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

Reference
number
Recommendations
Designated
department
Action required
appropriate department to ensure
rectification.
Date for
completion/
timescale
Regular training is provided to all
appropriate staff.
13. The trust and individual staff have a collective
responsibility to ensure that staff knowledge is kept up to
date with regard to cleaning and decontamination of
equipment and the environment. (Repeated)
Nursing
Work / negotiations in relation to the
cleaning manual are still ongoing. In
particular, there is discussion with
nursing/control of infection with reference
bed cleaning. Once agreement is reached
the manual will be finalised.
Role and responsibilities policy in place.
Cleaning statements document for all wards
and departments to be finalised and
disseminated. This forms part of the
cleaning manual.
Jun 2012
Complete
Jun 2012
14. The trust should ensure that all members of staff are
familiar with and adhere to the regional dress code
policy. (Repeated)
All
Directorates
Trust policy available to all staff on Intranet.
Policy is enforced at local level by senior
staff, e.g., Ward Sisters and Senior
Managers.
Complete
The Ward Sister/Charge Nurse Support
Improvement and Accountability
Framework (SIAF) includes an indicator
relating to compliance with the dress code
policy and this is audited on a quarterly
basis.
Ongoing
* indicates stated for a second time 30