Belfast City Hospital, Belfast - 12 December 2011 - Regulation and ...
Belfast City Hospital, Belfast - 12 December 2011 - Regulation and ...
Belfast City Hospital, Belfast - 12 December 2011 - Regulation and ...
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Reference<br />
number<br />
Recommendations<br />
infection fully reflects the care given <strong>and</strong> are completed<br />
appropriately.<br />
Designated<br />
department<br />
Action required<br />
as per these pathways <strong>and</strong> this includes<br />
appropriate documentation in their notes<br />
Date for<br />
completion/<br />
timescale<br />
18. The trust should ensure that all members of staff are<br />
familiar with <strong>and</strong> adhere to the regional dress code policy<br />
(Repeated).<br />
Advice on patients with VRE/GRE or any<br />
other multi-resistant microorganism is given<br />
directly to staff <strong>and</strong> transmission based<br />
precautions implemented.<br />
This guidance is available in the regional<br />
Infection Control Manual. Policy is enforced<br />
at local level by senior staff, e.g., Ward<br />
Sisters <strong>and</strong> Senior Managers.<br />
Assurance is gained through environmental<br />
cleanliness audit programmes, which include<br />
daily ward checks, department <strong>and</strong><br />
managerial audits, <strong>and</strong> IPC audits monitor<br />
compliance.<br />
Where an issue has been highlighted, action<br />
will be taken in conjunction with the<br />
appropriate department to ensure<br />
rectification.<br />
Complete<br />
* indicates stated for a second time 38
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