The purpose is to ensure a standardised technique is used for aseptic procedures undertaken throughout the Royal Cornwall Hospitals NHS Trust (RCHT) and Cornwall Partnership NHS Foundation Trust (CFT) as per the requirements of the Health and Social Care Act (DHSC 2015).Keywords: Aseptic, asepsis, ANTT, procedure, technique, clinical, aseptic technique, aseptic procedure, non touch technique, non touch, NTT, infection control, infection prevention, IPAC.
Valid To: 04/07/2027
Publication Type: Policies
Guidance for the safe and aseptic collection of blood for blood culture investigations.
Valid To: 07/08/2027
Publication Type: Guidelines
This policy has been written to provide advice on the management of colonisation or infection due to Carbapenemase-producing Enterobacterales (CPE) to prevent or reduce their spread. These organisms can rapidly spread in a healthcare setting and can negatively impact patients, staff, and NHS organisations. A number of clusters and outbreaks have been reported in England, some of which have been contained, providing evidence that, when the appropriate control measures are implemented, these clusters and outbreaks can be managed effectively.Keywords: Safety and risk, infection control.
Valid To: 01/04/2027
Publication Type: Policies
The purpose of this policy is to ensure all toys and play equipment provided by the Trust are clean, fit for use and stored safely. Keywords: cleaning
Valid To: 08/08/2028
Publication Type: Policies
This policy outlines the process required regarding decontamination of medical equipment. To provide safe, clean disinfected or sterilised equipment to control the spread of micro-organisms
Valid To: 01/04/2028
Publication Type: Policies
To ensure that responsibility for infection prevention and control is embedded at all levels of the organisation.
Valid To: 01/04/2027
Publication Type: Policies
To provide guidelines on responsibilities for Infection Prevention and Control Surveillance and ensure the Trust complies with mandatory surveillance of health care associated infections.Keywords: Surveillance, MRSA, MSSA, Clostridioides difficile, E.coli bacteraemia, PVL, CPE.
Valid To: 12/10/2029
Publication Type: Policies
Provides details of the admission criteria to the isolation ward.
Valid To: 23/08/2026
Publication Type: Policies
The purpose of this policy is to provide guidance to staff on the precautions necessary to minimise the risk of occupational exposure to CJD and to prevent transmission of CJD between patients.Keywords: Creutzfeldt – Jakob disease, CJD, Prion disease, TSE, Transmissible Spongiform Encephalopathy.
Valid To: 23/12/2028
Publication Type: Policies
To provide guidance on the assessment and management of patient with suspected or confirmed HCIDs. Keywords: HCID, Viral Haemorrhagic Fever (VHF).
Valid To: 30/09/2029
Publication Type: Policies
The purpose of this document is to provide guidance and support for clinical staff on the correct procedure in patient screening, triage, management, and risk assessment for suspected or confirmed measles cases in Royal Cornwall Hospitals NHS Trust and Cornwall Partnership Foundation NHS Trust.Keywords: Measles, Rubeola.
Valid To: 28/02/2027
Publication Type: Guidelines
This policy has been developed to provide a practical document to equip all healthcare staff with the necessary information on the recognition, management and treatment of cases of diarrhoea in patients and staff.
Valid To: 01/01/2028
Publication Type: Policies
To ensure the Trust can respond to consequences of rising numbers of patients with seasonal influenza and to ensure safe and effective management of influenza patients.Keywords: Flu, Influenza, influenza like illness, outbreak, seasonal, antiviral.
Valid To: 23/06/2029
Publication Type: Policies
To provide staff with the necessary information and knowledge to effectively reduce the risk of MRSA introduction and to put in place systems to control and contain cases of MRSA as and when they occur. Keywords: MRSA, Methicillin-resistant Staphylococcus aureus, Methicillin, Infection Control, Infection Prevention.
Valid To: 01/03/2029
Publication Type: Policies
This policy has been developed to provide a practical document to equip all healthcare staff with the necessary information on the recognition, management, and treatment of norovirus.
