World Health OrganisationInfection Control Toolkit

ALBION STREET CENTRECharmaine Turton

Sue GreigPhilip Melling

Nursing / Midwifery Leadership Summit:Building Leadership Capacity and Disease Prevention

in the Western Pacific Region - November 2006

World Health OrganizationCollaborating Centre for Capacity Building and

Health Care Worker Training in HIV/AIDS Care, Treatment and Support

Outline

• The Albion Street Centre

• WHO Collaborating Centres

• Role of the Albion Street Centre as a WHO Collaborating Centre

• WHO Infection Control Toolkit

The Albion Street Centre

The Albion Street Centre’s vision is to consolidate and strengthen clinicalmanagement, counselling, research, prevention and education of people affected by HIV/AIDS, hepatitis and other emerging infectious diseases.

Our purpose is to promote the well being of people affected by HIV/AIDS, hepatitis and other emerging infectious diseases.

The Albion Street Centre

• HIV/AIDS ambulatory care centre• Established 1985• Community based• Public hospital facility• Based in Surry Hills, Sydney Australia• Epicentre of Australian HIV/AIDS

epidemic

The Albion Street Centre

• Employs over 60 professional staff and more than 200 volunteers - expertise in HIV, HCV, sexual health, infection control and health care worker education and training

• Multidisciplinary - doctors, nurses, psychologists, social workers, pharmacists, dietitians, educators, infection control practitioners, researchers, librarians

The Albion Street Centre

‘WHO Collaborating Centre for Capacity Building and Health Care Worker Training in HIV/AIDS Care,

Treatment and Support’

Designation - 31st March 2006(following two year pre-designation period of activities)

What is a WHOCollaborating Centre?

• Involves the use of national institutions for international purposes“the field of health is best advanced by assisting, coordinating and making use of

the activities of existing institutions”

• Work towards the objective of WHO“the attainment by all peoples of thehighest possible level of health”

Role as WHOcollaborating centre

• Collaborate with other institutions to support WHO programmes at the country, inter-country, regional, interregional and global levels

• Participate in the strengthening of country resources, in terms of information, services, research and training, in support of national health development

• Focus on the assigned terms of reference (x7)

ASC terms of reference** Terms of reference have been abbreviated for the purpose of presentation, and as

such do not reflect the exact wording of the designated terms of reference

1. Refine models for the delivery of HIV/AIDS comprehensive care

2. Adapt, implement and evaluate training programmes

3. Promote capacity building for HIV/AIDS care, treatment and support to advance the uptake of comprehensive care and the roll out of ART

ASC terms of reference*

4. Develop and adapt for specific in-country use standard operating protocols

5. Perform service reviews and design quality assurance activities

6. Establish an HIV/AIDS Technical Reference Group

ASC terms of reference*

7. Develop and implement tools to enhance health care worker safety in clinical settings within the Region

↓World Health OrganisationInfection Control Toolkit

Infection Control ToolkitAn update

Sue GreigNSW Infection Control Resource Centre, Albion Street Centre, Sydney, Australia

Philip MellingNSW Infection Control Resource Centre, Albion Street Centre, Sydney, Australia

World Health OrganizationCollaborating Centre for Capacity Building and

Health Care Worker Training in HIV/AIDS Care, Treatment and Support

Why is Infection Control important?

• Infection Control principles and practice impact upon safety within the health care setting for all providers, consumers and customers of health care services.

• Infection Control is everyone's responsibility.

• Infection Control requires a structured support system that starts at the basic levels and develops from there to complete the safety structure necessary to achieve a level of safety within the health care setting that is consistent and supported by the facility.

Why is Infection Control important?

• Some of the support systems that need to be addressed include

• Application of Standard AND Transmission Based Precautions

• Effective triage and patient assessment• Access to and availability of hand hygiene resources• Availability and use of appropriate Personal Protective

Equipment (PPE)• Awareness to the need to consider patient placement

and overcrowding• Consideration of environmental and engineering issues• Utilisation of standardised epidemiological principles• Access to and utilisation of standardised training and

educational information for Health Care Worker (HCW) and public

Infection Control Toolkit

• The Infection Control Toolkit will provide resources to users that are based on simple strategies that are adaptable to a variety of health care settings.

