Weekly Report

Hepatitis Infection Control in HD Unit

INSTRUCTIONS: Complete the following table with details of the activity.

Project name Hepatitis Infection Control

Location Haemodialysis Unit, Kan Thar Yar International Specialist Hospital

Grant No. Report

Reporting period 14 May – 18 May 2018

Report compiled by Consultant Team

Date submitted 18 May 2018

Summary
The main risks relate to Hepatitis B (HBV), Hepatitis C (HCV) and human immunodeficiency
virus (HIV) infections. These viruses have been associated with outbreaks among patients and
staff in haemodialysis units.

In our HD unit, we have been received two

1
Activities & Outputs

<Activity 1>

Status
Prevention of spread to patients and staff in the renal unit (Universal
Objective
precautions)
1. Medicine vials should be discarded after single use or, if used for more than one
Activity dates patient, divided into multiple doses and distributed from a central area
2. Control procedures should include hygienic precautions that effectively prevent the
transfer of blood or fluids contaminated with blood between patients either directly or
via contaminated equipment or surfaces

Progress <Describe your progress with the activity in 1 paragraph>

Outputs created
1. Storage of multi-dose vials and preparation of injections in same area
that used needles and syringes were dismantled and discarded
2. Injection SEPARATED-Preparation Trolley

<Activity 2>

Status

Objective Dialysis equipment

1. Separate machines should be used for patients known to be infected with HBV (or at
Activity dates high risk of new HBV infection.

2. A machine that has been used for HBV patients can be used again for non-infected
patients only after it has been thoroughly decontaminated.

3. Dedicated machines are not required for patients with HCV or HIV provided that
disinfection processes are properly carried out between patients according to a local
protocol that incorporates the manufacturer’s instructions

4. Dialysers manufactured for multiple use can be re-used provided there is

implementation of, and adherence to, strict infection control procedures to avoid
dialysers or blood port caps being switched between patients

5. External transducer protectors on the blood circuit pressure monitoring lines should
be inspected by healthcare personnel during and after each dialysis session. If there is
evidence of breach by blood or saline then the machine should be taken out of service
and machine components that may have come in contact with blood should be replaced
or decontaminated by qualified personnel according to a protocol that incorporates the
manufacturers’ instructions.

6. dialysis machine should be cleaned between patients according to a local protocol

that incorporates the manufacturer’s instructions

Progress <Describe your progress with the activity in 1 paragraph>

Otputs created <List the outputs that have been created from the activity>

2
<Activity 3>

Status

Objective Segregation of patients infected with BBV or at high risk for new BBV
infection
1. Healthcare workers performing dialysis on patients infected with HBV infection,
Activity dates whenever possible, should not dialyse patients without HBV infection at the same
time.

2. HCV or HIV do not need to be dialysed in a segregated area but more experienced
staff should be allocated to dialyse these patients

Progress <Describe your progress with the activity in 1 paragraph>

Outputs created <List the outputs that have been created from the activity>

<Activity 4>

Status

Objective Immunisation of staff against hepatitis B

1. Staff who have clinical contact with patients should be immunised against HBV and
Activity dates demonstrate that they are immune to, or not HBV infective.

2. Staff who are not immune to HBV and are not HBV infective should ideally not
dialyse patients who are HBV infective.

Progress <Describe your progress with the activity in 1 paragraph>

Outputs created <List the outputs that have been created from the activity>

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Results
INSTRUCTIONS: Complete the following table with the latest results for your
key indicators. Focus on outcome / goal indicators if possible, rather than
activities and outputs which are already described in the previous section.
Choose a status for each indicator (achieved, in progress, challenges or not
started).

Indicator Baseline Target Result as Status

of <date>
[EXAMPLE] Percentage of domestic violence 23% 95% 55% In progress
cases where the police officer writes an official
report
<Insert> <Insert> <Insert> <Insert> Achieved
<Insert> <Insert> <Insert> <Insert> In progress
<Insert> <Insert> <Insert> <Insert> Challenges
<Insert> <Insert> <Insert> <Insert> Not started