healthcare associated infection champion folder of … of evidence...4 introduction this folder of...

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Healthcare Associated Infection ChampionFolder of evidence of learning

Published by NPHS, 2006

G/054/06-07 January Typeset in 12ptISBN 0 7504 4090 2 CMK-22-02-113 © Crown copyright 2006

Introduction 4

Personal Introduction 7

Record of Achievement 8

Unit 1: Why Healthcare Associated Infection Champions? 8

Unit 2: The Chain of Infection 10

Unit 3: Hand Hygiene (Part a) 12

Unit 3: Hand Hygiene (Part b) 14

Unit 3: Hand Hygiene (Part c) 16

Unit 4: Personal Protective Equipment 18

Unit 5: Safe Use and Disposal of Sharps 20

Unit 6: Maintenance of a Clean Healthcare Environment 22

Unit 7: Safe Handling and Disposal of Waste 24

Unit 8: Food Hygiene and Pest Control 26

Unit 9: Staff Hygiene and Dress Code 28

Unit 10: Patient Care Practices 30

Unit 11: The Role of the Champion and its Impact on the Patient’s Experience 32

Contents

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IntroductionThis Folder of Evidence of Learning is an integral part of Promoting the Prevention and Control ofInfection through the Health Care Associated Champions education programme. The folder, whencompleted, will contain a record of your learning as you progress through the programme. It will be kept and developed by you. It will be the means by which you can demonstrate learning and the achievement of learning outcomes and competencies for each of the Units. There is no formal assessment or exam.

What do we mean by competence?

It might be useful at this stage to think about what competence means. Much has been written aboutcompetence but for the purpose of this programme, competence is the ability to perform to arecognised or agreed standard. You will note that as you progress through the Units and theircompetencies that they set standards for knowledge, skills and attitudes in promoting the prevention and control of infection. Successful achievement of these will confi rm your role as Champion as refl ected in this programme. Each Unit with its specifi c competencies will allow you to demonstrate your ability to perform to the set standards.

Through the programme we will be asking you to participate in a range of workplace activities. Yourmentor/supervisor will be able to assist you towards confi rming your competence in these activities. These core competencies will enable you to promote the prevention and control of infection within the scope of your role as a Health Care Associated infection Champion, ‘hereafter referred to as Champion’. The core competencies relate to:

• Knowing risks;• Risk assessment;• Breaking the chain of infection (taking actions);• Awareness and familiarity with local and national policies;• Audit knowledge and skills;• Accountability and responsibility within the scope of the role; and• Compliance.

Whilst these core competencies are visited and revisited within the Units, each Unit will have specifi ccompetencies. These competencies are listed in your Folder of Evidence of Learning for each Unit.

Your Folder of Evidence of Learning is your record of your learning journey during the programme and will become the record of your completion of the programme, which you will present to your employer. You can also use it as a vehicle to plan and infl uence your future learning.

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What should you include in your Folder of Evidence ofLearning?

As you progress through the Units we would expect you to be collecting evidence to indicate that you are completing both the workplace activities and achieving the specifi c Unit competencies. This willdemonstrate that you are thinking about and developing the Champion role. You may wish to keep anadditional folder or portfolio of ALL your activities and your learning as you go. However, what you will be required to do is to select from your total collection, relevant pieces of ‘best’ evidence which willdemonstrate that you have met the Unit(s) learning outcomes and that you have achieved thecompetencies for the Champion role. These then should be kept within your Folder of Evidence ofLearning. We have specifi ed at the end of each Unit what you should include in your folder.

How your Folder of Evidence of Learning is structured

The wallet allows you to fi le results of your workplace or online activities e.g. audits, thoughts, action plans.

Your Personal Introduction allows you to set the scene for your evidence and should include:

• A paragraph about the type of post you hold e.g. porter, doctor, ambulance personnel, physiotherapist, nurse;• A paragraph about where you work e.g. acute hospital setting, mental health setting, primary care setting, Welsh Ambulance Service;• A paragraph about the team of staff you work with; and• Any other brief information you feel would be helpful to set the scene for your evidence.

This is followed by a template for you to record your achievements. These Records of Achievement relate to each learning Unit. Each Unit Record of Achievement has headings that will help you document your progress and guide you in selecting the materials you should include in your Folder of Evidence of Learning. Within the template we have included details of:

1. Unit learning outcomes2. Unit competencies3. Evidence of learning to be included in the folder

This section contains a checklist of all the evidence required to demonstrate the achievement of your Unit learning outcomes and specifi c competencies. Ensure that you include all the evidence required. You may include additional evidence, which you feel refl ects your personal learning journey but be selective to ensure you provide the best evidence. We are interested in the quality of the evidence rather than the quantity.

