Infection prevention and control Includes 6 standards that support an outcome which minimises the risk of infection to Some standards consumers, service providers and visitors. Infection control policies and procedures are applicable to this practical, safe and appropriate for the type of service provided and reflect current accepted service partially good practice and legislative requirements. The organisation provides relevant education on attained and of low infection control to all service providers and consumers. Surveillance for infection is carried risk. out as specified in the infection control programme. The infection control programme is updated annually. The programme is overseen by senior nursing staff. A recently appointed infection control nurse is supported by experienced staff with access to expertise at from DHB IP&C nurse specialist. Policy guidance is sufficient for the programme. Education is appropriate to the service. An active audit programme is undertaken including surveillance of infections. Policy includes guidance and audit requirements for antimicrobial prescribing, however no evidence was provided at audit of antimicrobial monitoring. This is an area for improvement. Summary of attainment The following table summarises the number of standards and criteria audited and the ratings they were awarded. Partially Partially Partially Partially Partially Continuous Attained Attained Attained Low Attained Attained High Attained Critical Attainment Improvement Negligible Risk Risk Moderate Risk Risk Risk Rating (FA) (CI) (PA Negligible) (PA Low) (PA Moderate) (PA High) (PA Critical) Standards 0 41 0 7 3 0 0 Criteria 0 92 0 7 4 0 0
Infection prevention and control Includes 6 standards that support an outcome which minimises the risk of infection to consumers, service providers and visitors. Infection control policies and procedures are practical, safe and appropriate for the type of service provided and reflect current accepted good practice and legislative requirements. The organisation provides relevant education on infection control to all service providers and consumers. Surveillance for infection is carried out as specified in the infection control programme. Some standards applicable to this service partially attained and of low risk. The infection control programme is updated annually. The programme is overseen by senior nursing staff. A recently appointed infection control nurse is supported by experienced staff with access to expertise at from DHB IP&C nurse specialist. Policy guidance is sufficient for the programme. Education is appropriate to the service. An active audit programme is undertaken including surveillance of infections. Policy includes guidance and audit requirements for antimicrobial prescribing, however no evidence was provided at audit of antimicrobial monitoring. This is an area for improvement. Summary of attainment The following table summarises the number of standards and criteria audited and the ratings they were awarded. Attainment Rating Continuous Improvement (CI) Attained (FA) Partially Attained Negligible Risk (PA Negligible) Partially Attained Low Risk (PA Low) Partially Attained Moderate Risk (PA Moderate) Partially Attained High Risk (PA High) Partially Attained Critical Risk (PA Critical) Standards 0 41 0 7 3 0 0 Criteria 0 92 0 7 4 0 0
AuditSummary_PRMS_CommunicatePublish_000001054006.docx