Belfast City Hospital, Belfast - 20 October 2011 - Regulation and ...

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7.0 Patient Linen STANDARD 3.0 PATIENT LINEN Storage of clean linen; handling and storage of used linen; ward/department laundry facilities. Linen 5S 6N 7S 10N Storage of clean linen 88 88 83 88 Storage of used linen 93 78 100 79 Laundry facilities N/A N/A N/A N/A Average Score 91 83 92 84 7.1 Management of Linen All wards inspected had effective arrangements in place for the storage of clean linen. Linen was generally stored in a separate store and was found to be clean, tidy and free from rips and tears. In Ward 6 North some linen was stored in an open trolley beside side rooms which are at times used for isolation purposes. The trolley should be moved or enclosed to protect the clean linen from airborne contamination. Some of the reusable linen bags in the linen room of Ward 6 North and Ward 5 South were torn. In all wards except for Ward 5 South more attention was required to the cleaning of floors and the removal of inappropriate items. In Ward 7 South the shelving was also dusty and there were issues with maintenance and repair. In Wards 5 and 7 South, good practice was observed in the handling and storage of used linen, used linen was placed immediately into the appropriate colour coded bags at the point of use and staff were observed to be wearing the appropriate personal protective equipment (PPE) when handling soiled/contaminated linen. Practices observed in Wards 6 and 10 North required improvement in the following areas: • In Ward 10 North staff did not dispose of used laundry at the point of care, linen was carried through the ward and disposed of into the linen skip in the dirty utility room. A registered nurse was not wearing an apron when carrying a bag of infected linen. • In Ward 6 North two nurses were unaware if water soluble bags were used for heavily soiled or infected linen and one member of staff did not remove PPE immediately after handling used linen. 18
Recommendations 7. The trust should ensure the correct storage of clean linen in a designated area which is clean and fit for purpose. 8. Systems should be in place to ensure that staff adhere to regional guidance and trust policies and that staff knowledge is kept up to date in respect of handling and storage of linen. 19
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 Ward 5S 6N 7S 10N General E
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: The inspection teams noted, that al
Page 15 and 16: Picture 2: Clean and tidy treatment
Page 17 and 18: 6.3 Maintenance and Repair In all a
Page 19: Recommendations 1. The trust should
Page 23 and 24: the ward did not have a clinical wa
Page 25 and 26: 9.0 Patient Equipment STANDARD 5.0
Page 27 and 28: 10.0 Hygiene Factors STANDARD 6.0 H
Page 29 and 30: In all wards there were issues iden
Page 31 and 32: improvement is also required in sta
Page 33 and 34: 3. Staff also provided feedback on
Page 35 and 36: Supporting documentation A number o
Page 37 and 38: 14. The trust should ensure that ha
Page 39 and 40: 15.0 Escalation Process RQIA Hygien
Page 41 and 42: Ref No Recommendations Designated d

Belfast City Hospital, Belfast - 20 October 2011 - Regulation and ...

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