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Antrim Area Hospital, Antrim - 09 October 2012 - Regulation and ...

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9.0 Patient Equipment<br />

STANDARD 5.0<br />

PATIENT EQUIPMENT<br />

Cleanliness <strong>and</strong> state of repair of general patient equipment.<br />

Patient equipment<br />

C1 A3 C4 C5<br />

Patient equipment 86 88 97 85<br />

All wards were compliant for this st<strong>and</strong>ard, patient equipment was<br />

generally of a good st<strong>and</strong>ard <strong>and</strong> most equipment was visibly clean.<br />

Full compliance would have been achieved in Ward C4 had the low<br />

frame work of the resuscitation trolley been dust free. With the<br />

exception of Ward C4, trigger tape used to denote equipment, including<br />

commodes, had been cleaned <strong>and</strong> ready to use, was inconsistently<br />

used.<br />

Some equipment was worn or damaged such as IV st<strong>and</strong>s in Wards<br />

C1 <strong>and</strong> C5, the notes trolley <strong>and</strong> underside of the commode lids in<br />

Ward C5 <strong>and</strong> the frame of the hoist, wheel chair footplate <strong>and</strong> ice<br />

machine grill in Ward C1. Commodes in Ward A3 did not have a lid as<br />

they had been damaged; the inspectors were informed that new<br />

commodes were on order.<br />

In Ward C5 more attention to detail is required when cleaning fans, the<br />

legs <strong>and</strong> wheels of the procedure trolleys <strong>and</strong> the top surface of the<br />

resuscitation trolley. In Wards C5 <strong>and</strong> C1 single use jugs were being<br />

re-used, in Ward C1 adhesive tape was used to fix labels to the notes<br />

<strong>and</strong> linen trolleys <strong>and</strong> nursing staff did not know the symbol for single<br />

use equipment.<br />

Additional Issues<br />

Ward C1<br />

In a drawer of the resuscitation trolley, inspectors observed a<br />

10ml syringe stored out of packaging with the plunger withdrawn<br />

to the 10ml line (Picture 4). The ward manager advised this was<br />

for the insertion of air into a cuffed endotracheal tube.<br />

This practice allows for potential contamination <strong>and</strong> lack of<br />

traceability issues. The ward manager removed the exposed<br />

syringe immediately.<br />

20

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