Royal Victoria Hospital, Belfast - 17 July 2012 - Regulation and ...

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Royal Victoria Hospital, Belfast - 17 July 2012 - Regulation and ...

Reference

number

Recommendations

Designated

department

Action required

Date for

completion/

timescale

importance of monitoring fridge temperatures.

for use of medicine fridges. A

pharmaceutical refrigerator temperature log

sheet is maintained for each individual

fridge, with records being maintained and

monitored by Ward Managers.

A dishwasher temperature log sheet is

maintained for each individual dishwasher,

where possible, with records being

maintained and monitored by Ward

Managers. Not all dishwasher

temperatures can be recorded.

8. The trust should ensure the correct storage of clean

linen in a designated area which is clean and fit for

purpose.

Nursing

Guidance regarding storage of linen is in

the Regional Infection Prevention Manual.

Linen storage and segregation guidance

has been circulated to all Directorates.

Complete

This states that all linen must be stored off

the floor in a clean dedicated area that

allows for ease of access and rotation of

stock and that Linen rooms must have

shelving that are easy to clean, and

cleaning frequencies must be at least

quarterly.

9. The trust should monitor the implementation of its

policies and procedures in respect of the handling and

storage of linen to ensure that safe and appropriate

practice is in place.

Nursing

Guidance regarding storage of linen is in

the Regional Infection Prevention Manual.

Linen storage and segregation guidance

has been circulated to all Directorates.

Complete

10. The trust should monitor the implementation of its PCSS The Trust has piloted and rolled out across Complete

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