Kingsbridge Private Hospital, Belfast - 20 January 2012

12.1 Specialist Patient Equipment
In the clean decontamination room the storage trolley for the
endoscopes was dusty. In the dirty decontamination room, the second
sink used in the double sink manual cleaning process of the scopes did
not have a fill line.
In relation to effective cleaning, the HEIG inspectors noted that in the
manual wash area the unit dispensing detergent was faulty and an
incorrect ratio of detergent to water was being used. Detergents
should be diluted as per the manufactures guidelines to be effective.
12.2 Policies Procedures and Training
This is a new open facility and while some policies, for example the
decontamination of endoscopy equipment and stand operational
procedures are in place. Others such as, procedures for regular audits
and the hospitals own infection prevention and control policy have still
to receive approval. Staff currently use the Regional Infection
Prevention and Control guidance on line. A training and validation
programme has just been put in place.
Recommendations
19. The environment of the endoscopy suite should be clean and
free of clutter.
20. The decontamination room should be fit for purpose and
comply with relevant standards.
21. Improvements required in the decontamination process
should be addressed and work commenced to comply with
CFPP.
22. All recommendations as outlined by the HEIG inspectors in
their key findings report should be addressed.
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