MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS This document will be monitored to ensure it is effective and to assurance compliance. Minimum Lead Tool Frequency of Report Reporting arrangements Lead(s) for acting on requirement to be of Compliance Recommendations monitored Incidence of GRE Infection Quarterly Quarterly IPCM and Trust Board Dr. C Mitchell (IPCT Prevention IPMC Lead) Isolation of GRE Infection Weekly Weekly Policy audit report to: Dr. C Mitchell (IPCT patients Prevention Infection Lead) HoN, NMAC, IPMC Prevention Heads of Nursing dashboard Cleanliness & Infection Weekly Weekly Policy audit report to: Dr. C Mitchell (IPCT hygiene of patient Prevention Infection Lead) HoN, NMAC, IPMC isolation facilities Prevention Heads of Nursing dashboard
MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS This document will be monitored to ensure it is effective and to assurance compliance. Minimum requirement to be monitored Lead Tool Frequency of Report of Compliance Reporting arrangements Lead(s) for acting on Recommendations Incidence of GRE Infection Prevention Quarterly IPMC Quarterly IPCM and Trust Board Dr. C Mitchell (IPCT Lead) Isolation of GRE patients Infection Prevention Weekly Infection Prevention dashboard Weekly Policy audit report to: HoN, NMAC, IPMC Dr. C Mitchell (IPCT Lead) Heads of Nursing Cleanliness & hygiene of patient isolation facilities Infection Prevention Weekly Infection Prevention dashboard Weekly Policy audit report to: HoN, NMAC, IPMC Dr. C Mitchell (IPCT Lead) Heads of Nursing
GRE%20Prevention%20and%20Management%20Policy.docx