legislation, protocols, and requirements that these reviews are recorded on the consistently 180 days guidelines. medication chart. The service has commenced recorded. addressing this, and has now got a medication chart template that has a section for the three monthly reviews to be recorded. Criterion 3.1.3 PA Low There was no evidence that the infection control The annual review of Provide evidence that the programme has been reviewed in the past 12 the infection control infection control The organisation has a clearly months. There is a documented review of an programme was not programme is reviewed at defined and documented outbreak that occurred in March 2015, this is sighted. least annually. infection control programme specific to the actions implemented for the outbreak. that is reviewed at least There was no overall review of the infection control annually. programme as a whole that has occurred within the 180 days last 12 months, which indicates that the infection control programme is meeting its goals. The infection control polices records that the review of the infection control programme is 2 yearly. The infection control coordinator’s job description records the infection control programme is required to be reviewed annually.
legislation, protocols, and guidelines. requirements that these reviews are recorded on the medication chart. The service has commenced addressing this, and has now got a medication chart template that has a section for the three monthly reviews to be recorded. consistently recorded. 180 days Criterion 3.1.3 The organisation has a clearly defined and documented infection control programme that is reviewed at least annually. PA Low There was no evidence that the infection control programme has been reviewed in the past 12 months. There is a documented review of an outbreak that occurred in March 2015, this is specific to the actions implemented for the outbreak. There was no overall review of the infection control programme as a whole that has occurred within the last 12 months, which indicates that the infection control programme is meeting its goals. The infection control polices records that the review of the infection control programme is 2 yearly. The infection control coordinator’s job description records the infection control programme is required to be reviewed annually. The annual review of the infection control programme was not sighted. Provide evidence that the infection control programme is reviewed at least annually. 180 days
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