In regards to Burnley General Hospital;
1. What number of Health Care Workers reported an incidence of exposure to blood and body fluids (BBF) in theatre during a total hip or knee replacement, per year from 2015 - 2018?
A) 2015 – 0
2016 – 0
2017 – less than 5
2018 – 0
Please note that we are unable to provide the data for categories where there are less than 5 individuals involved in the question, as the disclosure of data could lead to an individual being identified or personal data being disclosed in breach of the Data Protection Act.
2. What number of Health Care Workers reported an incidence of exposure to BBF in theatre, per year from 2015 - 2018?
A) 2015 – 9
2016 – 6
2017 – 8
2018 - 17
3. What is the treatment for a Health Care worker with a reported incidence of exposure to BBF?
A) Innoculation injuries : In the event of an inoculation/sharps injury, encourage bleeding, wash under running water and cover with a waterproof occlusive dressing. Seek further help and advice as soon as possible by contacting the Occupational Health Dept or outside working hours contact the Urgent Care Centre RBH or BGH. If there is any danger of BBV infection, seek help immediately. The Policy and Code of Practice for the CPO2 Innoculation and Sharps injury Management must be followed immediately in case prophylaxis is required. All cases will be risk assessed to determine the need and type of post-exposure prophylaxis.
4. What is the average cost to treat a Health Care worker with a reported incidence of exposure to BBF?
A) This information is not recorded
5. What is your Trusts annual agency spend on theatre staff, by year since 2015?
A) 15/16 £172,046.70
16/17 £401,355.54
17/18 £176,382.26
18/19 £253,513.64
6. What is your Trusts annual agency spend on staff, by year since 2015?
A) 15/16 £16,506,783.28
16/17 £15,030,630.63
17/18 £12,564,636.38
18/19 £13,196,414.21
7. What is the Trusts policy on personal protection for theatre staff?
A) Please see attached Theatre Infection Control Policy
8. What is your Control of Substances Hazardous to Health (COSHH) Policy for protecting staff against BBF?
A) All healthcare workers must assume that blood and body fluids contaminated with blood may be infected with a blood borne virus (BBV), i.e. Hepatitis B, C or Human Immunodeficiency Virus (HIV) Standard Precautions are actions taken by all health care workers in order to limit the risk of spread of infection. They protect both staff and patients, and must be carried out with all patients regardless of perceived or known infection risk. These precautions mainly apply to blood and other body fluids and are widely accepted and practiced nationally and internationally. It is important that these precautions must be followed at all times as it is not always possible to identify people who may spread infection. Ward/Dept./Operational Managers must ensure that all staff are aware of the Standard ( Universal Infection Control Precautions Policy ( ELHT/IC18 ) and include it in the local induction for all new starters and any further training requirements of staff are met. Ward/Dept./ Operational managers must ensure that sufficient stocks of the appropriate Personal Protective Equipment (PPE) are available and accessible in all clinical areas.
For further information, please see attached Control Of Substances Hazardous to Health Procedure.
9. What are your hospitals Universal Precautions?
A) Hand washing and skin care
Personal Protective Equipment
Management of Used Linen
Safe Handling of Sharps/Venepuncture
Spillage Management
10. Does your hospital adhere to Universal Precautions?
A) Yes
11. Before elective surgery do you test patients for HIV, Hep B and Hep C?
A) No