Outbreak definition of C.Difficile: Two or more residents or employees having an onset of vomiting and or diarrhoea within 72 hours of each other.

If an outbreak of C. Difficile is declared, the first 24 hours are critical in minimising the impact of the infection on residents and employees.

Immediate actions need to include

Isolate

Set up PPE station and signage

Cohort healthcare workers, working areas 

Provide a single bathroom, bedroom, observation, and care equipment to the affected residents

Implement the management plan for essential visitors (Partners in Care/Named Visitors/compassionate visitors) to continue to connect with residents

Communicate

Explain isolation precautions to the resident and why they are necessary

Notify the leadership team to assist 

Notify the Doctor to provide guidance and treatment

Notify all employees to ensure understanding of tasks required in an outbreak (including kitchen, laundry, and cleaning)

Notify the family, provide reassurance, and make them aware of visiting requirements/restrictions in an outbreak

A thorough handover is required between shifts, including affected residents and those at risk

Assess

Monitor all residents twice daily for symptoms, isolate, test, report, and document any residents with symptoms

Check sufficient PPE, testing equipment, hand hygiene, waste disposal, and cleaning stock are available 

Identify vulnerable healthcare workers for alternative duties

Ensure healthcare workers do not attend work if they are sick, although they can return when symptoms have cleared

Screen any visitors to the facility before entering 

Ensure visitors entering wear PPE

Documentation

Record all assessments and actions taken in residents' medical records