It is important that you and your mentor/supervisor confi rm the achievement of 1-3 which includeslearning outcomes, competencies and production of evidence of learning. Your joint signatures at the end of each Unit’s Record of Achievement will indicate this.

The Record of Achievement has 2 other sections.

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4. Refl ective AccountThis is an opportunity for you to record any learning you feel took place as a result of undertaking the workplace activities and content of the programme. It is important that you do not use up the spacedescribing what you did but rather the learning, which resulted from what you actually did.

5. Mentor/Supervisor commentsThis gives your mentor/supervisor an opportunity to comment on your progress and learning as well as your development into the Champion role. Comments on your role modelling abilities should also be in-cluded. This is your formal feedback from the mentor/supervisor and it should be a summary of the discus-sions, which have taken place during each Unit, highlighting your strengthsand development needs.You are now ready to start on your learning journey.

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Personal Introduction

Folder of Evidence of Learning: Your personal introduction

To set the scene for your folder we suggest that you write a short paragraph on the following: The post you hold e.g. porter, doctor, ambulance personnel, physiotherapist, nurse.

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The healthcare environment you work within e.g. acute hospital setting, mental health setting, primary care setting, Ambulance Service.

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The team of staff you work with.

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Any other information which may be relevant.

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Key: A = Achieved NA = Not Achieved I = Included NI = Not Included

Record of Achievement

Unit 1: Why Healtcare Associated Infection Champions?

1. Unit Learning Outcomes A NA

1. State why Champions have been introduced into NHS Wales.

2. Describe the role of the Champion.

3. Begin to understand the contribution the Champion can make promotingthe prevention and control of infection within the healthcare setting.

2. Unit Competencies A NA

1. Demonstrate awareness of the positive contribution Champions can make inthe promotion of prevention and control of infection.

2. Demonstrate a commitment to and development of self into the Champion role.

3. Explain the need for standard precautions.

4. Discuss your responsibilities as an employee of the NHS for ensuring patient,relations and others safety by promoting a safety culture.

3. Evidence of Learning I NI

1. Completed account of what you understand by the role of the Champion.

2. You may wish to include a short account of your learning from this unit inyour Folder of Evidence of Learning.

3. Ensure that you have successfully achieved Unit 1 competencies as identifi ed inthis Folder of Evidence of Learning.

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4. Refl ective Account

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5. Mentor/Supervisor Comments

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Unit 2: The Chain of Infection


1. Explain the chain of infection, reservoirs, routes of transmission andsusceptible patients.

2. Handle, and if appropriate send laboratory specimens according toorganisation policies.

3. Understand the need for isolation in the prevention and control of infection.


1. Apply knowledge of microbiology to inform the application of best practicein supporting role modeling as a Champion.

2. Apply knowledge gained of microbiology to break the chain of infection.

3. Use your knowledge gained to support your role as a Champion.


1. Your recorded thoughts on 2 case studies.

2. Learning from workplace activity 1 on isolation and breakingthe chain of infection.

3. Workplace activity 2 – completed table.

4. You may wish to include a short account of your learning from this unit in yourFolder of Evidence of Learning.

5. Ensure that you have successfully achieved Unit 2 competencies as identifi ed in thisFolder of Evidence of Learning.

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Unit 3: Hand Hygiene (Part a)

1. Unit Learning Outcomes (Part a) A NA

1. Explain the importance of routine hand hygiene.

2. List the most appropriate times to perform hand hygiene.


1. Know when to decontaminate hands.


1. Your completed copies of activities 1 a, 1 b, and 2.

2. An account of what you learned about the importance of hand hygiene(from completing Part 1 and undertaking the workplace activities).

