Date post: | 05-Apr-2018 |
Category: |
Documents |
Upload: | ismail-alnemr |
View: | 214 times |
Download: | 0 times |
of 21
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
1/21
CL 7247 INVESTIGATING AND
CONTROLLING OUTBREAK OF
DISEASES IN THE HOSPITAL FACILITIES
- POLICY REVISION UPDATING
INFORMATION
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
2/21
Change in title from INVESTIGATING AND
CONTROLLING OUTBREAK OF DISEASES IN
THE HOSPITAL FACILITIES AND COMMUNITY
to
INVESTIGATING AND CONTROLLINGOUTBREAK OF DISEASES IN THE HOSPITAL
FACILITIES
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
3/21
The major change is that the policy is now
revised to apply to only HMC Facilities i.e.excluding Primary Health care centre
Definition: Remains technically the same
Section RESPONSIBILITIES was removed as
per new policy format.
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
4/21
The followings were added
3.2 All outbreaks should be reported to the ChairmanCorporate IPC and Head of outbreak team followingwhich a decision would be made whether to managethe outbreak at a corporate or facility level.
3.9.2 Hamad Medical Corporation and Public HealthDepartment Laboratory of Supreme Council of
Health (SCH) should be involved in carrying out thetests required to identify the source of food borneoutbreaks if warranted
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
5/21
3.10 Notification line of
communication was sorted out:
3.10.1 The Attending Physician and the Assigned HeadNurse or Nursing Supervisor should immediately:
3.10.1.1 Notify the Infection Control Practitioners ofoccurrence of two or more cases of the same
infection in a unit.
3.10.2 The ICPs on acquiring initial information fromMicrobiology, if suspecting a possible
clustering/outbreak, will notify the Chairman of theInfection Control Committee of the Facility involved,who in turn should notify the Head of the OutbreakTeam.
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
6/21
3.10.3 If outbreak is confirmed the, Head of OutbreakTeam should notify the Corporate Chairman of ICC.The facility chairman of the ICC will notify the Chiefof Staff, and Hospital Executive Director, andAssistant Executive Director of Nursing
3.10.4 ../ Executive Director of Quality Managementdepartment and The Executive Director of Nursing HMC were added to whom Corporate Chairmanof ICC would notify if there is any out break
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
7/21
When outbreak is limited to one
facility:
3.11.1 The Facility Chairman of the Infection
Control Committee should schedule emergency
meeting from the affected facility to institute
control measures.
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
8/21
3.11.3 If the outbreak is localized in one
facility the Outbreak committee would
include but not limited to : Facility Chairman of the Infection
Control Committees
Infection Control Practitioners
Facility Administration
Facility Microbiologist
Any other Department as deemed
fit by the facility Chairman. e.g.
Security Department
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
9/21
3.12 Steps in Outbreak Investigation (was
summarized and written in sequence):
Steps often occur simultaneously, but the elements in anoutbreak investigation include the following:
Prepare for the investigation
Confirm that an outbreak exists
Establish or verify diagnosis of reported cases;identify agent
Search for additional cases; collect critical data;develop line listing; collect specimens if indicated
Characterize the cases by person, place and time
Take immediate control measure, if indicated Formulate tentative hypothesis (making the best
guess to explain the observations)
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
10/21
Steps in Outbreak Investigation contd
Test hypothesis (hypothesis should explain the
majority of cases)
Plan an additional systematic study (or studies)
Collect specimens (e.g. culture of environment orpersonnel based on data)
Implement and evaluate control and preventive
measure
Initiate surveillance Communicate findings; summarize investigation
for requesting authority; prepare written reports
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
11/21
3.14 Notification to Department of Public
Health from Emergency Department (ED)
(was added):
Infection Control Practitioner in-charge of
any HMC facility should notify CDC, Dept. ofPublic Health of Supreme Council of Health,
if many patients are coming from
community to Emergency Department
complaining of the same disease.
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
12/21
3.15 Educate Health Care Workers on
Appropriate isolation precaution to be
employed about Multidrug Resistant
Organisms (MDROs), correct Personal
Protective Equipment (PPE) to wear /
apply
When to discontinue isolation
Flyers, messages shall be sent to
concerned staff /units weekly, on the
progress on controlling the outbreak.
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
13/21
3.16 Continuous Surveillance
Continuous Surveillance should be carried out
in the Hospital
The patient discharged from Hamad Medical
Corporation should be given a follow-up
appointment to assess his/her progress
The Infectious Disease Physician should reportto the Hamad Medical Corporation Social
Worker about the patients who fail to arrive for
their follow-up appointment in the Out-Patient
Department.
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
14/21
3.17 Information to Media
The Corporate Chairman of Infection and
Control Committee, through appropriate
channels, may provide information tothe
Public about outbreaks
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
15/21
3.18 Reporting and Declaring Outbreak
Over
In corporate outbreak:
When the outbreak is contained and no
new cases identified, the Chairman of
Corporate ICC will declare the outbreak to
be over / have stopped.
The Head of Out Break Team should
prepare an official final report about theoutbreak, which should be handed over by
the Corporate Chairman of ICC to the
Medical Director for the further action and
management.
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
16/21
In outbreak involving only one HMC facility,
the facility chairman of ICC shall declare the
outbreak over / have stopped when the
infection is contained and there are no morenew cases occurring.
The Chairman shall submit the final report
to the Facility Chief of Staff and report the
outbreak in the corporate ICC meeting.
3.18 Reporting and Declaring OutbreakOver
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
17/21
Questions?
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
18/21
Summary
CL 7247 POLICY REVISION - changes have beenmade in:
The title
Notification of the outbreak
Reporting of outbreak
Management of outbreak when only one facility isaffected
Steps in Outbreak Investigation (was summarized and
written in sequence) Notification to Department of Public Health from
Emergency Department (ED) was added
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
19/21
Health Care Workers would be educated on :
Appropriate isolation precaution to be employed
about Multidrug Resistant Organisms (MDROs),
correct Personal Protective Equipment (PPE) to
wear / apply
When to discontinue isolation
Flyers, messages shall be sent to concerned staff
/units weekly, on the progress on controlling the
outbreak.
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
20/21
Continuous Surveillance should be carried out to ensure the
infection is cleared
If Corporate Outbreak, declaring Outbreak Over is done by
the Chairman of Corporate IPCC when the outbreak is
contained and no new cases identified. The outbreak isdeclared over by facility Chair of IPCC, if only one facility is
affected
In Corporate Outbreak, Reports of the outbreak will bewritten by the Head of out break team, submitted to
Medical Director by Chair of Corporate IPCC. If outbreak in a
facility, Facility Chair of IPCC would write the report and
submit it to the Chief of Staff and the administrators.
7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)
21/21
THANK YOU.