Management of Needlestick & Contamination Injuries - Royal ...

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7.2 External Validation & Assessment7.2.1 To act as a forum for the co-ordination of actions required to be undertaken inpreparation for relevant external validation and assessments e.g. CQC, NHSLArelating to sharps prevention and the management of inoculation incidents.7.2.2 To monitor risk management action plans for relevant NHSLA Risk ManagementStandards and other key performance indicators to provide evidence of continuousimprovement.7.2.4 To monitor the implementation of recommendations and findings from internal andexternal reports and board level inquiries pertaining to sharps prevention and themanagement of inoculation incidents.7.3 Annual Reports and Plans7.3.1 To ensure that sharps prevention and the management of inoculation incidentsactivities are included within the Trust’s Annual Report.7.3.2 To ensure that the Trust’s Annual Audit Plan includes provision for audits to provideassurance on compliance with sharps prevention and the management ofinoculation incidents procedures.7.3.3 To ensure that audit plans for sharps prevention and the management ofinoculation incidents procedures cover all relevant departments and staff groups.7.4 Training7.5.1 To review sharps prevention and the management of inoculation incidents trainingand awareness needs and identify an annual training programme to ensurecompliance with Trust policy.7.5.2 To review training competencies and to make recommendations to ensurecompliance as required.8. Reporting Responsibilities8.1 The Committee shall report quarterly on its activities to the Health & Safety Committee.9. OtherThe Committee shall:9.1 give due consideration to laws and regulations and the provisions of the Code ofGovernance;9.2 oversee any investigation of activities which are within its terms of reference;9.3 at least once a year review its own performance, terms of reference and attendance toensure it is operating at maximum effectiveness and recommend any changes it considersnecessary to the Health & Safety Committee for approval.RBCHOCCHEALTH\DATA\WS\POLICIES\NEEDLESTICKPOLICY\SHARPS POLICY\VERSION 6 LP 2011Page 28 of 33
10. AuthorityThe Committee is authorised:10.1 to seek any information it requires from any employee of the Trust in order to perform itsduties;10.2 to obtain, at the Trust’s expense, outside legal or other professional advice on any matterwithin its Terms of Reference;10.3 to call any employee to be questioned at a meeting of the Committee as and whenrequired.11. Supported Strategic GoalsThe Committee aims to support the Trust fulfil the following strategic objectives;11.112. Supported NHS LA StandardsThe Committee aims to support the Trust fulfil the following requirements of the NHS Litigation AuthorityRisk Management Standards;12.1 Governance,12.2 Safe Environment12.3 Clinical Care12.4 Learning from Experience.RBCHOCCHEALTH\DATA\WS\POLICIES\NEEDLESTICKPOLICY\SHARPS POLICY\VERSION 6 LP 2011Page 29 of 33
Page 1 and 2: Management of Needlestick& Contamin
Page 3 and 4: CONTENTS:SectionsPage Nos1.0 Flow c
Page 5 and 6: 2.0 POLICY STATEMENTRoyal Bournemou
Page 7 and 8: 4.2 Sharp Injury Prevention and Man
Page 9 and 10: • All sharps boxes must be sited
Page 11 and 12: must include: assurance of confiden
Page 13 and 14: 7.3.3 Exposed person vaccinated but
Page 15 and 16: Unconscious patients, or those with
Page 17 and 18: CRITERIA HOW WHERE WHEN LEADReview
Page 19 and 20: Appendix ANeedlestick/Sharps Incide
Page 21 and 22: HIV TESTING: PRE TEST DISCUSSION?Af
Page 23 and 24: Appendix DMANAGEMENT OF HIGH RISK E
Page 25 and 26: Appendix F7.0 ADVICE AND SUPPORT FO
Page 27: 6. Minutes of Meetings6.1 The Secre
Page 31 and 32: Regular Reports Provided to Health
Page 33: 7. Does this document affect anindi

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