Responsibilities for the content of this manual
HPS must ensure:
- that the content of this manual remains evidence based.
Responsibilities for the adoption and implementation of this manual
Organisations must ensure:
- the adoption and implementation of this manual in accordance with their existing local governance processes;
- systems and resources are in place to facilitate implementation and compliance monitoring of infection prevention and control as specified in this manual in all care areas. Compliance monitoring includes all staff (permanent, agency and where required external contractors); and
- there is an organisational culture which promotes incident reporting and focuses on improving systemic failures that encourage safe working practices including near misses.
Managers of all services must ensure that staff:
- are aware of and have access to this manual;
- have had instruction/education on infection prevention and control through attendance at events and/or completion of training e.g. via NHS Education for Scotland (NES) and/or local board/organisation;
- have adequate support and resources available to enable them to implement, monitor and take corrective action to ensure compliance with this manual if this cannot be implemented a robust risk assessment must be undertaken and approved through local governance procedures;
- with health concerns (including pregnancy) or who have had an occupational exposure are timeously referred to the relevant agency e.g. General Practitioner, Occupational Health or if required Accident and Emergency;
- have undergone the required health checks/clearance (including those undertaking Exposure Prone Procedures (EPPs); and
- include infection prevention and control as an objective in their Personal Development Plans (or equivalent).
Staff providing care must ensure that they:
- understand and apply the principles of infection prevention and control set out in this manual;
- maintain competence, skills and knowledge in infection prevention and control through attendance at education events and/or completion of training e.g. NHS Education for Scotland (NES) and/or local board/organisation;
- communicate the infection prevention and control practices to be taken by colleagues, those being cared for, relatives and visitors without breaching confidentiality;
- have up to date occupational immunisations/health checks/clearance requirements as appropriate;
- report to line managers and document any deficits in knowledge, resources, equipment and facilities or incidents that may result in transmission of infection including near misses e.g sharps or PPE failures;
- do not provide care while at risk of potentially transmitting infectious agents to others. If in any doubt they must consult with their line manager, Occupational Health Department, Infection Prevention and Control Team (IPCT) or Health Protection Team (HPT); and
- contact HPT/IPCT if there is a suspected or actual HAI incident/outbreak.
Infection Prevention and Control Teams (IPCTs) and Health Protection Teams (HPTs) must:
- engage with staff to develop systems and processes that lead to sustainable and reliable improvements in relation to the application of infection prevention and control practices;
- provide expert advice on the application of infection prevention and control in all care settings and on individual risk assessments as required including the HIIAT/HIIORT ensuring actions are taken following completion of HIIAT ;
- have epidemiological/surveillance systems capable of distinguishing patient case(s) requiring investigations and control; and
- complete documentation when an incident/outbreak or data exceedence is reported.