Valid To: 01/01/2028
Publication Type: Policies
The purpose of this policy is to establish infection prevention and control (IPAC) procedures for suspected and confirmed cases of PVL and to ensure that healthcare workers are aware of the actions and precautions required to minimise the risk of PVL transmission between patients, staff and visitors. Keywords: Panton-Valentine Leukocidin.
Valid To: 23/12/2028
Publication Type: Policies
This policy provides details on how to reduce the risk of transmission of Clostridioides difficile Clostridioides difficile within healthcare settings, and information on the appropriate treatment of patients with Clostridioides difficile infection. This document takes into consideration the prevalence of Clostridioides difficile both locally and nationally, as well as national guidance.Keywords: GDH, Clostridioides difficile, C.diff, CDI, diarrhoea.
Valid To: 01/09/2027
Publication Type: Policies
Infection prevention and control practice to identify patients with scabies, precautions when caring and managing patients, and reducing risk of transmission. Keywords: Scabies.
Valid To: 13/07/2029
Publication Type: Policies
To provide clear understanding of procedures associated with pets in hospital and actions required in the community for the protection of staff and treatment of injury.
Valid To: 01/09/2028
Publication Type: Policies
This policy has been developed to provide a practical document to equip all healthcare staff at the Royal Cornwall Hospitals NHS Trust with the necessary information on the recognition and management of outbreaks
Valid To: 08/04/2028
Publication Type: Policies
To reduce the risk of transmission of mycobacterium tuberculosis to patients, staff and others. To provide clinical staff with guidelines for management of TB infected cases and to identify strategies for the prevention and control of cross infection to other patients, staff and visitors. To reduce mycobacterium tuberculosis transmission and infection.
Valid To: 28/02/2028
Publication Type: Policies
This standard operating procedure (SOP) has been developed to provide staff with the necessary information and knowledge to effectively identify the need and then request microbiological air sampling. The aim, to reduce the risk of introducing infection within operating theatres. Keywords: air sampling, theatres.
Valid To: 17/09/2028
Publication Type: Procedures
These guidelines provide the information required to prevent the spread of Amp C/ ESBL and GRE.
Valid To: 24/09/2027
Publication Type: Policies
The purpose of this document is to provide health care professionals with the knowledge and tools to aid the prevention, recognition and management of extravasation and infiltration of intravenous medications and intravenous fluids.Keywords: Extravasation, Infiltration, non-cytotoxic, intravenous medication management, intravenous fluid management.
Valid To: 14/09/2029
Publication Type: Guidelines
Certain types of demolition and construction activities can result in increased incidence of invasive Aspergillosis (a condition in which pneumonia caused by inhalation of Aspergillus spores is established and the fungus is disseminated to other organs) among immuno-suppressed/vulnerable patients. This policy outlines the responsibilities of all personnel involved, and the measures required to minimise the risk of invasive Aspergillosis.
Valid To: 01/09/2027
Publication Type: Policies
The purpose of this policy is to ensure that patients who may have infectious travel associated respiratory infections are promptly identified and managed correctly in order to prevent transmission to healthcare workers (HCW), and other patients.
Valid To: 23/04/2027
Publication Type: Policies
This SOP provides guidance on the use of HPV in Wheal Prosper side rooms 1, 6, 7 and 12.Keywords: Wheal Prosper. Hydrogen peroxide vapour (HPV). Cleaning.
Valid To: 01/09/2028
Publication Type: Procedures
Includes insertion, care and removal guidelines for peripheral lines, Midlines, Tunnelled lines, PICC lines, short term central lines Implanted ports.Keywords: Vascular access, Cannula, Short term central venous catheter, Subclavian, jugular, vascath, Midline, PICC, skinned tunnelled catheters, Tunnelled line, Ports.Keywords: Vascular access, Cannula, Short term central venous catheter, Subclavian, jugular, vascath, Midline, PICC, skinned tunnelled catheters, Tunnelled line, Ports.
Valid To: 01/04/2027
Publication Type: Guidelines
To provide clear infection prevention and control guidance and a management process for the closure of a clinical ward/dept following the identification of an outbreak of transmissible infection. It supplements the guidance provided in the Major Outbreak Policy
Valid To: 01/06/2027
Publication Type: Policies