Environment and incomplete due to lack Facilities of hygiene resources Management Clean patient Hygiene staff cleaning Bridget CNM 2 Equipment being Ongoing review and equipment as per equipment and signing Ongoing cleaned and signed monitoring in timeframe outlined in logs by hygiene staff monthly equipment log Environmental Hygiene Audit Equipment to be In progress, Bridget Kelly CNM2 Ongoing Equipment Daily monitoring by cleaned by staff equipment cleaned by cleaned by staff after ward CNM member who uses it staff after use i.e. use observations machines Equipment not in use Equipment moved to Bridget Completed Excess equipment Daily monitoring by to be stored off the the equipment store Kelly CNM2 decanted off ward to ward CNM ward room off the ward equipment store when not in use room Increase Hygiene Hygiene WTE deficit Cathrina Ryan Completed Completed Completed Hours Escalated to Corporate A/ODON risk register September 2014 5 new MTA’s Josephine Hynes HR Ongoing process Ongoing process Ongoing process commenced in Irene O’Connor Nenagh Hospital since Facilities Jan 2016.More positions to be filled. Recruitment on going Standard Findings/ Non Compliance Action Plans Action Taken Lead Responsibility Target Timeframe Progress To Date Review Standard 3 High levels of dust in Increase hours Extra hours allocated Cathrina Ryan Ongoing A second hygiene Closed April 2016 Environment and 10 bedded Medical 2 allocated to Medical 2 to Medical 2 ward as A/ODON MTA allocated to Facilities ward with specific resource allows Medical 2 daily Management April 2016.
Environment and Facilities Management incomplete due to lack of hygiene resources Clean patient equipment as per timeframe outlined in equipment log Equipment to be cleaned by staff member who uses it Equipment not in use to be stored off the ward Increase Hygiene Hours Hygiene staff cleaning equipment and signing logs In progress, equipment cleaned by staff after use i.e. observations machines Equipment moved to the equipment store room off the ward when not in use Hygiene WTE deficit Escalated to Corporate risk register September 2014 5 new MTA’s commenced in Nenagh Hospital since Jan 2016.More positions to be filled. Recruitment on going Bridget CNM 2 Bridget Kelly CNM2 Bridget Kelly CNM2 Cathrina Ryan A/ODON Josephine Hynes HR Irene O’Connor Facilities Ongoing Ongoing Completed Completed Ongoing process Equipment being cleaned and signed by hygiene staff Equipment cleaned by staff after use Excess equipment decanted off ward to equipment store room Completed Ongoing process Ongoing review and monitoring in monthly Environmental Hygiene Audit Daily monitoring by ward CNM Daily monitoring by ward CNM Completed Ongoing process Standard Findings/ Non Compliance Action Plans Action Taken Lead Responsibility Target Timeframe Progress To Date Review Standard 3 Environment and Facilities Management High levels of dust in 10 bedded Medical 2 Increase hours allocated to Medical 2 ward with specific Extra hours allocated to Medical 2 ward as resource allows Cathrina Ryan A/ODON Ongoing A second hygiene MTA allocated to Medical 2 daily April 2016. Closed April 2016