Public Board of Directors papers 27.01.22

Reusable non-invasive care equipment is decontaminated: • between each use. • after blood and/or body fluid contamination • at regular predefined intervals as part of an equipment cleaning protocol • before inspection, servicing, or repair equipment.

Clinical Teams are responsible for ensuring reusable non- invasive care equipment is decontaminated of which Ward 10 currently using a housekeeper checklist. See Ward 10 housekeeper checklist. Early on the pandemic when PPE availability could potentially be outstripped by short term surges in demand the use of the SOP Decontamination of disposable goggles/visors was developed adhered to and would be used more widely if short term surges in demand of this equipment where to occur again. See Standards Operating Procedure for the decontamination of goggles & visors. Regular inspections and scheduled audits are completed by IPCT and findings shared with ward teams. Domestic staff adhere to specific work schedules detailing the cleaning activity required for functional areas. Very high-risk area such as Theatres require continual detailed cleaning to meet the required standard consistently. Such areas are monitored weekly to ensure they are compliant with the standards required. Cleaning requirements undertaken by the clinical teams e.g. that of reusable patient care equipment is monitored by the senior nursing staff of the wards. Refer to evidence below: See Trust wide ventilation systems In patient care areas ‘constructed or refurbished between 2007 and 2021’, the areas are likely to have been designed (with derogations as agreed) to the previous version to the 2021 version of Health Technical Memorandum 03-01 Specialised ventilation for healthcare premises Part A: The concept, design, specification, installation and acceptance testing of healthcare

This is not routinely used by all wards

The development of this to be used universally on all wards is in progress

Compliance with regular cleaning regimes is monitored including that of reusable patient care equipment.

As part of the Hierarchy of controls assessment: ventilation systems, particularly in, patient care areas (natural or mechanical) meet national recommendations for minimum air changes refer to country specific guidance. In

Audit the ventilation strategy and

Interim risk mitigation has been

C1501: Infection prevention and control board assurance framework (24 December 2021 Version 1.8) – January 2022

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