Infrastructure 3.1 The infrastructure of the Renal Dialysis Unit Business Case submitted. SAOLTA Management DEC 2017. 2017 was not in line with desirable modern Awaiting Capital approval GM, Facilities Manager, DON, Funding standards for such facilities and as such did and awaiting revenue ADON/SM, Finance Manager. dependent not facilitate effective infection prevention approval. and control. There should be sufficient Added to Risk Register CNM’s/ Staff Nurses, HCA’s isolation facilities to facilitate compliance Isolation room doors should with hospital IPC guidelines. be kept closed The practice of Patients using clinical hand wash sinks in the open dialysis unit to cleanse the skin over the arteriovenous fistula prior to dialysis has stopped. 4 Renal Dialysis Unit Facilities 4.1 Operational: There were two dialysis Completed July Environmental machines running in each of three occupied Practice was reviewed CNM’s, Staff nurses, HCA’s. 2016 Hygiene Audit dialysis stations. The operational norm in immediately and only IPCT results most dialysis units is that dialysis machines equipment needed for the reviewed by can be heated up for patients in a individual dialysis cycle is HSAG designated area other than an occupied now brought into the dialysis dialysis station. It is recommended that this station. practice is reviewed due to risk of dialysis machine contamination. 4.2 Storage facilities: These are insufficient. Storage Solution is in Facilities Manager, DON Environmental Patient equipment including multiple approving the Business case. ADON/SM On Going Hygiene Audit dialysis machines, extra dialysis chairs and In the interim, maximising all CNM’s/Staff Nurses/HCA’s reviewed by boxes of clean supplies were stored along available space and keeping HSAG. corridors. Items including a moving and corridors free. handling hoist, an electrocardiograph machine and hoist slings were stored in a stairwell landing. A wooden pallet stacked
Infrastructure 3.1 The infrastructure of the Renal Dialysis Unit was not in line with desirable modern standards for such facilities and as such did not facilitate effective infection prevention and control. There should be sufficient isolation facilities to facilitate compliance with hospital IPC guidelines. Business Case submitted. Awaiting Capital approval and awaiting revenue approval. Added to Risk Register Isolation room doors should be kept closed The practice of Patients using clinical hand wash sinks in the open dialysis unit to cleanse the skin over the arteriovenous fistula prior to dialysis has stopped. SAOLTA Management GM, Facilities Manager, DON, ADON/SM, Finance Manager. CNM’s/ Staff Nurses, HCA’s DEC 2017. Funding dependent 2017 4 Renal Dialysis Unit Facilities 4.1 Operational: There were two dialysis machines running in each of three occupied dialysis stations. The operational norm in most dialysis units is that dialysis machines can be heated up for patients in a designated area other than an occupied dialysis station. It is recommended that this practice is reviewed due to risk of dialysis machine contamination. Practice was reviewed immediately and only equipment needed for the individual dialysis cycle is now brought into the dialysis station. CNM’s, Staff nurses, HCA’s. IPCT Completed July 2016 Environmental Hygiene Audit results reviewed by HSAG 4.2 Storage facilities: These are insufficient. Patient equipment including multiple dialysis machines, extra dialysis chairs and boxes of clean supplies were stored along corridors. Items including a moving and handling hoist, an electrocardiograph machine and hoist slings were stored in a stairwell landing. A wooden pallet stacked Storage Solution is in approving the Business case. In the interim, maximising all available space and keeping corridors free. Facilities Manager, DON ADON/SM CNM’s/Staff Nurses/HCA’s On Going Environmental Hygiene Audit reviewed by HSAG.