Kippax Hall Surgery
Infection Control Annual Statement 2014 / 2015
Purpose
This annual statement will be generated each year. It will summarise:
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Any infection transmission incidents and any action taken (these will have been recorded in
accordance with our significant event procedure)
Details of any infection control audits undertaken and actions taken
Details of any infection control risk assessments undertaken
Details of staff training
Any review and update of policies, procedures and guidelines
Background
Kippax Hall Surgery has one clinical and one non-clinical lead for infection prevention control
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Annemarie Lowe- Practice Nurse
Karen Taylor – Practice Manager
Significant events
In the past year there have been no significant events raised that related to infection control
Audits
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An audit of minor surgery is undertaken quarterly by the Practice Manager. No infections
were reported in the last year
An infection control audit is carried out quarterly by the Practice Nurse and Practice
Manager
The following main areas were identified during the past year as requiring further action
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A robust system for ensuring stock due to expire is easily identified and disposed of
Dedicated hand washing sinks with thermostatic taps in treatment rooms 2 and 5
Replacement of mastic around the sinks in all 3 toilets
Alcohol hand gel to be available to patients at various locations around the surgery
Deep clean of waiting room carpet
All actions have been completed
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A hand hygiene audit will be introduced from 2015
Infection control self-assessment tool to be completed annually from 2015
Risk Assessments
The following risk assessments were already in place and are reviewed / updated on an annual basis
Risk Assessment
Last Reviewed
Infection Control
5 June 2014
Legionella
14 October 2014
Sharps
19 April 2014
Immunisations / injections
29 October 2014
Cervical smears / swabs
29 October 2014
Dressings
29 October 2014
Ear syringing
29 October 2014
Phlebotomy
29 October 2014
Spirometry
29 October 2014
The following new risk assessments were made during the last year
MRSA
25 July 2014
Respiratory devices
25 July 2014
Staff Training
All staff receive infection control training at induction and undertake annual refresher training.
All staff have completed their annual update
The infection control leads meet at regular intervals throughout the year
Infection control is a set item on the monthly nurse meeting
Policies, Procedures and Guidelines
Polices are formally reviewed annually; however all are amended on an on-going basis as current
advice changes, or needs arises.
Policy
Last Reviewed
Infection Control
5 June 2014
Managing bodily fluid spillages
24 October 2014
Handling and storage of specimens
5 June 2014
Environmental cleaning
7 February 2014
Hand washing
5 June 2014
Legionella
5 August 2014
Needle stick injuries
5 June 2014
Nursing uniforms
26 September 2014
Sharps
17 April 2014
Sterilisation and single use
13 January 2015
Waste management
11 September 2014
Aseptic technique
17 October 2014
Interventional procedure
4 September 2014
Acquisition and maintenance of medical devices
29 August 2014
Cold Chain
4 September 2014
COSHH
31 October 2014
The following policies will be formalised in 2015
Outbreaks of communicable disease
Isolation of service users with an infection
Occupational exposure to blood borne viruses
Antimicrobial prescribing
Management of patients with alert organisms
Disinfectants and antiseptics