Belfast City Hospital, Belfast - 12 December 2011 - Regulation and ...

6.5 Information
Staff in both wards are commended for achieving a compliance score
in this section of the standard.
Hand hygiene, MRSA, Clostridium difficile and general infection
prevention and control information leaflets were available for patients
and visitors.
A range of posters was in place for staff to reference, such as waste
management, colour coding and segregation of linen. In Ward 6 North
the sharps injury poster was available but had been removed from the
wall to facilitate painting. However posters were again observed taped
to surfaces with tape.
In both wards nursing cleaning schedules while available continue to
need further review to ensure all equipment to be cleaned is detailed
and to ensure any variances in signing off schedules are recorded.
Recurring issues in Ward 6 North related to temperatures of the drugs
fridge not being consistently recorded and no signage on the door of
the treatment room to indicate storage of oxygen. Signage was only
available within the room. A new issue observed relates to wall
mounted felt notice boards which cannot be effectively cleaned.
Additional Issues
Ward 6 North
In a dirty utility room ceiling tiles were missing or damaged
(ongoing refurbishment of the ward was in progress).
Ward 10 North
The deputy ward manager advised that the ward has a deficit in
Band 2 staff and a ward housekeeper which has an impact on the
cleaning of ward (Repeated).
There were no temperature ranges for staff to reference on the
trust fridge temperature recording sheet.
Side Room F was spot checked by inspectors after being cleaned
with vapourised hydrogen peroxide gas (VHP). VHP is used to
clean areas were patients with infection have been nursed.
Inspectors are aware that prior to VHP, a room should be stripped
of all disposable equipment and thoroughly cleaned with a
disinfectant, however inspectors observed that nursing and
domestic staff preparation of the room had not been carried out
effectively. It was noted that disposable equipment; suction
canister, oxygen mask and tubing, soap and paper towels were
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