manufacturer’s instructions. ECG electrodes Single use Dispose of after use ECG machine/leads Clean and disinfect with detergent wipe After use Examination couch Cover with paper roll (store paper roll off the floor) Clean with detergent wipe Change paper roll between each patient After each use Foot stool Cover with paper roll (store paper roll off the floor) Clean with detergent wipe Change paper roll between each patient each use Height with detergent wipe After each use Hyfracator tips Single use Dispose of after use Hyfracator Clean with detergent wipe Before and after each session Monofilament Clean with detergent wipe After each use Nebuliser Single use mask nebuliser box with detergent wipe Dispose of after use After each use Peak flow/spirometer mouth piece Single use Dispose of after use Peak flow meter hand held device when using disposable one-way cardboard mouthpieces Clean with detergent wipe Refer to manufacturers guidance After each use Refer to manufacturers guidance Peak flow meter hand held device when using disposable cardboard mouthpieces Refer to manufacturers guidance to manufacturers guidance Pillows – vinyl covered Cover with paper roll with detergent wipe Change each use After each use Pulse oximeter Clean with detergent wipe After each use Scissors for clinical/dressings use Single use Dispose of after use Specula (vaginal) Single use Dispose of use Spirometer flowhead Wipe flowhead with detergent wipe Wash in hot water and Hospec solution. Disinfect in 1000ppm sodium dichlorsocyanurate solution for 15 minutes and replace meshes each patient At monthly/or after every 100 patients (500 blows)
2nd line treatment: zanamivir if there is a poor response to oseltamivir or if there is evidence of gastrointestinal dysfunction For further detail see PHE guidelines on use of antiviral agents for the treatment and prophylaxis of seasonal influenza. Oseltamivir for weight and renal dysfunction Weight function Treatment dose Post exposure prophylaxis dose >40 kg Normal Cr Cl >60 ml/min 75 mg twice a day for 5 days 75 mg once a day for 10 days 23-40 kg Normal Cr Cl >60 ml/min 60 mg a day for 5 days 60 mg once a day for 10 days All patients Moderate impairment Cr Cl 30-60 ml/min 30 mg twice a day for 5 days 30 mg once a day for 10 days All patients Severe impairment Cr Cl 10-30 ml/min 30 mg once a day for 5 days 30 mg 48 hours for 10 days All patients Established renal impairment Cr Cl <10 ml/min 30 mg once only 30 mg once, repeated after 7 days Education and Training Program The Health and Social Care Act (Department of Health 2015) stipulates that infection prevention and control training is included for all staff at induction. Hand hygiene training is included in the induction programme. Hand hygiene training is mandatory and is offered to staff annually. Infection prevention and control updates are mandatory and are offered every 2 years. All members of staff have an individual responsibility to ensure that they access mandatory training. ‘Glow and Tell’ machines which are used to demonstrate the effectiveness of hand hygiene techniques are available for loan from the Infection Prevention and Control Team for the use of practices who wish to carry out hand hygiene training in house. The Infection Prevention and Control Team can be contacted on 01623 673081. Review and Revision arrangements This Policy shall be reviewed every 3 years or sooner if the base of evidence indicates an earlier review. References Department of Health (2015) The Health and Social Care Act 2008. London PHE (2016) PHE guidelines on the management of outbreaks of influenza-like illness (ILI) in care homes. Crown Copyright PHE (2017) PHE guidance on use of antiviral agents for the treatment and prophylaxis of seasonal influenza. Copyright
Appendix 2: How to Chlorhexidine/Octenisan bodywash and Mupiricin (Bactroban) ointment 1. Ensure that your hair and body are wet 2. Put the lotion onto a damp washcloth 3. Apply all over body paying particular attention to the areas highlighted in red. Hair must be washed on day 2 and 4. 4. Rinse off thoroughly 5. Dry with a dry towel 6. Put on clean underwear and nightwear every day