and Facilities prevention and Control CNM II on site half Management resources on site day alternate weeks. Monday to Friday Barbara Slevin First quarter 2018 There is a Group plan for 2018 to increase IP&C resources which will increase onsite presence Cathrina Ryan 2018 Lack of isolation New 16 bedded single Medicine Directorate facilities rooms ward opening Group Building & 2018 Maintenance management Environmental No clean utility Review of top floor Cathrina Ryan 2018 Use of and Facilities dedicated to Infusion footprint in 2018 to Mary Clifford disposable IV Management Room. Medicine progress dedicated Group Building and trays preparation area not clean utility maintenance introduced. Infusion room meeting standards Management. Disposable Estates tourniquets use is standard. Sharing of medicine vials is not a practice. PPE used at all times in preparing and administering medication. Action Plans Action Taken Lead Responsibility Progress To Date Review Standard Findings/ Non Compliance Target Timeframe Environmental Worktop on which Sink removed in Philip Brennan and Facilities medication being December Closed Management prepared contained a sink. Infusion room Patient files removed
and Facilities Management prevention and Control resources on site Monday to Friday Lack of isolation facilities CNM II on site half day alternate weeks. There is a Group plan for 2018 to increase IP&C resources which will increase onsite presence New 16 bedded single rooms ward opening 2018 Barbara Slevin Cathrina Ryan Medicine Directorate Group Building & Maintenance management First quarter 2018 2018 Environmental and Facilities Management Infusion room No clean utility dedicated to Infusion Room. Medicine preparation area not meeting standards Review of top floor footprint in 2018 to progress dedicated clean utility Use of disposable IV trays introduced. Disposable tourniquets use is standard. Sharing of medicine vials is not a practice. PPE used at all times in preparing and administering medication. Cathrina Ryan Mary Clifford Group Building and maintenance Management. Estates 2018 Standard Findings/ Non Compliance Action Plans Action Taken Lead Responsibility Target Timeframe Progress To Date Review Environmental and Facilities Management Infusion room Worktop on which medication being prepared contained a sink. Sink removed in December Patient files removed Philip Brennan Closed