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Infection Control

Hand Hygiene is one of the most effective actions to reduce the spread of pathogens and prevent infections, including the COVID-19 virus. Conducting hand hygiene at the right time, using the right technique, with either Alcohol-Based Hand Rub (ABHR) or soap, water and disposable towels is critical.

All healthcare staff should follow the National Infection Prevention and Control Manual to prevent spreading infection to those in the healthcare setting.

Members of the public can help prevent infections when visiting healthcare settings by following the advice in our Healthcare Associated Infection: Information for the public leaflet.

Further information about the global campaign led by the World health Organisation can be found on the WHO website.

Useful Resources

Contact Information

Contact Name: Stefan Morton, LHBC, Infection Prevention and Control

Email: stefan.morton@nhs.scot

5 Moments for Hand Hygiene

Our poster and video demonstrates the 5 moments of hand hygiene.

Infection Prevention and Control (IPC) staff collaborated to produce an informational video regarding 5 Moments of Hand Hygiene. This was developed to highlight the common failures that medical staff incur, as reported in audits of compliance. The video also highlights various anecdotal responses when challenged, given by existing medical staff members within NHSGGC. It features an introduction and closing statement by David Stewart, Lead Director for Acute Medical Services.

Staff involved in making this video were recruited from the North East IPC Team and Glasgow Royal Infirmary (GRI). Recording and post-production was carried out by GRI Medical Illustrations.

6 Steps for Hand Hygiene
Evidence Base, Medical Staff Information, Zero Tolerance and Frequently Asked Questions
Hand Hygiene Videos

Please click on the links below to view the NHS Greater Glasgow and Clyde Hand Hygiene Videos. The videos are best viewed with sound on.

Top Tips for Preventing Infection, Useful Links and Hand Hygiene Education

Infection Control training modules, including those offered by NES, can be accessed via learnPro.

Hand Hygiene Audits

Hand Hygiene audits should be carried out on a monthly basis within NHSGGC wards and departments. The audit tool should be utilised in conjunction with the information contained in the documents. The audit should not be carried out by the SCN as awareness of senior staff can change practice in clinical areas. 2-3 auditors should be chosen from a mixture of grades, including Bands 5 and 6 and HCSWs.

The data gathered should then be uploaded to the CAIR Dashboard.

Please note, exactly 20 observations must be recorded to complete an audit; any more or less will result in an error.

For further information regarding this process, please contact Stefan.morton@nhs.scot

See NHSGGC Vascular Access Devices Guidelines for information on PVC / CVC.

Approximately 30% of our Adult Acute Hospital in-patients will have a Peripheral Venous Catheter (PVC) in place during their stay and in order to minimise the risk of bloodstream infections (bacteraemia) it is important that clinical staff are aware of the salient education points:

Peripheral Venous Catheter (PVC) in adult in-patients:

Skin is cleansed with an antiseptic containing Chlorhexidine 2% in 70% Isopropyl alcohol and left to dry before PVC insertion.
Access should be via the needlefree connector not the port at the top of the device. Before accessing this you should “scrub the hub” for at least 15 seconds with Chlorhexidine 2% in 70% Isopropyl alcohol wipe.

A single or multi-lumen needlefree connector must be primed with 0.9% normal saline before attaching to PVC.
A PVC care plan should be commenced as soon as possible after PVC insertion and the PVC must be checked at least once per day. The care plan must be fully completed to ensure optimal practice to avoid patient harm.

PVC/CVC
Vascular Access Devices (VADs)
Urethral Urinary Catheter Care Hub

The UUC Hub is where you will find all of our information and resources concerning Urethral Urinary Catheters.

Many of our patients will require an indwelling urinary catheter to be inserted during their stay in hospital. It is important that staff involved in the insertion and maintenance of these devices have access to training and guidance to ensure the comfort and safety of their patient.

The Infection Prevention and Control Team (IPCT) are working in conjunction with Practice Development to ensure that staff are supported and have the knowledge and skills to care for a patient with a urethral urinary catheter. 

NHSGGC Documents
Catheter Passport

The National Catheter Passport (NCP) is an information resource given to patients and was created to improve both care and communication around urinary catheters.

National Catheter Passport (NCP)

Guidance for the use of the National Catheter Passport

Staff can order the National Catheter Passport via PECOS (SKU code 223848) whenever they order their supply of catheters and should be used once the decision has been made for the catheter to remain in situ – this may be on discharge from hospital or whilst at home. 

