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Causeway Hospital - 14 June 2012 - Regulation and Quality ...

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protruding from the open aperture (Picture 3). In Medical 2 the sharps<br />

box on the resuscitation trolley was not empty or secured safely to the<br />

trolley <strong>and</strong> a paper label was taped to the box advising staff not to<br />

remove the box from the trolley, this label impedes staff from<br />

accurately filling out the label on the box.<br />

Picture 3: Syringes protruding from a sharps box<br />

In Medical 2 clean utility room a 22 litre sharps box was bracketed to<br />

the wall. When full the box is heavy <strong>and</strong> difficult to remove from the<br />

bracket, this has potential health <strong>and</strong> safety implications <strong>and</strong> should be<br />

reviewed.<br />

In both wards integral sharps trays, used to store a sharps box <strong>and</strong><br />

equipment when carrying out a procedure were available however staff<br />

were also using paper mache receivers or disposable foil trays, not<br />

recommended as part of the aseptic non touch technique procedure<br />

(ANTT). In Elective Surgery a sharps tray was blood stained.<br />

Recommendations<br />

9. The trust should monitor the implementation of its policies<br />

<strong>and</strong> procedures in respect of the management of waste <strong>and</strong><br />

sharps to ensure that safe <strong>and</strong> appropriate practice is in<br />

place.<br />

10. The trust should ensure that waste bins <strong>and</strong> equipment used<br />

in the management of waste <strong>and</strong> sharps are clean <strong>and</strong> that<br />

waste bins are available <strong>and</strong> fit for purpose.<br />

11. The trust <strong>and</strong> individual staff have a collective responsibility<br />

to ensure that staff knowledge is kept up to date regarding<br />

the safe <strong>and</strong> the correct h<strong>and</strong>ling <strong>and</strong> disposal of waste <strong>and</strong><br />

sharps.<br />

17

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