Infection Prevention Key Documents

Adult Antimicrobial Guide

Policy for Aseptic Non Touch Technique ANTT

Review date - 6th May 2024

This is the most current document and should be used until a revised version is in place

Worcestershire Acute Hospitals NHS Trust Urinary Catheter Insertion, Care, Management and Removal Policy

Appendix 1 – Trial Without Catheter

Appendix 2 – Autonomic Dysreflexia

Appendix 3 – Procedure Requirements

Appendix 4 – Male Catheterisation

Appendix 5 – Female Catheterisation

Appendix 6- Suprapubic Catheter Change

Appendix 7- Intermittent Self-Catheterisation (Male)

Appendix 8 - Intermittent Self-Catheterisation (Female)

Appendix 9 – Obtaining a Catheter specimen of Urine

Appendix 10 – Using a Catheter Maintenance Solution

Appendix 11 – Emptying a Catheter Drainage Bag

Appendix 12 – Changing a Catheter Drainage Bag

Appendix 13- Removal of an Indwelling Catheter

Appendix 14 – Urinary Catheter High Impact Intervention

Appendix 15 – Urinary Catheter Assessment and Monitoring Form

Appendix 17 – Catheter Discharge Checklist

Review Date – 29th January 2021

This is the most current document and should be used until a revised version is in place

Protocol for the management of clostridium difficile and prevention and spread

• Appendix 3- Quick Guide to Management of Patient with Confirmed Clostridium Difficile

Review date- 3rd February 2024

This is the most current document and should be used until a revised version is in place

Creutzfeldt-jakob disease (CJD) and variant CJD (vCJD) - minimising the risk of transmission

Review date - 11th August 2021

This is the most current document and should be used until a revised version is in place

Standard Infection Control Precautions – NHSI National Policy on Hand Hygiene and PPE Policy

Review date – 20th May 2025

This is the most current document and should be used until a revised version is in place

Quick Guide for the Management of Viral Haemorrhagic Fevers (VHFs)

Appendix 1 - Viral Haemorrhagic Fevers and Risk Assessment 

Appendix 2 - Registered Medical Practitioner Notification Form

Review date - 16th December 2022

This is the most current document and should be used until a revised version is in place

Guideline for post exposure prophylaxis for HIV following sexual exposure

Review date - 16th December 2022

This is the most current document and should be used until a revised version is in place

Infection control policy

Review date - 23rd March 2024

This is the most current document and should be used until a revised version is in place

Infection Prevention Procedure and Practice Guidelines for Intravenous Access Devices (IVAD)

Review date - 23rd August 2024

This is the most current document and should be used until a revised version is in place

Mask Fit -Testing Policy for the Prevention of Infection

Review date - 2nd February 2025

This is the most current document and should be used until a revised version is in place

Notifying Suspected Infectious Diseases and Causative Organism

Appendix One - Registered Medical Practitioner Notification Form

Appendix Two - PHE Notifiable Diseases Poster 

Appendix Three - Additional Microbiology Laboratory Notifiable Organisms 

Appendix Four - Notification Aide Memoire 

Review date - 16th December 2022

This is the most current document and should be used until a revised version is in place

Isolation and Bed Management policy

Appendix 1 - Patient with unexplained Diarrhoea/Vomiting: 4 hours to isolation algorithm 

Appendix 2 - Aide Memoire General Principles of Isolation 

Appendix 3 - Rapid Risk Assessment for Patients with Diarrhoea and Vomiting 

Appendix 4 - A-Z of Infectious Diseases 

Appendix 5 - Process for locating a Bed for patients with infections 

Appendix 6 - Monitoring of isolation rooms at WRH

Appendix 7 - NHS England Respiratory Protection Poster 

Appendix 8 - Risk Assessment Tool for Patients being discharged from a ward affected by Gastroenteritis 

Appendix 9 - Care Home Discharge Information Letter 

Review date - 16th December 2022

This is the most current document and should be used until a revised version is in place

Aide Memoire for management of Infection due to Parasites

Review date - 20th May 2025

This is the most current document and should be used until a revised version is in place

Management of linen and laundry services

Review date - 23rd March 2024

This is the most current document and should be used until a revised version is in place

Meticillin Resistant Staphylococcus aureus (MRSA) Screening Management and MSSA Screening for Pre-operative Elective Orthopaedic patients

Review date - 10th June 2024

This is the most current document and should be used until a revised version is in place

Policy for Outbreak Reporting and Control, Including Major Outbreaks

Appendix 1 - Meetings of the OCT 

Appendix 2- Aide Memoire of Matters to be discussed 

Appendix 3 -Terms of reference for the OCT 

Appendix 4 - Responsibilities and tasks of the OCT members 

Appendix 5 - Rapid diarrhoea and vomiting risk assessment 

Appendix 6 - Alexandra Hospital fast response team protocol 

Appendix 7 - Flowchart of the contact in the event of a major outbreak

Review date- 16th December 2022

This is the most current document and should be used until a revised version is in place

Policy for the Management of Carbapenamase producing Enterobacteriaceae

Review date - 11th August 2021

This is the most current document and should be used until a revised version is in place

Prevention and Management of Inoculation Injury Policy (Including sharps injuries, splashes, scratches and bites)

Review date - 23rd August 2024

This is the most current document and should be used until a revised version is in place

Protocol for the performance of Venepuncture

Review date -11th August 2021

This is the most current document and should be used until a revised version is in place

Standard Infection Control Precautions Policy

Review date - 23rd March 2024

This is the most current document and should be used until a revised version is in place

Tuberculosis (TB) in Hospital: Infection Prevention Policy

Appendix A - Countries with a high incidence of MDR-TB

Appendix B - Draft letter to Patient (for non-immunocompromised patient contacts) 

Appendix C- Draft letter to GPs (for non-immunocompromised patient contacts) 

Appendix D- Immunocompromised patients as defined by 'immunisation against infectious disease)

Appendix E - TB Quick Action Guide 

Appendix F - FFP3 Mask Fitting 

Review date - 16th December 2022

This is the most current document and should be used until a revised version is in place

Use of HPV and UV-c for Environmental Decontamination Standard Operating Procedure

Review date - 4th November 2024

This is the most current document and should be used until a revised version is in place

Decontamination of Medical Devices Policy

Review date - 18th May 2025

This is the most current document and should be used until a revised version is in place

High Consequence Infectious Diseases Policy for Initial Management and Investigation of Possible Cases

Review date - 20th May 2025

This is the most current document and should be used until a revised version is in place