Recommendation in current guidelineComment Selection of protective equipment musta be based on an assessment of the risk of transmission of microorganisms to the patient, and the risk of contamination of the healthcare worker’s clothing and skin by patients’ blood, body fluids, secretions or excretions. Community and primary healthcare workers must be trained in catheter insertion, including suprapubic catheter replacement and catheter maintenance. All catheterisations carried out by healthcare workers should be aseptic procedures. After training, healthcare workers should be assessed for their competence to carry out these types of procedures. Healthcare workers should ensure that the connection between the catheter and the urinary drainage system is not broken except for good clinical reasons, (for example changing the bag in line with the manufacturer’s recommendations). Healthcare workers must decontaminate their hands and wear a new pair of clean, non-sterile gloves before manipulating a patient’s catheter, and must decontaminate their hands after removing gloves. Healthcare workers should be trained in enteral feeding and management of the administration system. Healthcare workers caring for a patient with a vascular access device should be trained, and assessed as competent, in using and consistently adhering to the infection prevention practices described in this guideline. Healthcare workers should ensure that catheter-site care is compatible with catheter materials (tubing, hubs, injection ports, luer connectors and extensions) and carefully check compatibility with the manufacturer’s recommendations. When needleless devices are used, healthcare workers should ensure that all components of the system are compatible and secured, to minimise leaks and breaks in the system.
All instances of ‘healthcare personnel’ have been changed to ‘healthcare worker’. This is for consistency with other NICE clinical guidelines and is considered a more modern term. The GDG considered the term ‘healthcare workers’ to include a wider group of people than healthcare professionals, which they considered to be only those staff with professional qualifications.
In recommendation, ‘community staff’ has been changed to ‘healthcare workers’, for consistency with this terminology.
In recommendation, ‘community healthcare personnel’ has been changed to ‘healthcare workers’, for consistency with this terminology.

From: Appendix D, 2003 guideline appendices

Cover of Infection: Prevention and Control of Healthcare-Associated Infections in Primary and Community Care
Infection: Prevention and Control of Healthcare-Associated Infections in Primary and Community Care: Partial Update of NICE Clinical Guideline 2.
NICE Clinical Guidelines, No. 139.
National Clinical Guideline Centre (UK).
Copyright © 2012, National Clinical Guideline Centre.

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