3. You may wish to include a short account of your learning from this unit (part a).

4. Ensure that you have successfully achieved the Unit 3 part ‘a’ competencies.

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Unit 3: Hand Hygiene (Part b)

1. Unit Learning Outcomes (Part b) A NA

1. Explain the three different kinds of hand decontamination.

2. List the steps of routine hand decontamination.


1. Choose appropriate decontamination method.

2. Demonstrate professional behaviour to minimise riske.g. removal of jewellery, cover cuts etc.

3 Evidence of Learning I NI

1. A completed and signed checklist from your mentor/supervisor ofyour observed hand washing technique practice.

2. You may wish to include a short refl ective account on the learningyou have gained from part b of Unit 3.

3. Ensure that you have successfully achieved the Unit 3 part ‘b’ competencies.

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Unit

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3: Hand Hygiene (Part c)

1. Unit Learning Outcomes (Part c) A NA

5. Explain reasons for non-compliance with hand hygiene.


4. Demonstrate consistency in effective hand washing technique (compliance).

5. Act as a role model in promoting best practice in selecting and usingappropriate hand washing technique.


1. Your notes on why staff fail to decontaminate their hands.

2. A personal action plan for improving your own hand decontamination practice.

3. A completed audit tool on hand washing facilities which could infl uencehand decontamination compliance in your workplace.

4. You may wish to include a short account of what you have learned fromcompleting part ‘c’ on hand decontamination non-compliance.

5. Ensure that you have successfully achieved Unit 3 part ‘c’ competencies asidentifi ed within this Folder of Evidence of Learning.

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Unit 4: Personal Protective Equipment (PPE)


1. Determine the risk of contamination to clothing, skin and mucousmembranes by patients’ blood, body fl uids, secretions and excretions.

2. Explain the protective dress code with regard to gloves, aprons, gowns,masks and goggles/eye protection.

3. Explain the actions to be taken if skin or mucous membranes are contaminatedwith blood/body fl uids.


1. Demonstrate correct disposal of protective equipment after use.

2. Act as role model in promoting best practice in selecting and using appropriatepersonal and protective clothing.

3. Select protective equipment on the basis of assessment of risk of contaminationwith blood/body fl uids.

4. Demonstrate the correct action to be taken in the event of contaminationoccurring with blood/body fl uids.


1. Your notes on Activities 1a and 1b or 2a and 2b.

2. A completed audit tool on the availability of PPE in your workplace.

3. You may wish to include a short refl ective account about what you have learned as a result of completing this Unit.

4. Ensure that you have successfully achieved Unit 4 competencies as identifi ed in thisFolder of Evidence of Learning.

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Unit 5: Safe Use and Disposal of Sharps


1. Explain the safe handling and disposal of sharps.

2. List the risks associated with the use and disposal of sharps.

3. State the immediate actions to be taken in the event of a needle stick injury.

2 Unit Competencies A NA

1. Demonstrate knowledge of (consistent) safe use and disposal of sharps.

2. Audit the safe use and disposal of sharps.

3. Act as a role model in promoting best practice in the safe use and disposalof sharps.

4. Demonstrate the actions you would take in the event of a needle stick injury.

3 Evidence of Learning I NI

1. Activity 1a and 1b. Your responses and completed checklist on how tohandle and dispose of sharps safely.

2. Activity 2a and 2b. Your responses to the photo of poor practice in thehandling and disposal of sharps.

3. A completed audit tool which determined whether there was safe disposalof sharps within your workplace. Workplace Activity 2.

4. Include an action plan with several actions from the audit results, whichyou may consider as a Champion to take forward within the scope of your role.Workplace Activity 3.

5. You may wish to include a short account of what you have learned from this Unit.

6. Ensure that you have successfully achieved Unit 5 competencies as identifi edin this Folder of Evidence of Learning.

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Unit 6: Maintenance of a Clean Healthcare Environment


1. Explain the principles of healthcare environmental cleanliness.

2. Explain the importance of decontaminating shared patient equipment.

3. State when the different methods of decontamination will be used and why.

4. Explain the actions to be taken in the event of spillage of blood/body fl uids.

5. List measures to be taken to ensure the safe handling and disposal of laundry.

6. Understand the hazards associated with the handling and disposal of laundry.


1. Act as a role model in promoting best practice in the maintenance of aclean hospital environment.

2. Demonstrate awareness of decontamination methods with examples ofwhen each might be used.

3. Act as role model in promoting best practice in selecting and using appropriatedecontamination methods.

4. Act as role model in promoting awareness of the need for best practicecompliance in the safe handling and disposal of laundry.