• These resources will be multi-focused and assist facilities in developing strategies to identify areas of need or gaps in basic principles relating to Health Care Worker or patient safety.

• The Toolkit will include• Audit tools for baseline and ongoing assessment

of Infection Control systems and processes will assist the facility to identify areas of improvement or areas requiring further interventions/action.

• Infection Control Guidelines that have been developed to promote best practice and also to recognise that resource challenged areas may need to address Infection Control issues in differing ways.

• Generic resources that can be utilised within the health care environment.

• Educational resources for use at a local level and resources that can be tailored to local settings.

The Infection Control Guidelines

• The Infection Control Guidelines are currently being developed and the topic areas to be included are:• Infection control programme• Standard Precautions and Transmission Based

Precautions • Reprocessing patient care equipment and

instruments • Environmental hygiene

• water quality • food

• Health care waste management• Health care laundry management• Care of health care workers (including pregnant

HCWs)

• Appropriate use of antibiotics• Health care facility design• Outbreak management

• Preparedness and response to pandemics/epidemics• Health care worker education and training• Exclusion of health care workers with infectious

diseases• List of abbreviations • List of infectious diseases and precautions • Occupational Exposure Reporting guide• Interpreting hepatitis B serology• Useful websites/resources• Infection Control Committee Minutes format • Infection Control programme monitoring

Handwashing – use clean water, soap and a bowl

NSW INFECTION CONTROL RESOURCE CENTRE

A Model of a Regional Infection Control Reference Service

NSW Infection Control Resource Centre

• Established in 1995• Funded by NSW Health Department for

NSW• Provides an expert reference service• In accordance with NSW Health

Department Policy Directives, Guidelines, and Regulations

• Available to all HCW’s in NSW, irrespective of geographic location or level of Infection Control expertise

NSW Infection Control Resource Centre

• A telephone advisory service to answer questions and provide practical advice regarding infection control. Monday–Friday, 8am – 5pm

• Comprehensive DVD, video and CD-Rom library relating to infection control issues –FREE HIRE!!!

NSW Infection Control Resource Centre

• Infection Control Resource Package on topics relating to Infection Control and diseases

• The NSW Infection Control Resource Centre home-page that can be accessed at www.sesahs.nsw.gov.au/albionstcentre

NEWSLETTERFree quarterly newsletter called In.Control

Each newsletter contains:• Up-to-date information on infection control

issues• List of the latest NSW Health Policy

Directives • Media Watch• Questions & Answers• Details of Conferences and Courses• Guest Writers• List of Journal articles

INFORMATION SHEETS:Developed by the NSW Infection Control

Resource Centre & the NSW Health Department

• Antibiotic Resistance• Antibiotic Use• Cleaning Health Care

Facilities• Respiratory Hygiene• Hand Washing• Ice Machines• Infection Control

• MRAB• MRSA: for Patients• MRSA: for Staff• Needlestick Injuries• Norovirus• Vancomycin• Viral Conjunctivitis• VRA

POSTERS

• Hand Washing Posters7 designs - A3 in size

• Respiratory Hygiene Posters2 designs – A3 in size

• Infection Control Systems in Health Care FacilitiesKit

• Standard Precautions & Transmission Based Precautions posters

• Donning and Removal of PPE posters• “Smart card”

• CEC Hand Hygiene Posters – for Private Facilities

SafeHandS – promoting health care worker safety

in the Asia Pacific region

Photos courtesy of Chiang Mai University Hospital and Mahosot Hospital, Lao PDR.

SafeHandS

•• Network to promote healthcare worker Network to promote healthcare worker safety in the Asia Pacific regionsafety in the Asia Pacific region•• Funded by Funded by AusAIDAusAID for 3 yearsfor 3 years

•• Information, support and practical Information, support and practical solutionssolutions

•• Website and newsletter launched in June Website and newsletter launched in June 20052005

•• http://http://www.uow.edu.au/health/safehands/www.uow.edu.au/health/safehands/index.htmlindex.html

THANK YOU