Phase of Risk Assessment | Control Measure | Actioned By: |
---|---|---|
Phase 1 Immediate: Day 0 | Exclusion of affected children/staff until 48 h symptom free | Facility |
Removal of sand and water play | Facility | |
Deep clean of facility ahead of weekly schedule | Facility | |
High temperature washing of fabric toys | Facility | |
Disposal of toys unable to be washed | Facility | |
Phase 2 Initial IMT risk assessment: Day 3 | Food safety inspection of facility kitchen | Environmental Health |
Letter to parents and staff re 48-h exclusion for GI symptoms | HPT & Facility | |
Site visit to inspect infection control procedures | HPT & HPS | |
Phase 3 1st reassessment of risk (emergence of mild clinical profile): Day 5 | Confirmed cases excluded until negative clearance sample | HPT & Facility |
Interview with external cleaning company to discuss practices | HPS | |
Facility social events cancelled | Facility | |
Second letter to parents reiterating mildness of symptoms | HPT & Facility | |
Text reminder to parents re 48-h exclusion for GI symptoms | Facility | |
Parents to sign disclaimer stating children well on attendance | Facility | |
Additional deep clean of affected rooms | Facility | |
Phase 4 2nd reassessment of risk (cases in second room): Day 14 | Newly symptomatic children excluded until confirmed negative | HPT & Facility |
Voluntary 2-week closure of facility | Facility | |
Further deep clean of whole facility during period of closure | Facility | |
Public health exclusion of confirmed cases when facility re-opens | HPT & Facility | |
Further testing of negative cases for viral gastroenteritis | Microbiology | |
Testing of facility water tank | Scottish Water | |
Asymptomatic facility staff to submit stool samples | Facility | |
Consider possibility of screening asymptomatic children | IMT | |
No mixing of age groups from 7.30 am–8.30 am on re-opening | Facility | |
Minimise staff cross-cover between rooms on re-opening | Facility | |
Phase 5 Final reassessment of risk (facility re-opened): Day 38 | Confirmed cases to be excluded until outbreak declared over | HPT & Facility |
Continue without mixing age groups until outbreak declared over | Facility | |
Continue increased environmental cleaning until outbreak over | Facility | |
On return, confirmed cases to be supervised when handwashing | Facility |