Muckamore Abbey Hospital, Antrim - 16 February 2012

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Table 4 Waste and sharps Donegore Erne Handling, segregation, storage, waste Availability, use, storage of sharps 88 79 91 86 Table 5 Patient Equipment Donegore Erne Patient equipment 87 44 Table 6 Hygiene Factors Donegore Erne Availability and cleanliness of WHB and consumables 96 79 Availability of alcohol rub 77 80 Availability of PPE 83 67 Materials and equipment for cleaning 98 85 Total 89 78 Table 7 Hygiene practices Donegore Erne Effective hand hygiene procedures 80 43 Safe handling and disposal of sharps 100 50 Effective use of PPE 100 73 Correct use of isolation N/A N/A Effective cleaning of ward 63 56 Staff uniform and work wear 93 70 Total 87 58 Compliant: 85% or above Partial Compliance: 76% to 84% Minimal Compliance: 75% or below 4
2.0 Background Information to the Inspection Process RQIA’s infection prevention and hygiene team was established to undertake a rolling programme of unannounced inspections of acute hospitals. The Department of Health Social Service and Public Safety (DHSSPS) commitment to a programme of hygiene inspections was reaffirmed through the launch in 2010 of the revised and updated version of 'Changing the Culture' the strategic regional action plan for the prevention and control of healthcare-associated infections (HCAIs) in Northern Ireland. The aims of the inspection process are: to provide public assurance and to promote public trust and confidence to contribute to the prevention and control of HCAI to contribute to improvement in hygiene, cleanliness and infection prevention and control across health and social care in Northern Ireland In keeping with the aims of the RQIA, the team will adopt an open and transparent method for inspection, using standardised processes and documentation. 5
Page 1 and 2: RQIA Infection Prevention/Hygiene U
Page 3 and 4: 1.0 Inspection Summary An unannounc
Page 5: Table 1 Donegore Erne Environment 9
Page 9 and 10: 4.0 Unannounced Inspection Process
Page 11 and 12: Level of Compliance Percentage scor
Page 13 and 14: delivered in communal sanitary area
Page 15 and 16: Inspectors observed that in Erne a
Page 17 and 18: Fridge temperature readings were re
Page 19 and 20: 7.0 Patient Linen STANDARD 3.0 PATI
Page 21 and 22: 8.0 Waste and Sharps STANDARD 4.0 W
Page 23 and 24: 9.0 Patient Equipment STANDARD 5.0
Page 25 and 26: 10.0 Hygiene Factors STANDARD 6.0 H
Page 27 and 28: Recommendations 15. The trust shoul
Page 29 and 30: Picture 6: Erne, Venepuncture set w
Page 31 and 32: 12.0 Key Personnel and Information
Page 33 and 34: a good state of repair and changed
Page 35 and 36: 15.0 Escalation Process RQIA Hygien
Page 37 and 38: Ref No. Recommendations Designated

Muckamore Abbey Hospital, Antrim - 16 February 2012

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