Education

Staff caring for a patient who requires an indwelling urethral urinary catheter should complete the NES module entitled ‘Urinary catheterisation’. Staff should log in to LearnPro NHS and add the NES Urinary catheterisation to their programme.

HEI

The Healthcare environment inspection team may visit your ward to inspect the care and maintenance of these devices. Published on the HEI website are the methodology and inspection aide memoir. We recommend that staff familiarise themselves with these two documents.

NHSGGC Infection Prevention and Control Team

The IPCT have developed a tool to measure compliance with the urethral urinary catheter care plan. This tool can be used by staff to measure their own ward compliance.

Use these toolbox talks to share information at huddles, safety briefs and meetings to introduce changes and increase awareness with your staff.

Guidelines are divided into 4 sections:

Core Prevention Guidelines (includes SICPs)
National Infection Prevention and Control Manual
Cleaning of Near Patient Equipment
Decontamination Guidance
Hand Hygiene Guidance
Outbreak Incident Management Plan
Patient Placement
Terminal Clean of Ward/Isolation Room
TOY Cleaning
Twice Daily Clean of Isolation Rooms
Water Damage
Disease Specific Information
Chickenpox
Clostridium difficile Infection (CDI)
COVID-19
CPE (Carbapenemase Producing Enterobacteriaceae)
Creutzfeldt-Jakob disease (CJD)
Gastrointestinal Diseases
Group A Streptococcus (Strep. pyogenes)
Head Lice
Influenza
Loose Stools
NHSGGC Bowel Movement Record (Bristol Stool Chart)
Measles
Meningococcal Disease
Meticillin Resistant Staphylococcus Aureus (MRSA)
Middle East Respiratory Syndrome Coronavirus (MERS-CoV)

What is MERS-CoV?

MERS-CoV is a viral respiratory disease. It is a strain of coronavirus first identified by the Netherlands in 2012. Symptoms include fever and cough that progress to a severe pneumonia causing shortness of breath and breathing difficulties. In some cases, a diarrheal illness has been the first symptom to appear. There is currently no vaccine available for MERS-CoV.

Since April 2014, there has been a marked increase in reported infections with MERS-CoV outside the UK. There continues to be a risk of imported cases to the UK, and health professionals should remain vigilant. Early identification and rapid implementation of appropriate infection control measures for suspected cases is crucial.

While the risk of MERS-CoV in individuals who meet the case definition for a possible case in the UK following travel to/from the Middle East is low, testing for MERS-CoV is warranted together with rapid implementation of appropriate infection control measures while awaiting results of testing.  

Guidance for the public health management of MERS-CoV infections

NHSGGC MERS-CoV Hospital Pathways:

NHSGGC Reception/Triage posters:

Health Protection Scotland Guidance

Patient AssessmentAssessment and initial management of travellers presenting with febrile respiratory illness, returning from an area where infection with MERS-CoV could have been acquired in the 14 days before symptom onset.

Close Contacts: The risk to contacts of confirmed cases of MERS-CoV infection is low but contacts should be followed up in the 14 days following last exposure and any new febrile or respiratory illness investigated urgently for MERS CoV.

National Infection Control Guidance

(Information (HPS) can be found here) including information for healthcare workers.

A precautionary principle must be applied for novel or emerging respiratory pathogens of high consequence when the mode of transmission is incompletely determined.

Droplet, contact and airborne precautions (including the use of correctly fitted FFP3 respirators) should be applied for all patients admitted with a suspected or confirmed novel or emerging respiratory pathogen (e.g. MERS-CoV or Avian Influenza).

The link below, outlines the infection prevention and control advice for healthcare workers involved in receiving and caring for patients, who are suspected or confirmed cases of MERS-CoV.

Mpox
Multi-drug Resistant Organisms (MDRO)
Mumps
Norovirus
Respiratory Syncytial Virus (RSV)
Rubella
Scabies
Shingles
Tuberculosis
VRE
Whooping Cough (Pertussis)
Linked Policies / Associated Policies
Water Safety

This is where you find our information and resources concerning water safety.

The SOP below and risk assessment provide direction and guidance for ward based staff, to meet their responsibilities for the control of risks associated with water systems in NHS premises.

These documents should be read in conjunction with the Board Water Systems Safety Policies and written schemes. 

We have developed several patient/client information leaflets to provide patients and public with core information relating to common types of infections. Patient Fact Sheets are also available in other languages below.

