since Sept 2017 OUTSTANDING ITEMS FOLLOWING HIQA INSPECTION SEPTEMBER 2015 Endoscopy Standard Findings/ Non Compliance Action Plans Action Taken Lead Responsibility Target Timeframe Progress To Date Review Environment and Inadequate patient Patients prepped for Patient preparation Philip Brennan Third Quarter 2018 Upgrade of MAU First quarter of 2018 Facilities Preparation / waiting procedure in post /waiting area to be commenced on Management area procedure observation included in review of ground floor. Plan to area top floor footprint for move MAU by first Endoscopy Unit for quarter of 2018 JAG accreditation which will release more floor space to Endoscopy. Environment and No Endoscopy patient Patients being Discharge care and Ongoing Discharge care and Ongoing Facilities discharge lounge discharged from bed advice being provided advice being Management space in observation bed provided in space Celia Dwan CNM2 observation bed Cathrina Ryan space ODON Philip Brennan Maintenance Designation of Seating area available manager Upgrade of MAU to First quarter of 2018 First quarter of 2018 Endoscopy Discharge commence on Lounge with review ground floor. Plan to of top floor footprint move MAU by first for JAG accreditation quarter of 2017 which will release more floor space to Endoscopy Environment and Completed Clutter on work Office space adjacent New office space Philip Brennan Completed Completed Facilities Ongoing monitoring surfaces in Procedure to Endoscopy provided to Facilities Ongoing monitoring Ongoing monitoring Management and audit room 1 Procedure Room 1 Endoscopy Unit. All and audit and audit designated to possible equipment / Celia Dwan CNM2 Endoscopy. paperwork decanted to new office space
since Sept 2017 OUTSTANDING ITEMS FOLLOWING HIQA INSPECTION SEPTEMBER 2015 Endoscopy Standard Findings/ Non Compliance Action Plans Action Taken Lead Responsibility Target Timeframe Progress To Date Review Environment and Facilities Management Inadequate patient Preparation / waiting area Patients prepped for procedure in post procedure observation area Patient preparation /waiting area to be included in review of top floor footprint for Endoscopy Unit for JAG accreditation Philip Brennan Third Quarter 2018 Upgrade of MAU commenced on ground floor. Plan to move MAU by first quarter of 2018 which will release more floor space to Endoscopy. First quarter of 2018 Environment and Facilities Management No Endoscopy patient discharge lounge Patients being discharged from bed space Designation of Endoscopy Discharge Lounge with review of top floor footprint for JAG accreditation Discharge care and advice being provided in observation bed space Seating area available Celia Dwan CNM2 Cathrina Ryan ODON Philip Brennan Maintenance manager Ongoing First quarter of 2018 Discharge care and advice being provided in observation bed space Upgrade of MAU to commence on ground floor. Plan to move MAU by first quarter of 2017 which will release more floor space to Endoscopy Ongoing First quarter of 2018 Environment and Facilities Management Clutter on work surfaces in Procedure room 1 Office space adjacent to Endoscopy Procedure Room 1 designated to Endoscopy. New office space provided to Endoscopy Unit. All possible equipment / paperwork decanted to new office space Philip Brennan Facilities Celia Dwan CNM2 Completed Ongoing monitoring and audit Completed Ongoing monitoring and audit Completed Ongoing monitoring and audit