :

-Our Pharmacist can see patients for medication reviews, and these will not require much hand examination, to use gloves when necessary, clean BP machine as per protocol and use sanitiser as appropriate.

--Phlebotomist can use the Portakabin with a change of gloves in between patients and application of hand sanitiser before new gloves.

-Smoking cessasion counsellor can also use the Portakabin as no much patient contact.

-- Provision of water bottles to was hands if dirty.

--Telephone triage can also be done in the Portakabin.

-The Portakabin can be used for administrative work

-The practice can assess and redirect our patients, who are able to attend at Shinfield surgery for their appointments, in order to be able to accommodate the elderly and those who do not drive or are unable to attend Shinfield surgery to be seen at South Reading Surgery main building.

 

Audits:

 

The whole surgery audit (at both sites, South Reading & Shinfield ) were undertaken by Michaela Hooper, the Lead IPC for Berkshire West CCG and Adesola Sogbesan, the surgery IPC Lead nurse and the measures below were put in place by the surgery.

 

Risk Assessments:

Regular risk assessments are undertaken to minimise the risk of infection and to ensure the safety of patients and staff. The following risk assessment related to infection prevention & control has been completed in the past year and appropriate actions have been taken:-

We do not keep toys at our practice reception any more, as it’s sometimes difficult to catch up with cleaning toys in between patients to prevent spread of infection, especially among the under 3 years old. Instead we have hard covered books that can be easily wiped clean.

-We have a protocol in place for control of substances hazardous to health (COSSH)

-W have a protocol in place for our practice waste disposal in accordance to the national regulations.

-Surgery staff are trained in hand hygiene, prevention of health care associated infection (HCAIs).

-The surgery is offering Hep B to member of staff to prevent and control occupational infections.

-Sharp bin and injury management protocol is up to date.

-The minor surgery performed at the surgery are implant insertion and removal our GPs are trained to maintain aseptic technique with these procedures.

-Our clinical staff have been assessed in the choosing and usage of personal protective clothing clothing/equipment for appropriate procedures.

-Adesola Sogbesan, the Lead nurse on infection prevention and control for the practice has put an ongoing training in place for staff during our monthly staff meetings.

-At present, the clinicians are dealing with any bodily fluids spillage at the practice, until our staff are fully vaccinated and trained to deal with it as well.

-Legionella risk assessment was done in 09/09/2017, and produced a clear result.

 

Staff training:

 

Cathy McCrow new staff joined this Medical Centre in April 2018, and received online infection control and hand-washing training within the first day of employment.

100% of the Practice Clinical staff completed their online annual infection prevention & control update training (formal training session is presently being organised)

94% of the Practice non-clinical staff completed their annual infection prevention & control update training.

 

The Infection Control Leads will be attending training updates (whenever one is available, the one organised for March 2018 was cancelled due to snow) for their role provided by Michaela Hooper (the Infection Prevention & Control Nurse for Berkshire West CCGs).

 

 

Infection Control Advice to Patients:

 

Patients are encouraged to use the alcohol hand gel/sanitiser dispensers that are available throughout the Medical Centre/Surgery.

 

There are leaflets/posters available in the Medical Centre/Surgery on:

  • MRSA                                                  - Norovirus
  • Chickenpox & shingles                        - Influenza
  • The importance of immunisations (e.g. in childhood and in preparation for overseas travel)
  • Recognising symptoms of TB

 

 

Policies, procedures and guidelines.

 

Documents related to infection prevention & control are reviewed in line with national and local guidance changes and are updated 2-yearly (or sooner in the event on new guidance).

 

 

 

South Reading Surgery

257 Whitley Wood Road
Reading
Berkshire
RG2 8LE

Telephone: 0118 931 3515
Fax:            0118 975 7065

**please note we sometimes record our calls for training and quality purposes**

Shinfield Medical Practice

School Green
Shinfield
Reading
RG2 9EH

Telephone:  0118 402 9177
Fax:             0118 988 5199

**please note we sometimes record our calls for training and quality purposes**

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