1. NHS Fife Winter 2009-2010 Norovirus
Presenters
Deirdre Harris, Nurse Consultant IC. NHS Fife
Rosemary Shannon, ICN. NHS Fife
Janice Barnes, ICN. NHS Fife

2. Background – Wards affected by norovirus

3. Important Aspects Communication Multidisciplinary Meetings e.g.
- Problem Assessment Group (PAG)
- Hospital Control Team
- Wash-up

4. What did we do differently this year?
Laboratory Results
Patient Movement
Timing

5. Other Considerations
Staff Toilets
Movement of Staff

6. How did we manage Norovirus coming into the hospital?
Patients admitted via AMAU and surgical admissions
Visitors
Staff

7. Opening a ward Planning - Nursing duties Terminal Clean
- Domestic duties
Terminal Clean

8. CHP Hospitals Impact on Operational Division Specific problems
Opening the ward

9. What did we learn? This winter was different to other winters
- ‘Outbreak season’ was prolonged.
- More than one genotype.
- Could not rely on past experience alone.
- Work flexibly and take calculated risks.
- No blame supportive culture was essential for staff moral.
- Wards required to be closed for a longer time than normal.