Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals
Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals
Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals
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2<br />
Provide and maintain a<br />
clean and appropriate<br />
environment which<br />
facilitates the prevention<br />
and control of HCAI.<br />
Overall Status:<br />
‘PARTLY MEETS’<br />
SWBTB (2/10) 046 (a)<br />
1g Designation of Decontamination Lead • Appoint a Decontamination Lead Chief Nurse Green<br />
2a The <strong>Trust</strong> has policies for the environment • Senior Nurse Forum and Facilities<br />
Chief Nurse Green<br />
that make provision for liaison between<br />
• Chief Nurse role<br />
members of the ICT and facilities<br />
• PEAT visits<br />
management.<br />
• Infection Control Operational Committee<br />
2b<br />
2c<br />
2d<br />
2e<br />
2f<br />
2g<br />
The <strong>Trust</strong> designates lead managers for<br />
cleaning and decontamination of equipment.<br />
Chief Nurse, Matrons and ICT involve in all<br />
aspects of cleaning<br />
Matrons have personal responsibility for<br />
delivering safe and clean care environment<br />
and the nurse in charge of a shift is<br />
responsible for standards throughout the<br />
shift.<br />
All parts of the premises in which the <strong>Trust</strong><br />
provides care are suitable for purpose, clean<br />
and well maintained<br />
Cleaning arrangements detail the standards<br />
of cleanliness required in each part of the<br />
premises<br />
There is adequate provision of suitable handwashing<br />
facilities and antibacterial handrubs<br />
and Executive Committee<br />
• Appoint Decontamination Manager<br />
• Establish a Decontamination Committee<br />
• Regular reports against a work plan<br />
• Chief Nurse role to include facilities<br />
management<br />
• Joint Forums<br />
• PEAT<br />
• Infection Control Operational Committee<br />
• Executive Infection Control Committee<br />
• Job Descriptions for Matrons and shift<br />
leaders<br />
• Matrons report<br />
• PEAT visits<br />
• Environment audits<br />
• Cleaning audits<br />
• Cleaning matrix<br />
• Cleaning standards<br />
• Maintenance programme<br />
• PEAT<br />
• Cleaning audits<br />
• Environmental audit<br />
• TB reports<br />
• Cleaning schedules detailing the frequency<br />
of cleans<br />
• Cleaning audits<br />
• Cleanliness TB report<br />
• Handwash facilities at entrance to the<br />
wards<br />
• Sufficient handwash facilities throughout the<br />
wards<br />
• Handwash facilities in sluices<br />
Director of<br />
Estates<br />
Chief Nurse<br />
Chief Nurse<br />
Chief Nurse<br />
and Director<br />
of Estates<br />
Chief Nurse<br />
Chief Nurse<br />
and Director<br />
of Estates<br />
Green<br />
Green<br />
Green<br />
Amber<br />
Green<br />
Green<br />
Infection Control <strong>Trust</strong> <strong>Board</strong> Assurance Framework Feb <strong>2010</strong> V12 3 of 6
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