February 12, 2024

Standard 3 – What you need to know

Each week in the lead up to Accreditation, Northern Health will focus on a different Standard. You will hear from the Chair of each of the Standard Committees about the key points you need to know.

This week we spoke to Dr Saliya Hewagama, Infectious Diseases Physician, about Standard 3: Preventing and Controlling Healthcare Associated Infections.

Dr Hewagama explained Infection Prevention is a very broad and diverse standard that effects all disciplines, departments and levels of the organisation. Infection Prevention mechanisms are in place to ensure that patients and staff are kept safe throughout their time at Northern Health.

What is this standard about?

Healthcare associated infections are the most common complication that impacts on our patients while they are in hospital.  It is our responsibility to work with patients to ensure our systems and procedures protect them because many hospital acquired complications (HACs) are preventable.

At Northern Health, this standard looks like…. 

Standard 3 has a dedicated Infection Prevention service who lead a variety of work that occurs across the health service, but it relies on every employee in the organisation to be aware of the importance of the work and follow evidence-based practices to protect our patients.

What are the top five ways staff can be prepared for Accreditation against this Standard?

  1. Ensure your immunisation status is up to date and if you have vaccinations outstanding in Cgov that you update your file.
  2. Complete your mandatory training – hand hygiene, PPE module and aseptic non-touch technique (ANTT).
  3. Antimicrobial stewardship is important – use evidence to engage your patients and ensure they understand their care. Champion antimicrobial stewardship for your patients.
  4. Ensure you check alerts for transmission-based precautions requirements for your patients and ensure correct room placement and PPE usage.
  5. Ensure that you keep equipment and the patient environment clean.

What are the top questions staff needs to be able to answer about this Standard?

  1. Why might your patient be at increased risk of infection?
  2. How do we identify risk of infection in patients?
  3. What infection prevention strategies are in place for all your patients?
  4. What are the key features in recognising and managing sepsis?
  5. How do you communicate information about preventing infection to your patients and their families?
  6. What quality activities have you been involved in to reduce infection in on your unit?
  7. What is the purpose of Antimicrobial stewardship and its impact on patient care, and how do you play a role in it?
  8. Do you know your immunisation status?
  9. How do you manage and dispose of clinical waste appropriately?
  10. What are the 5 moments of Hand Hygiene?
  11. What do you do if you have an occupational exposure (e.g. needlestick injury)?

Is there anything else you would like staff to know about this Standard?

Standard 3 is part of your daily work.  Be aware of the principles of good hand hygiene, aseptic non-touch technique and cleaning between patients.

Click here to learn more about Standard 3: Preventing and Controlling Healthcare Associated Infections.