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

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9.0 Patient Equipment STANDARD 5.0 PATIENT EQUIPMENT Cleanliness and state of repair of general patient equipment. Patient equipment C1 A3 C4 C5 Patient equipment 86 88 97 85 All wards were compliant for this standard, patient equipment was generally of a good standard and most equipment was visibly clean. Full compliance would have been achieved in Ward C4 had the low frame work of the resuscitation trolley been dust free. With the exception of Ward C4, trigger tape used to denote equipment, including commodes, had been cleaned and ready to use, was inconsistently used. Some equipment was worn or damaged such as IV stands in Wards C1 and C5, the notes trolley and underside of the commode lids in Ward C5 and the frame of the hoist, wheel chair footplate and ice machine grill in Ward C1. Commodes in Ward A3 did not have a lid as they had been damaged; the inspectors were informed that new commodes were on order. In Ward C5 more attention to detail is required when cleaning fans, the legs and wheels of the procedure trolleys and the top surface of the resuscitation trolley. In Wards C5 and C1 single use jugs were being re-used, in Ward C1 adhesive tape was used to fix labels to the notes and linen trolleys and nursing staff did not know the symbol for single use equipment. Additional Issues Ward C1 In a drawer of the resuscitation trolley, inspectors observed a 10ml syringe stored out of packaging with the plunger withdrawn to the 10ml line (Picture 4). The ward manager advised this was for the insertion of air into a cuffed endotracheal tube. This practice allows for potential contamination and lack of traceability issues. The ward manager removed the exposed syringe immediately. 20
Picture 4: Exposed syringe with 10ml inflated air Ward A3 Ward C5 The phlebotomy trolley was cluttered with notes, and a very large sharps bin therefore making cleaning difficult, the drawers of the trolley were damaged. Inspectors were informed that a new trolley was on order. In the interim the placement of notes and sharps should be reviewed as these issues create difficulty with ensuring the optimal infection prevention and control practices are complied with. Inspectors observed an open and possibly used patient chest drain stored in the dirty utility room, this was reported to the ward manager for action. Recommendations 9. The trust and individual staff have a collective responsibility to ensure that equipment is clean, stored correctly and in a good state of repair. 10. The trust and individual staff have a collective responsibility to ensure that staff knowledge is kept up to date regarding equipment cleaning. 21
Page 1 and 2: RQIA Infection Prevention/Hygiene U
Page 3 and 4: 1.0 Inspection Summary An unannounc
Page 5 and 6: Table 1 Areas inspected C1 A3 C4 C5
Page 7 and 8: 2.0 Background Information to the I
Page 9 and 10: 4.0 Unannounced Inspection Process
Page 11 and 12: Level of Compliance Percentage scor
Page 13 and 14: educe the potential risk for the tr
Page 15 and 16: leading to the ward. The patient lo
Page 17 and 18: 6.6 Additional Issues Ward A3 Ward
Page 19 and 20: 7.0 Patient Linen STANDARD 3.0 PATI
Page 21: of the sharps box and its contents
Page 25 and 26: Recommendations 11. The trust shoul
Page 27 and 28: Similar issues were identified in W
Page 29 and 30: 12.0 Key Personnel and Information
Page 31 and 32: 13.0 Summary of Recommendations 1.
Page 33 and 34: Reporting & Re-Audit Episode of Ins
Page 35 and 36: 16.0 Action Plan Antrim Area Hospit
Page 37 and 38: Ref number Recommendations 6. The t
Page 39 and 40: Ref number Recommendations 13. Furt
Page 41: Ref number Recommendations 20. The

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

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