This leaflet should be given to patients/ relatives on admission This leaflet explains what the Clinical staff and the Infection Prevention and Control team are doing to prevent healthcare associated infections (HAIs) at Teddington Memorial Hospital (TMH) and what you and your visitors can do to help us. What causes infections? We all carry microorganisms (germs) on our skin or in our bodies which are normally harmless. They are transferred from our hands when we touch other people, animals, bodily fluids, surfaces, food etc. Patients may acquire germs without it causing them any harm but in some cases it could lead to an infection. Although we all have natural defence mechanisms, medical conditions, wounds and devices used in health care such as catheters make us more vulnerable to infections. It is not possible to prevent every infection acquired in hospital; a patient may infect themselves with their own germs or may already have an infection when they come into hospital. However if we all (staff, visitors, patients) adhere to some key precautions, rates of infection can be reduced. Hand Hygiene Hand washing with soap and water or cleansing hands with alcohol hand rub is the best way to prevent infection from spreading from person to person. Information for patients Infection Prevention and Control advice for people staying at Teddington Memorial Hospital Staff Staff must clean their hands with soap and water or alcohol hand rub before and after every contact with their patients. If you are not sure if a member of staff has cleaned their hands before they commence an examination/ treatment or any type of personal care, please ask them! There are alcohol hand rub dispensers at the entrance to both our wards and at the entrance to ward bay areas and single rooms. Clinical staff also carry small personal alcohol hand rub dispensers in their uniform pockets for use at the point of care. We have a hand hygiene policy which our staff must adhere to at all times, regular hand hygiene audits are undertaken in all our clinical services to monitor staff compliance with our policy. Issued: November 2014 Written by: HRCH Infection Prevention and Control team Review date: November 2016 Version: 3.0 Visitors Please ensure that your visitors clean their hands with the alcohol hand rub (or soap and water) before and after visiting you. When should you clean your hands? You should wash your hands or use moist hand wipes as often as necessary and when hands look or feel dirty. It is especially important to wash your hands after using the toilet/ commode and before you eat. After blowing your nose/ coughing/ sneezing. If you need any help, the nursing staff will be happy to assist you. Personal Hygiene Keeping your hands and body clean is important when you are in hospital. Bring personal toiletries, including soap and clean flannels with you. Gentlemen should bring their own razor with them for shaving. The nursing staff will assist you if you need help to wash, bath or shower. Always wear something on your feet for foot protection and cleanliness. A pair of slippers is fine, but make sure they have some grip on the bottom. Please do not touch or allow your visitors to touch any wounds, dressings or devices such as catheters. If you need any help ask one of the nurses. Visitors Your visitors should not visit you if they feel unwell or have an infection e.g. flu, chicken pox, shingles or an undiagnosed rash. If someone wishes to visit you and they have been unwell with diarrhoea and/or vomiting, please advise them not to visit until 48 hours after their last episode of diarrhoea/ vomiting. Until this time they are still infectious and may pass the illness on to other people. Please ask your visitors to check with the nursing staff if they want to bring babies or young children in to see you. Visitors should not sit on your bed as this may transfer germs; chairs are available. Your visitors must not use the patients’ toilet facilities; the nursing staff will direct them to the public toilets. Environmental cleaning Try to keep the top of your locker and bedside table reasonably free from clutter to enable easier cleaning. It is ideal to have only one vase of flowers and no pot plants please, as they can harbour small flies and fungi. Your ward, bed area, locker and bedside table should be cleaned very day. If you or your Issued: November 2014 Written by: HRCH Infection Prevention and Control team Review date: November 2016 Version: 3.0 visitors see something that has been missed during cleaning, please report it to the nurse in charge and ask for it to be cleaned. If you visit the bathroom or toilet and you are concerned that it does not look clean, please report this immediately to the nurse in charge of the ward. Request that it is cleaned before you use it. Please use another toilet in the meantime. MRSA Screening We test all of our patients on admission to the inpatient wards for carriage of a germ called MRSA. (MRSA stands for Meticillin resistant Staphylococcus aureus). Staphylococcus aureus is a type of bacteria that is commonly found on the skin and in the nostrils of about a third of healthy people. MRSA is a variety of Staphylococcus aureus that has become resistant to meticillin (a type of penicillin) and usually to some of the other antibiotics. There is no way of knowing if you are colonised (carrying the germ on your body) as it does not harm you and there are no symptoms. MRSA does not usually affect healthy people but it can affect those who are ill or those who are in hospital. MRSA can cause harm when it gets an opportunity to enter the body for example through a break in the skin. A nurse will screen you for MRSA by swabbing your nose, throat and groin and, in some cases, other areas as well. The swabs will be sent to the laboratory for testing. If you are found to be carrying the germ, you may be moved into a single room to prevent spread of MRSA to other patients. You will be given an antiseptic body/ hair wash and a cream to use. This helps to remove MRSA from your hair, skin and nose and reduces the chance of MRSA spreading to other parts of your body or to other patients. Please tell the nursing staff if you have ever previously been colonised or had an MRSA infection prior to this admission. Isolation and Infection Prevention It is sometimes necessary to nurse patients with an infection or who are colonised with a germ in a single room. This is to reduce the risk of infections or antibiotic resistant germs spreading to other patients. The nursing staff will explain to you and your relatives/carers why you have been moved to a single room and any precautions that must be taken. Very occasionally we may need to move you to the other ward if a single room is not available on your ward. Your visitors should speak to the nursing staff before entering your room and follow any instructions they are given. In some circumstances your visitors will be asked to wash their hands with soap and water rather than use the alcohol hand rub. The method used will depend on the type of infection. Issued: November 2014 Written by: HRCH Infection Prevention and Control team Review date: November 2016 Version: 3.0 Any concerns? If you have any concerns or questions and would like to speak to someone about infection prevention and control, please ask to speak to the nurse in charge or the matron. Making a comment, suggestion or complaint If you wish to make a comment, suggestion or complaint, please contact the Patient Experience Officer at Thames House,180 High Street, Teddington TW11 8HU, Telephone: 0800 953 0363 The Patient Advice and Liaison Service (PALS) provide free, informal, confidential help and advice for service users, carers and their families. You can contact the PALS officer on 0800 953 0363 or [email protected] Translation services Hounslow and Richmond Community Healthcare NHS Trust has access to interpreters who can speak other languages. This leaflet can be made available in large print, Braille or on audiotape and a translation service is available. Please contact the PALS team for further information. Issued: November 2014 Written by: HRCH Infection Prevention and Control team Review date: November 2016 Version: 3.0
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