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annual statement on infection prevention and control

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This page contains the hygeia annual statements on infection prevention and control, prepared by Joanne Giddy as infection control lead.

2012

There were no known infection transmission events in 2012 (nor, indeed, have there been any in previous years).

Audits of infection control procedures were carried out on 3rd March 2012, 2nd June 2012, 8th September 2012 and 15th December 2012.  These audits were conducted using the standard audit pro-forma produced by the Infection Prevention Society.  As a direct result of these audits, the following actions/improvements were taken/made:

  • Clinical staff who had not already done so provided documentary evidence of their current Hepatitis B immunity.
  • Sharps container labels are now fully completed.
  • All remaining instruments that were not capable of local sterilisation (mixing spatulas & wax knives) were replaced with autoclaveable versions.
  • All sterilisable instruments are now wrapped following sterilisation and marked with a use-by date.
  • A system has been introduced so that surgery personnel check on a daily basis that all sterilisable instruments are “in-date” and logs are kept of this.
  • A system has been introduced whereby the Practice Director makes monthly checks to ensure that the daily logs are complete/correct and a double-check is made of all bagged instruments at the same time.
  • The hand-held magnifiers that were previously used for checking instrument decontamination have been replaced with wall-mounted illuminated magnifiers.
  • Logs of ultrasonic bath testing are now kept to show that the baths are subjected to regular Browns tests (cleaning efficacy) and ultrasonic activity checks.
  • Autoclave cycle testing has been automated with the installation of data-loggers and a system implemented to ensure that the data are checked regularly.
  • A new system has been implemented for the transfer of clean and dirty instruments between different practice areas.
  • The surgeries have been redecorated.
  • The remaining soft toys have been removed from the practice.
  • Ventilation systems are now checked and the grilles cleaned every week (this had previously been done on an annual basis).
  • We now ensure that face masks used in the surgeries are discarded after every appointment.
  • We now keep evidence to show we have checked that our waste contractors are registered with the Environment Agency and this is re-checked annually.
  • All waste produced in the surgeries (with the exception of “special” wastes such as amalgam, out-of-date drugs, sharps, etc) is now classified as potenitially hazardous and disposed of in orange waste sacks.
  • We have carried out a more thorough waste pre-acceptance audit and have allocated appropriate EWC codes to ALL waste types – including paper & card for recycling, batteries, gypsum, etc.

The practice legionella risk assessment is due to be repeated in 2013.

The practice general risk assessment (which includes matters relating to infection prevention and control) was updated on 25th January 2012, 18th February 2012 and 19th December 2012.

Team members were given training in aspects of infection control on 13th June 2012 (Becky), 15th December 2012 (Lauren), 4th March/30th April/1st May 2012 (Jo).

The practice infection control policy and procedures were reviewed and updated on 26th January 2012 and 17th December 2012.

2013

There were no known infection transmission events in 2013 and nor have there been any in previous years.

Audits of infection control procedures were carried out on 14th March 2013 and 14th September 2013.  These audits were carried out using the standard infection control audit produced by the Infection Prevention Society.  As a result of these audits, the following actions were taken/improvements made:

  • The coverings on the dental chairs were repaired.
  • Single use sterile water was introduced for surgical procedures.
  • Part of the flooring was replaced in both surgeries.
  • A list of duties was prepared for the practice manager with specific reference to equipment validation.
  • The mechanical ventilation apparatus in the clinical areas was modified to ensure better air flow from “clean” to “dirty” areas.

The practice legionella risk assessment was repeated and updated.  It is due to be repeated again in 2015.

The practice general risk assessment (which includes matters relating to infection prevention and control) was updated on 23rd February, 9th March, 20th March and 23rd May 2013.

Team members undertook training in aspects of infection control on 11th March, 21st March and 7th May (Neil); 30th May (Louise); 18th March, 10th April, 27th June and 6th July (Debbie); January-July (Lauren – as part of her NEBDN training course); 11th March, 21st March and 3rd November (Jo).

The practice infection control policy and procedures were reviewed and updated on 10th January, 11th January, 13th March, 23rd May and 8th November 2013.

2014

There were no known infection transmission events in 2014 and nor have there been any in previous years.

Audits of infection control procedures were carried out on 22nd March 2014 and 20th September 2014.  These audits were carried out using the standard infection control audit produced by the Infection Prevention Society.  As a result of these audits, the following actions were taken/improvements made:

  • The computer keyboards in the surgeries were upgraded to fully waterproof, wipe-down clinical versions (previously standard keyboards with removable covers were used).
  • The computer mice in the surgeries were upgraded to fully waterproof, wipe-down clinical versions (previously standard mice with removable covers were used).
  • The walls and ceiling in both surgeries were repainted.
  • The lead connecting the foot controls to the delivery unit in surgery 1 was replaced (it had been damaged).
  • The interiors of the bin cupboards in each surgery were re-covered with a special spray coating (they had begun to look worn/discoloured).
  • The capsule mixer controls were repaired (they had begun to wear through making them difficult to clean).
  • The enamel on the decontamination sinks was repaired.
  • The blue metal wall cabinets were removed since they were beginning to rust.
  • A new system for segregating and disposing of waste was devised and implemented (using both orange and “Tiger” bags – previously all waste was consigned as hazardous waste in orange bags).

The practice legionella risk assessment is due to be repeated in 2015 (at the time of writing it has already been done).

The practice general risk assessment (which includes matters relating to infection prevention and control) was updated on 20th February, 17th May, 25th June and 18th July 2014.

Team members undertook training in aspects of infection control on 7th and 13th November (Neil); 13th & 20th June and 19th December (Debbie); 20th June & 18th December (Lauren); 16th & 20th April and 7th November (Jo).

The practice infection control policy and procedures were reviewed and updated on 20th June 2014 and 28th November 2014 (re: waste disposal procedures; see above).

2015

There were no known infection transmission events in 2015 and nor have there been any in previous years.

Audits of infection control procedures were carried out on 14th May 2015 and 26th September 2015.  These audits were carried out using the standard infection control audit produced by the Infection Prevention Society.  As a result of these audits, the following actions were taken/improvements made:

  • The patient treatment chair in surgery 1 was re-upholstered
  • The operators’ stools in surgery 1 were re-upholstered
  • The patient treatment chair in surgery 2 was re-upholstered
  • The operators’ stools in surgery 2 were re-upholstered
  • The chair-mounted foot controls in surgery 1 were replaced
  • The foot-hook on the movable foot control in surgery 1 was replaced
  • The suction-tube holder in surgery 2 was replaced
  • A new system was introduced for monitoring the quality of RO (Reverse Osmosis) water with a TDS (Total Dissolved Solids) meter

The practice legionella risk assessment is up-to-date and is due to be repeated in 2017.

The practice general risk assessment (which includes matters relating to infection prevention and control) was reviewed and updated on 21st February, 26th February, 4th May and 5th June 2015.

Team members undertook training in aspects of infection control on 16th May (Neil); 5th June (Debbie); 5th June (Rachelle); 16th May (Jo).

The practice infection control policy and procedures were reviewed and updated on 21st February and 5th June 2015.

Web version 4: 30.7.2016

Previous web versions: 16.3.2013; 18.6.2014; 6.6.2015

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