1. Infection Prevention and Control Mandatory Update for Clinical Staff 2014

2. What do points make ? Prizes

3. Please divide into 4 groups Each group will have one or two answer sheets. Each correct answer = 1 point The group with the most points wins the sweets.

4. Diarrhoea ( 8 points )

5. List the questions should you be asking when assessing a patient with diarrhoea ? ( 5 points) Is there an underlying cause for the symptoms ie diverticulitis etc ? What’s the patient’s normal bowel habit ? Has the patient had any aperients ? Has the patient had any contact with other people with Diarrhoea and Vomiting ? Has the patient had any antibiotics ?

6. When would you send a stool specimen to Microbiology ? ( 2 points ) When there is a suspected infective cause for the diarrhoea. When Medical review is requested Remember - Diarrhoea assessment form to be completed by Nursing AND Medical staff

7. Which patients must have a stool charts ? ( 1point ) All adult in-patients ( Maternity = when a patient reports episodes of diarrhoea )

8. Routes of transmission

9. Chain of infection The next slide is a diagram of the chain of infection. In your groups discuss the infection on the cards ( causative agent ). 1.What steps can you take to break the chain ? You have 10 minutes to complete the answer sheets. 2.Swap answer sheets to be marked by another team.

11. Update Carbapenemase Resistant Enterobacteriacaea CRE (confirmed or suspected ) Isolate with en-suite facilities Rectal swab to confirm carriage – taken only when requested by Microbiology

12. High prevalence of CRE Bangladesh The Balkans China Cyprus Greece India Ireland Israel Italy Japan North Africa Malta Middle East Pakistan South East Asia South/ Central America Turkey Taiwan USA Problems noted – Manchester London

13. Annual ANTT update = Theory- Reading the ANTT trust policy. - familiarise yourselves with the ANTT posters. - more information - ANTT.org Practical Assessment Declaration ( NLMS )

14. Thank you for taking part Any other questions ?