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Whiteabbey Hospital - 31 May 2012 - Regulation and Quality ...

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11.0 Hygiene Practices<br />

STANDARD 7.0<br />

HYGIENE PRACTICES<br />

H<strong>and</strong> hygiene procedures; h<strong>and</strong>ling <strong>and</strong> disposal of sharps; use<br />

of PPE; use of isolation facilities <strong>and</strong> implementation of infection<br />

control procedures; cleaning of ward/department; staff uniform<br />

<strong>and</strong> work wear.<br />

Hygiene practices<br />

Effective h<strong>and</strong> hygiene<br />

procedures<br />

100<br />

Safe h<strong>and</strong>ling <strong>and</strong><br />

disposal of sharps<br />

100<br />

Effective use of PPE 100<br />

Correct use of isolation 95<br />

Effective cleaning of ward 90<br />

Staff uniform <strong>and</strong> work<br />

wear<br />

100<br />

Average Score 98<br />

The unit achieved high overall compliance in this st<strong>and</strong>ard <strong>and</strong> staff are<br />

commended for achieving full compliance in four sections. Issues<br />

identified were in relation to practice <strong>and</strong> knowledge. The nursing care<br />

plan of a patient isolated with a known infection needed more detail for<br />

actions taken, COSHH data sheets on Difficil-S were not available for<br />

nursing staff to reference <strong>and</strong> nursing staff were not aware of the<br />

NPSA colour coding system.<br />

Picture 4: Sinks <strong>and</strong> consumables in the<br />

dirty utility room. Soap <strong>and</strong> towel dispenser<br />

located above the deep equipment sink<br />

In the dirty utility room<br />

inspectors observed staff use<br />

the deep equipment sink for<br />

h<strong>and</strong> washing instead of the<br />

dedicated h<strong>and</strong> washing sink.<br />

The soap <strong>and</strong> towel<br />

dispensers were located<br />

above the deep equipment<br />

sink. The placement of the<br />

soap <strong>and</strong> towel dispensers<br />

needs reviewed in this room<br />

to encourage staff to use the<br />

correct sink (Picture 4).<br />

18

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