South West Acute Hospital - 13 November 2012 - Regulation and ...

management by the Health and Social Care Board and the Public
Health Agency.
Notable Practice
The inspection identified the following areas of notable practice:
Regular audits – Visual Infusion Phlebitis Score, Early
Warning Score, Malnutrition Universal Screening Tool,
Falls, Armbands, hand hygiene, peripheral IV lines, catheter
care, commodes
Implementation of high impact interventions
In Ward 1 the ward sister was emailing information to staff
to reduce paper notices
In Ward 1 the PPE pyramid was displayed for staff to
reference
In Ward 5, good domestic services documentation;
enhanced cleaning sheet
In Ward 5 a proactive ward Consultant, with a keen interest
in infection prevention and control. Consultant participates
in long line ward audits, microbiology ward rounds,
appraisals, root cause analysis and formal infection
prevention and control
The RQIA inspection team would like to thank staff at the South West
Acute Hospital for their assistance during the inspection.
The following tables give an overview of compliance scores noted in
areas inspected by RQIA:
Table 1 summarises the overall compliance levels achieved.
Tables 2-7 summarise the individual tables for sections two to seven of
the audit tool as this assists the organisation to target areas that
require more specific attention.
2