all furniture and beds redesigned in line being drafted and Irene O’Connor are pulled out, with recruitment of Facilities discussed by cleaned, returned to new staff same at management and – room e.g. Room 1 + 2 discussion level with Union every Monday. 3+4 Hospital Management representation. every Tuesday and Union Meetings ongoing Representation and issues being progressed. . Monitoring of Monthly Hygiene Bridget Kelly CNM2 Ongoing and Maintained on Risk Ongoing and environmental audits being carried Monthly register. Ongoing monthly monitoring hygiene out at ward level. and monthly Ongoing risk on monitoring Hospital Risk Register Standard Findings/ Non Compliance Action Plans Action Taken Lead Responsibility Target Timeframe Progress To Date Review Standard 3 Inadequate patient Patients prepped for Patient waiting area to Philip Brennan Second quarter of Upgrade of MAU to Second quarter of Environment and Preparation / waiting procedure in post be included new plans 2017 commence on 2017 Facilities area procedure observation for remodelled ground floor. Plan to Management area Endoscopy Unit for move MAU by first JAG accreditation quarter of 2017 which will release more floor space to Endoscopy. Standard 3 No Endoscopy patient Patients being Discharge care and Celia Dwan CNM2 Ongoing Discharge care and Ongoing Environment and discharge lounge discharged from bed advice being provided advice being Facilities space in observation bed provided in Management space observation bed space Designation of New Seating area Philip Brennan Upgrade of MAU to Second quarter of Second quarter of Endoscopy Discharge being set up - Facilities commence on 2017 2017 Lounge with ground floor. Plan to remodelling of Unit move MAU by first
all furniture and beds are pulled out, cleaned, returned to room e.g. Room 1 + 2 every Monday. 3+4 every Tuesday Monitoring of environmental hygiene redesigned in line with recruitment of new staff – same at discussion level with Hospital Management and Union Representation Monthly Hygiene audits being carried out at ward level. Ongoing risk on Hospital Risk Register Irene O’Connor Facilities Bridget Kelly CNM2 Ongoing and Monthly being drafted and discussed by management and Union representation. Meetings ongoing and issues being progressed. . Maintained on Risk register. Ongoing and monthly monitoring Ongoing and monthly monitoring Standard Findings/ Non Compliance Action Plans Action Taken Lead Responsibility Target Timeframe Progress To Date Review Standard 3 Environment and Facilities Management Inadequate patient Preparation / waiting area Patients prepped for procedure in post procedure observation area Patient waiting area to be included new plans for remodelled Endoscopy Unit for JAG accreditation Philip Brennan Second quarter of 2017 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. Second quarter of 2017 Standard 3 Environment and Facilities Management No Endoscopy patient discharge lounge Patients being discharged from bed space Designation of Endoscopy Discharge Lounge with remodelling of Unit Discharge care and advice being provided in observation bed space New Seating area being set up - Celia Dwan CNM2 Philip Brennan Facilities Ongoing Second quarter of 2017 Discharge care and advice being provided in observation bed space Upgrade of MAU to commence on ground floor. Plan to move MAU by first Ongoing Second quarter of 2017
hiqa-qip-january-2017.docx