wound infections aseptic non-touch technique catheter associated urinary tract infections deep cleans and decontamination influenza 11.0 DECONTAMINATION The Decontamination Lead for the Trust is Jeff Legge, Head of Estates. The Trust Authorising Engineer is Tom Hall. Decontamination activities are reported through the IP&C Committee. The Trust contracts with Nuffield Hospitals for an off-site sterilization service. This contract is monitored regularly and there have been no incidents of concern with this contract. Decontamination of Endoscopes was audited by an external IP&C adviser following the serious incident noted above. The service was found to be overall compliant with the standards set, with recommendations made for changes to documentation, review of competence recording and update of operating protocols. The Pathology Sterilizer is managed by the Head of Pathology Services with confirmation that the appropriate testing and maintenance has been carried out in year. 11.1 Washer Disinfectors As further measures to prevent cross contamination the washer disinfector machines which decontaminated patient wash bowls, bed pans and urinals were removed from ward sluices in February 2015. These have now been replaced with disposable bowls and related products. Each ward has been fitted with an industrial macerator which pulps down the disposable products which is then flushed into the water drainage system. The remaining washer disinfector within the Theatre complex will be removed as part of the upcoming refurbishment. 12.0 ESTATES 12.1 Ventilation System Compliance Following an instruction from Estates & Facilities Management a ventilation survey was completed of both Cheddar and Hutton wards and their respective side rooms. The report confirms that the hospital relies on natural air movement for ventilation around the majority of wards. Cheddar ward side rooms have some comfort cooling ventilation, but these rooms should not be classed as either negative or positive pressure rooms. The Trust has one side room in Berrow ward (side room 3) which is used as a negative pressure room but does not meet the full specification of HTM-03. If this room is to be used as a negative pressure room there will be a requirement to up-grade this room to the current HTM-03 ventilation standard. The has recently appointed an Authorised Engineer Ventilation (AEV) who will complete an audit of the existing Trust ventilation systems and processes.
wound infections aseptic non-touch technique catheter associated urinary tract infections deep cleans and decontamination influenza 11.0 DECONTAMINATION The Decontamination Lead for the Trust is Jeff Legge, Head of Estates. The Trust Authorising Engineer is Tom Hall. Decontamination activities are reported through the IP&C Committee. The Trust contracts with Nuffield Hospitals for an off-site sterilization service. This contract is monitored regularly and there have been no incidents of concern with this contract. Decontamination of Endoscopes was audited by an external IP&C adviser following the serious incident noted above. The service was found to be overall compliant with the standards set, with recommendations made for changes to documentation, review of competence recording and update of operating protocols. The Pathology Sterilizer is managed by the Head of Pathology Services with confirmation that the appropriate testing and maintenance has been carried out in year. 11.1 Washer Disinfectors As further measures to prevent cross contamination the washer disinfector machines which decontaminated patient wash bowls, bed pans and urinals were removed from ward sluices in February 2015. These have now been replaced with disposable bowls and related products. Each ward has been fitted with an industrial macerator which pulps down the disposable products which is then flushed into the water drainage system. The remaining washer disinfector within the Theatre complex will be removed as part of the upcoming refurbishment. 12.0 ESTATES 12.1 Ventilation System Compliance Following an instruction from Estates & Facilities Management a ventilation survey was completed of both Cheddar and Hutton wards and their respective side rooms. The report confirms that the hospital relies on natural air movement for ventilation around the majority of wards. Cheddar ward side rooms have some comfort cooling ventilation, but these rooms should not be classed as either negative or positive pressure rooms. The Trust has one side room in Berrow ward (side room 3) which is used as a negative pressure room but does not meet the full specification of HTM-03. If this room is to be used as a negative pressure room there will be a requirement to up-grade this room to the current HTM-03 ventilation standard. The has recently appointed an Authorised Engineer Ventilation (AEV) who will complete an audit of the existing Trust ventilation systems and processes.
Agenda%20Item%201006%2015%20%20Infection%20Prevention%20and%20Control%20Annual%20Report.docx