Middleway Surgery
Annual Infection Control Statement 2014 – 15
PURPOSE
This Annual Statement will be generated each year in October. It will summarise:
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Any infection transmission incidents and any action taken (these will have been
reported in accordance with our Significant Event procedure).
Details of any infection control audits undertaken and any subsequent actions taken
as a result.
Details of any infection control risk assessment undertaken and any subsequent
actions taken as a result.
Any review and update of policies, procedures and guidelines.
INFECTION CONTROL LEADS
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Nurse Bridget Ball is the Practice lead for infection control at Middleway Surgery
alongside Mrs Katrina Clemes, Practice Manager.
Nurse Ball attends annual training and cascades the information back to the whole
Practice Team.
Annual risk assessments and audits are carried out by Nurse Ball and Mrs Clemes.
SIGNIFICANT EVENTS
There have been no significant events regarding infection control issues in the previous 12
months.
AUDITS
Several audits are carried out each year regarding Infection Control. These include:
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Handwashing Audit
Clinical Waste Pre-acceptance Audit (5 yearly)
Infection Control Checklist
Cleaning Checklist
Specimen Trolley checklist
The infection control checklist revealed that several areas of carpet are in need of cleaning.
Quotes have been obtained and this will be addressed.
The Clinical Waste audit showed that all waste was being segregated correctly. Only one
inappropriate item was found in a sharps box and the Clinician was advised of this.
RISK ASSESSMENTS
Middleway Surgery
An annual Health and Safety Risk Assessment is carried out along with a Fire Risk
Assessment.
During the past year the Fire Brigade were asked to review the current risk assessment and
advise on any areas of improvement. As a result of this a new fire alarm system was
installed.
STAFF TRAINING
Clinical staff receive annual infection control training whilst non-clinical staff receive training
on a 3 yearly basis. All staff received training in 2013.
POLICIES AND PROTOCOLS
The following are in use by the Practice. They are reviewed annually, or following any
incident/change:
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Cold Chain Policy
Handwashing Guidelines
Sample Handling Protocol
Sharps Safety Policy
Single Use Instrument Policy
Daily and Weekly Cleaning Schedules + Checklist
Sluice Room Protocol
Specimen Trolley Protocol
Toys in the Waiting Room Procedure
Propulse Cleaning
Clinical Waste Management Protocol
Needlestick Injuries Protocol
Significant Event Protocol
October 2014