About NU Hospitals Infection Control Committee/h3>
NU Hospitals Infection Control Committee (HICC) was constituted on 21.04.2010 and has members from different disciplines or departments of the Hospital. It is headed by the chairman who is assisted by four coordinators in various actions, activities and policies of the Committee.
NU Hospitals are proud to say that our staff adheres to standard precautions round the clock. For example, hand hygiene, Personal Protective Equipment (PPE) and so on.
Activities of HICC team:-
- HICC surveillance by Infection Control Nurse
- Additional surveillance by HICC surveillants in different areas covering the entire Hospital.
- To develop a system to identify, report, investigate and control Hospital Acquired Infection (HAI).
- Development and formulation of preventive and corrective programs for infectious hazards.
- Education to the healthcare workers of the institution on infection control policies and protocol on a periodic basis
- Monitoring hand hygiene compliance through CCTV
- Communicating the infection rate and hand hygiene compliance and observation through mails to all team members of NU Hospitals
- Regular meetings every month to discuss issues related to infection control and develop outcomes
- Training staff related to infection control practice before entering the patient side.
- To conduct and participate in scientific activities to enhance knowledge on Infection control practices
While handling patients in any area of the NU Hospitals, standard precautions are followed rigidly and meticulously. These are the minimum infection prevention measures that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any area where healthcare is delivered.
All staff at NU Hospitals are aware and practice hand hygiene round the clock and we are at a good compliance rate. Our average level is 70-80%.
This has been achieved because
- We value our patient’s feedback through hand hygiene monitoring tool, which is provided at the time of admission. And we are at a 90-100% compliance rate.
- Through CCTV surveillance, we are the pioneers in monitoring hand hygiene practice through CCTV in different clinical areas of the hospitals.
- Direct observation from the ICN and all surveillance teams at NU Hospitals.
HICC Surveillants team:
NU Hospitals gives an opportunity to other staff at the different clinical areas to actively get involved in preventing and maintaining infection control practice at all departments by taking rounds on an everyday basis as per the schedule. The schedule will be prepared every month once with an area code system.
The particular surveillant will circulate rounds observation report to all the other team members and at the same time, observation feedback from the other surveillant will be corrected by the senior nurse and in charge of corrective actions.
This teamwork will help the HICC committee to maintain and prevent the infection practices.
Every month at NU Hospitals, the HICC committee will recognize and motivate the good surveillants and will provide an “I AM HICC TRAINED” badge to well-performing surveillants.
Infection Control Nurse (ICN) monitors the in patients on devices such as urinary catheters, central lines and endotracheal tubes and reports if they have infections; patients who have undergone open surgical procedure inside operating room and maintenance haemodialysis patients who are on outpatient dialysis are also monitored for the occurrence of events. The data collected in event forms and denominator forms are used for the measurement of certain outcome parameters which are subsequently analyzed for the root cause.
NU Hospitals infections rate of one year are as follows
- Catheters Associated Urinary Tract Infection (CAUTI) = 0%
- Centre Line Associated Blood Stream Infection (CLABSI) = 5-7%
- Ventilators Associated Pneumonia (VAP) = 0%
- Surgical Site Infection (SSI) = 1-3 %
NU Hospitals, non-compliance with antibiotic usage is very less and antibiotics have to be prescribed only if indicated and in situations where the infection is not just colonization and it contributes to the patient‘s illness. Higher antibiotics will be used after a clear justification from the treating consultant as well as from collective bedside decisions by the doctor’s team. Misuse or non-compliance of antibiotics will be monitored by the HICC team.
Misuse or non-compliance of antibiotics will be monitored by the HICC team.
Patients are advised to inform and consult us at least over the telephone even if they are prescribed antibiotics by an outside medical practitioner for an infection elsewhere. They are advised to follow hand hygiene practices at home especially if they have an infection with resistant organisms and have tubes and catheters in situ at discharge
NU Hospitals’ decision to isolate a patient in a particular location will not be taken lightly and should always be made after assessing the risk to the individual, other residents and staff.
Our Prevalence of resistant bacteria data in a year as follows,
|Oxacillin resistant Staphylococcus aureus (ORSA)||1-2|
|Oxacillin resistant Staphylococcus epidermidis (ORSE)||0|
|Vancomycin resistant Enterococcus (VRE)||1-2|
|Carbapenemase producer (CP)||2-3|
Occupational Exposures at NU Hospitals:-
Health care personnel (HCP) are at high isk for infection with bloodborne pathogens if they do not adhere to standard precautions. All HCP should bear in mind that the prevention of needle stick injury is better than management after injury. Prevention requires complete adherence to infection control practices.
Our NU Hospitals staff are trained to handle and discard contaminated needles and sharps objectives as per the policy.
We are getting less than 3-4 needle stick injuries reporting in a year and statistics are shows than 1% through the year.
Pre-exposure prophylaxis percentage:
NU Hospitals is concerned about the staff welfare and will provide vaccination to entire clinical employees at the time of joining and before they report into the clinical areas and at the same ICN will keep up the vaccination status of each and every clinical employee.
Our Hospitals’ pre-exposure prophylaxis percentage is between 90 – 100% every month.
Infection Control Nurse will audit infection control practices at different areas of the NU Hospitals on a weekly basis. These audits will help us maintain our quality standards. Audits for departments are as follows.
- Audit housekeeping on the handling & disposing bio-medical waste, handling the surface cleaning process, managing contaminated linens, transport & storage of clean linens.
- Audit on central line insertion practices at ICU, which includes non-adherence to standard precautions.
- Audit on the handling of central venous catheters at the Haemodialysis department.
- Audit on food processing and food handling practices at NU Twin Bean Cafe.
“Training and education are a continuous learning process”
Infection Control Nurse will involve in the continuous training of all health care workers as per the schedule.
The purpose of training is to prevent hospital-acquired infections and maintain our hospital infection control practices.
More than 150 training sessions on different infection control practices will be conducted in a year and 10 – 15 classes per month for all categories of health care workers.