Antrim Area Hospital, Antrim - 12 October 2011 - Regulation and ...

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staff member as a result of incorrect assembly/disposal, the area the sharps box originated from can be immediately identified. Identifying the origin of the sharps box and its contents is imperative to assist in the immediate risk assessment process carried out following a sharps injury and also to ensure that staff who incorrectly assembled/ disposed of the sharps box can receive education on the correct procedures to follow. In the preparation room a number of temporary closures on sharps boxes was open and it was noted that sharps boxes with integral trays were stored on the lower shelf of the procedure trolleys for transport to the bedside. Brackets were not attached to the trolleys to secure the boxes. With little effort and improvement in staff practice, staff could achieve full compliance in this standard. Recommendations 5. The trust should ensure that waste bins are kept clean, in good repair and replaced as appropriate. 6. The trust should monitor the implementation of its policies and procedures in respect of the management of waste and sharps to ensure that safe and appropriate practice is in place. 16
9.0 Patient Equipment STANDARD 5.0 PATIENT EQUIPMENT Cleanliness and state of repair of general patient equipment. Patient equipment Patient equipment 93 The ward is to be commended in achieving a high compliance score in this section of the audit tool. Inspectors observed that the cleaning of patient equipment was of a very good standard as equipment was visibly clean and generally in a good state or repair. A few issues were identified for improvement. The framework of the notes trolley stored at the entrance to the ward and the shelf of the resuscitation trolley in the preparation room were chipped and worn to the bare metal. Discussion with staff indicated that they were aware of the disinfectant in use however some nursing staff were unsure of the symbol for single use equipment. The inspectors observed that laryngoscope blades on the resuscitation trolley were removed from their sterile packaging. The Association of Anaesthetists of Great Britain and Ireland guidelines „Infection Control in Anaesthesia‟ states that single use resuscitation equipment should be kept in a sealed package or should be re-sterilised between patients according to manufacturer's instructions. It also states that packaging should not be removed until the point of use for infection control, identification and traceability in the case of a manufacturer's recall and safety. Recommendations 7. The trust and individual staff have a collective responsibility to ensure that equipment is stored correctly, easily cleaned and in a good state of repair. 17
Page 1 and 2: RQIA Infection Prevention/Hygiene U
Page 3 and 4: 1.0 Inspection Summary An unannounc
Page 5 and 6: Table 2 General environment Recepti
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: electric kettle in the kitchen, the
Page 15 and 16: Recommendations 1. The trust should
Page 17: 8.0 Waste and Sharps STANDARD 4.0 W
Page 21 and 22: 11.0 Hygiene Practices STANDARD 7.0
Page 23 and 24: 12.0 Key Personnel and Information
Page 25 and 26: Reporting & Re-Audit Episode of Ins
Page 27 and 28: 16.0 Action Plan Reference number R

Antrim Area Hospital, Antrim - 12 October 2011 - Regulation and ...

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