Client Risk Assessment – Management of Clostridium difficile (C. diff)
Date		
Name of Person Completing Form		

Clients Name		
Date of Birth		
	
	Yes	No	Comments	
Has the client had a C-Diff Infection previously?				
Is the client currently C-Diff positive?			If yes date of sample result
	
Has the client been a hospital inpatient within the last 2 months?				
Has the client recently had bowel surgery?			If yes date of surgery
	
Is the client currently taking gastric suppressive agents? E.g. Omeprazole, Lansoprazole, Ranitidine			State What	
Is the client currently taking Loperamide/Imodium?				
Has the client had any antibiotics within the last 2 months?			State what antibiotics	
Is the client currently on any antibiotics?			State what antibiotics 	
Is there a specific care plan for C. diff in place in the client’s notes?				
Identify the potential risks to staff and other clients
E.g. Cross Infection

	

Identify what actions need to be taken to minimise the risk identified
Hand hygiene using liquid soap and paper towels (ALCOHOL HAND GEL MUST NOT BE USED)
Use of PPE (Gloves and Aprons)
Increase environmental cleaning with a hypochlorite solution
Clean patient equipment with a hypochlorite solution
Observe for the signs and symptoms of infection e.g. increased temperature, heart rate abdo pain and confusion
Isolation
Fluid balance
Bristol Stool Chart
Provide information leaflet
Place laundry into red soluble bags
	
Identify others that need to be informed
District Nurses
GP
Podiatrist
Family Members
Hospital/other healthcare facility (if admitted or transferred)

	
What are the benefits from identifying the risks
To prevent cross infection

	
What specific care does the client require? And what action needs to be taken
Fluid balance
Bristol Stool Chart
PPE – Aprons, gloves, eye protection
Liquid soap and paper towels
Isolation until 48 hours symptom free
Red bags
Daily evaluation of symptoms – GP referral if condition deteriorates
Close observation of signs and symptoms

	

Ensure that a specific care plan is in place for the ongoing management of C-Diff
Further clearance faecal samples do not need to be obtained.