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

More documents

Recommendations

Info

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
* indicates stated for a second time 31
Page 1 and 2: RQIA Infection Prevention/Hygiene U
Page 3 and 4: 1.0 Inspection Summary The unannoun
Page 5 and 6: Table 2 Environment Erne 16 Feb 201
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: commended for achieving overall com
Page 15 and 16: Picture 4: Damage to paint finish o
Page 17 and 18: 8.0 Waste and Sharps STANDARD 4.0 W
Page 19 and 20: 10.0 Hygiene Factors STANDARD 6.0 H
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: 14. The trust should ensure that al
Page 27 and 28: 15.0 Escalation Process RQIA Hygien
Page 29 and 30: Reference number Recommendations De
Page 31: Reference number Recommendations De

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

Create successful ePaper yourself

Delete template?

Save as template?