The information we provide includes MRSA, C. difficile and common gastro-intestinal infections (diarrhoeal illness). 

Leaflets available to download

Main Content

Audio
CPE (Carbapenemase Producing Enterobacteriaceae) 
Gastroenteritis
General Information for Patients

Information for Parents, Relatives and Carers on the Prevention and Control of Infection in The Royal Hospital for Children

Meningitis
MRSA
Narrated Video Links
Patient Fact Sheets
Pneumocystis Pneumonia (PcP)
PVC Information
Respiratory Syncytial Virus (RSV)
Urethral Urinary Catheter Care PIL

Information in Other Languages

Arabic
Farsi
Mandarin
Polish
Punjabi
Romanian
Urdu

Information for Healthcare Workers

Feedback

If you have any comments about the leaflets or have any suggestion regarding issues/ topics you would like to see presented please email Lynn.Pritchard@nhs.scot.

Mpox Guidance

Guidance on High Consequence Infectious Diseases

Viral Haemorrhagic Fever (VHF) Guidance

Health Protection Scotland National Guidance on assessment and management of patients with suspected and confirmed VHF.

Watch the video below for further guidance on donning and doffing of appropriate personal protective equipment during the care of a patient suspected or confirmed to have VHF.

NHSGGC provides strategic co-ordination and direction to ensure that the NHSGGC programme of work reflects the National Infection Control Agenda. Heading this team is Sandra Devine, NHSGGC Director of Infection Prevention and Control and Dr Linda Bagrade, Consultant Microbiologist and Lead Infection Prevention Control Doctor.

The Infection Prevention and Control Service in NHSGGC has local Infection Prevention Control Teams (IPCTs) who sit within each sector:

  • Clyde
  • North
  • South (Adults)
  • South (Paediatrics)
  • HSCP

The IPCTs are based at all hospital sites and also provide a service to mental health in-patient sites and directly managed community NHS services.

Contact details

Clyde Sector

Royal Alexandra Hospital (RAH)

IPC Lead Nurse: Donna McConnell

Call: 0141 314 7133 Shortcode: 07133

Page Nr: 56294

Inverclyde Royal Hospital (IRH)

IPC Lead Nurse: Donna McConnell

Call: 01475 504 876 Shortcode: 04876

Page Nr: 51043

Vale of Leven Hospital

IPC Lead Nurse: Donna McConnell

Call: 01389 817 480 Shortcode: 87480

Page Nr: 56294

North Sector

For Glasgow Royal Infirmary (GRI), Lightburn Hospital and Dental Hospital and School

IPC Lead Nurse: Fiona Gallagher

Call: 0141 201 3634 Shortcode: 13634

Page Nr: 13683 or 11153 or 12039

Administrator: Julie Dryden

Call: 0141 201 3635 Shortcode: 13635

South (Adults)

Queen Elizabeth University Hospital (QEUH), Gartnavel General Hospital and Beatson West of Scotland Cancer Care Centre (WoSCC)

IPC Lead Nurse: Gillian Mills

Call: 0141 451 5603 Shortcode: 85603

South (Paediatrics)

Royal Hospital for Children (RHC)

IPC Lead Nurse: Anne Gallagher

Call: 0141 451 6382 Shortcode: 86382

HSCP Partnerships

CMB Building, Queen Elizabeth University Hospital

Mental Health (including Child and Adolescent Mental Health Services, Learning Disability, Forensics, Alcohol and Drug Recovery Services) and directly managed community services. The team also provide an IPC service for Stobhill Ambulatory Care Hospital (ACH) and Victoria Ambulatory Care Hospital (ACH)

IPC Lead Nurse: Kirsty McDaid

Call: 0141 427 8255 Shortcode: 38255

Out of Hours

The Consultant Microbiologist on‐call can be contacted via the local switchboard:

  • Gartnavel General Hospital: 0141 211 3000
  • Glasgow Royal Infirmary: 0141 211 4000
  • Inverclyde Royal Hospital: 0141 314 9504
  • Royal Alexandra Hospital: 0141 314 7294
  • Queen Elizabeth University Hospital/Royal Hospital for Children: 0141 201 1000
  • New Stobhill Hospital: 0141 201 3000
  • Vale of Leven Hospital: 01389 828599
  • New Victoria Hospital: 0141 201 6000

Further information

Recommended Links

Infection Prevention and Control Care Checklists will now replace our existing care plans.

How we use IPC Care Checklists

IPC Care Checklists

Guidance and printable versions can be found below.