Muckamore Abbey Hospital, Antrim - 25 April 2012 - Regulation and ...

Reference
number
Recommendations
Designated
department
Action required
Where an issue has been highlighted,
action will be taken in conjunction with the
appropriate department to ensure
rectification.
Date for
completion/
timescale
10. The trust should ensure that consumables required to
carry out hand hygiene practice are available at all hand
washing sinks. (Repeated)
PCSS
Regular training is provided to all
appropriate staff.
This is monitored as part of the
Environmental Cleanliness Audit
Programme. Staff are reminded of the
importance of replenishing dispensers.
Ongoing
Environmental cleanliness audit
programmes, which include daily ward
checks, department and managerial audits,
and IPC audits monitor compliance.
Where an issue has been highlighted,
action will be taken in conjunction with the
appropriate department to ensure
rectification.
11. The trust and individual staff have a collective
responsibility to ensure that PPE is stored appropriately.
(Repeated)
Nursing
IPC
Regular training is provided to all
appropriate staff.
This is monitored during IPC visits and
audits.
Ward staff will monitor on an ongoing basis.
Ongoing
12. Further attention to detail is required to ensure that
equipment used for the general cleaning purposes of a
ward is stored appropriately. (Repeated)
Nursing
PCSS
Environmental cleanliness audit
programmes, which include daily ward
checks, department and managerial audits,
and IPC audits monitor compliance.
Ongoing
Where an issue has been highlighted,
action will be taken in conjunction with the
* indicates stated for a second time 29