1. A completed environmental audit on patient areas and bathrooms.

2. You may wish to include an action plan with 2 priorities you feel youcould infl uence in your role as Champion.

3. You may wish to include a short report of your learning from this Unit.

4. Ensure that you have successfully achieved Unit 6 competencies asidentifi ed in this Folder of Evidence of Learning.

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Unit 7: Safe Handling and Disposal of Waste


1. Explain waste handling and disposal procedures.

2. Explain why it is necessary to comply with waste legislation.

3. Understand how waste segregation contributes to environmental protection.


1. Demonstrate safe handling and disposal of segregation waste.

2. Effectively conduct waste disposal audits.

3. Act as role model in promoting best practice in the safe wastesegregation handling and disposal.


1. The completed waste disposal quiz from Activity 2a and 2b.

2. Your notes on Workplace Activity 1.

3. A completed audit tool on waste disposal. Workplace Activity 2.

4. You may wish to include an action plan with several action pointsyou feel you would like to take forward within the scope of yourChampion role. Workplace Activity 2.

5. You may wish to include a short account of what you have learnedfrom the Unit.

6. Ensure that you have successfully achieved Unit 7 competencies asidentifi ed in this Folder of Evidence of Learning.

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Unit 8: Food Hygiene and Pest Control


1. List the possible causes of food contamination and ways to prevent it.

2. Explain the measures taken to ensure safe storage and temperature control of food.

3. List measures to be taken to ensure safe handling of food.


1. Demonstrate awareness of measures to prevent food contamination.

2. Demonstrate an ability to store, handle and serve food safely as appropriate to job role.

3. Act as a role model in promoting best infection prevention and control practicein food handling.


1. Your ideas on minimising food poisoning.

2. A completed kitchen audit tool.

3. An action plan to include several actions you would like to address within thescope of your role as a Champion.

4. Issues arising from the patient information leafl et.

5. You may wish to include a short account of your learning from this Unit.

6. Ensure that you have unsuccessfully achieved Unit 8 competencies as identifi edin this Folder of Evidence of Learning.

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Unit 9: Staff Hygiene and Dress Code


1. Explain the need for good personal hygiene in the prevention andcontrol of infection.

2. List measures to be taken with professional appearance to minimise infection.

3. Be aware of and promote attitudes and behaviours which ensure the safetyof the patient.

4. Understand the care of uniforms or work clothes.


1. Act as a role model in professional dress and operate within the professional codeof conduct and local policies to enhance infection prevention and control.


1. Your response to Activity 1.

2. A personal action plan for hygiene and dress code compliance.

3. You may wish to include a short account of your learning from this Unit.

4. Ensure that you have successfully achieved Unit.

9. Competencies as indicated in this Folder of Evidence of Learning.

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Unit 10: Patient Care Practices


1. List factors within identifi ed care practices which could predispose to infection.

2. Explain ways of preventing or minimising infection within identifi ed patient care practices.


1. Act as a role model in infection prevention and control related to identifi edpatient care practices.


1. Your thoughts on why patients are at risk of infection, Activity 1a.

2. Your notes on what you think are the main or most frequent typesof infection, Activity 2a.

3. Your notes on where infection comes from, Activity 3a and 3b.

4. Your ‘means of entry’ diagram, Activity 4a and 4b.

5. Findings from using the Bowell Assessment tool to include; a briefdescription of your two patients, the risks highlighted, why you gave thescores that you did, and measures you would like to implement to minimise risk.

6. Your patient hand hygiene action plan.

7. Your list of the main points in preventing Urinary Catheter Infection,Workplace Activity 3.

8. A short account of what you have learned from this Unit


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Unit 11: The Role of the Champion and its Impact on thePatient’s Experience


1. Be aware of audit and the audit cycle and its contribution to promotinga safety culture.

2. Describe the Champion’s role.

3. Suggest ways of promoting a safety culture through the prevention andcontrol of infection.

4. Function within the structures and processes set up within your organisationto promote the prevention and control of infection.


1. Demonstrate an awareness for the need for audit and have insight intothe audit cycle.

2. Demonstrate an ability to take forward the Champions role within owncontext and current post.

3. Identify ways of promoting a safety culture through the prevention andcontrol of infection.

4. Act as a role model in promoting best practice related to audit in the preventionand control of infection.


1. Your notes on what you have learned from your audits.

2. How your audits help develop your Champion role, Activity 2a and 2b.

3. Short account of Champion role and how you could achieve it, WorkplaceActivity 1.

4. Your short account on how your role as a Champion fi ts in with your ownInfection Control Team.


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Notes

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healthcare associated infection champion folder of … of evidence...4 introduction this folder of...

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