Royal Victoria Hospital, Belfast - 27 September 2012

Reference
number
Recommendations
Designated
department
Action required
Daniels’ audit completed Oct 2011 and
results disseminated.
Date for
completion/
timescale
5. The trust and individuals have a collective responsibility to
ensure that equipment is clean, and in a good state of
repair.
Nursing
PCSS
IPC
Work / negotiations in relation to the cleaning
manual are still ongoing. In particular, there
is discussion with nursing/control of infection
with reference bed cleaning. Once agreement
is reached the manual will be finalised.
Ongoing
The manual includes roles and
responsibilities of trust staff in relation to
patient equipment. A template will be used to
record all cleaning of equipment.
Staff have been reminded of protocols in
relation to sterile items.
6. The trust should ensure that all cleaning products are
stored in a locked cupboard, in line with COSHH
regulations.
PCSS
Locked cupboards are provided.
Ward managers and PCSS supervisors carry
out regular checks to ensure all staff comply
with COSHH procedures. Audited as part of
Belfast Risk Assessment and Audit Tool
(BRAAT).
Complete and
ongoing
* indicates stated for a second time 28