Altnagelvin Hospital, Londonderry - 2 November 2011

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8.0 Waste and Sharps STANDARD 4.0 WASTE AND SHARPS Waste: Effectiveness of arrangements for handling, segregation, storage and disposal of waste on ward/ department Sharps: Availability, use and storage of sharps containers on ward/ department Waste and sharps Handling, segregation, storage, waste Availability, use, storage of sharps 88 79 8.1 Waste The ward achieved a compliance score in the management of waste. The inspection evidenced that there were arrangements in place for the handling and storage of waste in line with local and regional guidance. Some issues were identified in respect of the correct segregation of waste. There was no black lidded burn bin for the disposal of pharmaceutical waste and medicine bottles were disposed off inappropriately into a magpie box. There was no household waste bin available in the dirty utility room, and the underside of a lid on the waste bin in a bedroom and at the nurses’ station was rusty. 8.2 Sharps A partially compliant score was achieved in this standard. Sharps boxes in use conformed to BS7320 (1990)/UN9291 standard and were assembled correctly. The issues identified were in relation to the temporary closure mechanism on the sharps boxes which were not in place. Also the integrated sharps trays which are used when assembling equipment to carry out a clinical procedure were stained. 16
Recommendations 7. Systems and process should be in place to ensure that staff comply with the trust policy on the segregation and safe disposal of waste. 8. The trust should monitor the implementation of its policies and procedures in respect of the management of waste and sharps to ensure that safe and appropriate practice is in place. 17
Page 1 and 2: RQIA Infection Prevention/Hygiene U
Page 3 and 4: 1.0 Inspection Summary An unannounc
Page 5 and 6: The following tables give an overvi
Page 7 and 8: Table 7 Hygiene practices Effective
Page 9 and 10: 3.0 Inspections The DHSSPS has devi
Page 11 and 12: 5.0 Audit Tool The audit tool used
Page 13 and 14: 6.0 Environment STANDARD 2.0 GENERA
Page 15 and 16: The main patient areas were general
Page 17: 7.0 Patient Linen STANDARD 3.0 PATI
Page 21 and 22: Recommendations 9 The trust and ind
Page 23 and 24: Recommendations 11 The trust should
Page 25 and 26: Recommendations 13 Systems and proc
Page 27: 13.0 Summary of Recommendations 1.
Page 30 and 31: 15.0 Escalation Process RQIA Hygien
Page 32 and 33: Reference number Recommendations 4.
Page 34: Reference number Recommendations 13

Altnagelvin Hospital, Londonderry - 2 November 2011

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