Colour Coding of Cleaning Materials and Equipment Policy
|
|
- Chester Phillips
- 6 years ago
- Views:
Transcription
1 Colour Coding of Cleaning Materials and Equipment Policy Document Summary To ensure the Trust meets its legal duty to comply with the Food Safety Act 1990 and all subordinate legislation. DOCUMENT NUMBER POL/002/056 DATE RATIFIED 20 th May 2016 DATE IMPLEMENTED May 2016 NEXT REVIEW DATE May 2018 ACCOUNTABLE DIRECTOR POLICY AUTHOR Director of Strategy and Support Services Head of Facilities Important Note: The Intranet version of this document is the only version that is maintained. Any printed copies should therefore be viewed as uncontrolled and, as such, may not necessarily contain the latest updates and amendments.
2 Contents SCOPE... 2 INTRODUCTION... 2 STATEMENT OF INTENT... 2 DEFINITIONS... 3 Accountable Director... 3 Policy File Holder... 3 Policy Author... 3 PLACE... 3 RESPONSIBILITIES... 3 Director of Strategy and Support Services... 3 Head of Facilities... 3 Facilities Coordinator... 3 Ward/Department Manager and Sister... 4 Domestic/Housekeeping Supervisor... 4 Domestic Assistant/Housekeepers... 4 General Staff... 4 POLICY CONTENT... 5 General Guidelines... 5 Training... 6 MONITORING COMPLIANCE WITH THIS POLICY... 6 REFERENCES/BIBLIOGRAPHY... 7 RELATED TRUST POLICY/PROCEDURES P a g e
3 SCOPE This policy applies to all staff, whether they are directly employed by Cumbria Partnership NHS Foundation Trust or are under contract to the Trust. This policy will also take account of other relevant Trust policies such as Infection Prevention and Control, and Health & Safety and will also reflect National Standards, for example Standards for Better Health, PLACE, the Code of Practice for the Prevention and Control of Healthcare Associated Infections, and the Matrons Charter. INTRODUCTION Colour coding of Trust cleaning materials and equipment ensures that these items are not used in multiple areas, therefore reducing the risk of cross infection. This policy follows a recommendation from the National Patient Safety Agency to improve the safety of hospital and healthcare premise cleaning, ensure consistency and provide clarity to staff. The majority of hospitals and healthcare premises already have colour coding schemes for materials and equipment in place, most of which revolve around the same core colours. However, this presents a potential risk when domestic staff move from organisation to organisation or even in some cases from site to site. Due to the inconsistency this causes throughout the NHS, the NPSA developed a standardised code to be used by all NHS organisations providing in-patient services in England and Wales. The National colour coding scheme is designed to standardise and streamline existing schemes. STATEMENT OF INTENT The aim of the colour coding system is to work alongside standard cleaning procedures to:- Ensure that a standardised colour coding system is adhered to by all staff employed by Cumbria Partnership NHS Foundation Trust and external agency/contract staff working within Cumbria Partnership NHS Foundation Trust properties. Help maintain a clean, comfortable and safe environment for patients, clients, visitors and members of the general public. Increase patient confidence in relation to environmental hygiene and the organisational commitment to reduce the incidence of healthcare associated infection. 2 P a g e
4 DEFINITIONS Accountable Director The Director accountable for the policies within a specific area of responsibility. Also the person responsible for the process or production of specific policies. Policy File Holder Person in charge of the administration systems for policies and procedures in a particular service location. Policy Author The person nominated by the Accountable Director to prepare the draft of a specific policy. PLACE Patient Led Assessment of the Care Environment. RESPONSIBILITIES Director of Strategy and Support Services The Director of Strategy and Support Services is the accountable director for this policy. Head of Facilities It is the responsibility of the Head of Facilities to: Take the operational lead for colour coding of cleaning materials and equipment throughout the Trust. Ensure a Colour Coding Policy is in place and kept updated of significant changes. Ensure the Trust complies with national cleaning, specifically the colour coding requirements. Ensure effective quality standard monitoring and feedback arrangements are in place and that any remedial information relating to colour coding is passed on to the Ward/Dept managers/sisters for them to action. Ensure that SLAs and service specifications/contracts are in place, that they include colour coding requirements, and that all cleaning providers adhere to them. Facilities Coordinator It is the responsibility of the Facilities Coordinator to: Promote the colour coding of cleaning equipment and material requirements to all staff. Set and monitor standards in conjunction with Facilities Management and Infection Prevention and Control teams. 3 P a g e
5 Ward/Department Manager and Sister It is the responsibility of all Ward/Department Managers and Sisters to: Allow access for quality Monitoring, and support the Facilities Department to implement the colour coding policy within the ward/department Ensure that the colour coding poster is placed in all required areas Ensure the Estates Department is notified of any known remedial action required to support the colour coding policy He/she will ensure that staff receive training on the colour coding policy within their local induction. He/she will ensure that all recommendations from quality monitoring audits in relation to colour coding are acted upon. He/she has the day to day responsibility for supervising and ensuring the ward staff are compliant in completing their responsibilities as laid out by this policy. Domestic/Housekeeping Supervisor It is the responsibility of domestic/housekeeping supervisor to: Maintain appropriate records e.g. quality monitoring, training Ensure all staff are appropriately trained and that it is regularly updated as required Ensure adequate equipment and materials are available Maintain and adhere to National Specifications for Cleanliness in the NHS, as set out in the Trust Cleaning Manual Ensure staff are aware of and understand the importance of keeping a Colour Coding system Monitor standards of cleanliness on a regular basis. Domestic Assistant/Housekeepers It is the responsibility of all housekeepers to: Ensure that all equipment is correctly Colour Coded Comply with all training policies and procedures Carry out their duties in a manner which prevents the spread of infection Report any untoward occurrences, in line with Trust policy General Staff It is the responsibility of all staff to: Ensure that their training for this policy is kept up to date Follow the guidelines stipulated in this policy. 4 P a g e
6 POLICY CONTENT General Guidelines All Trust premises should be cleaned using the following colour code system:- BLUE General Use BLUE (Wards, departments, offices, clinical rooms etc.) GREEN Kitchens - GREEN (In wards or departments) RED Washrooms Disposable - RED (Bathrooms, washrooms, showers, toilets, urinals and washroom floors) YELLOW Isolation Areas - YELLOW (MRSA etc.) All cleaning materials and equipment for example, cloths, mops, buckets aprons and gloves should be colour coded. The method used to colour code items should be clear and permanent The colour coding system should form part of any employee induction or continuous training programme. N.B. In doing this, it must be noted that a minority of people are colour- blind in one or more colours. Some individuals may not know this and therefore colour identification testing should form part of any induction programme. Where someone is identified as colour blind, amendments to the labelling of materials and equipment would be introduced. In addition to the colour coding of these, colours would also be attached in a written format. Adherence to the colour coding system should form part of any domestic service quality monitoring procedure. 5 P a g e
7 Training Training required to fulfil this policy will be provided by the Ward Manager/Matron during local induction. The management of training will be in accordance with the Trusts Learning and Development Policy. The Trust Cleaning Manual is the supporting reference guide to this training, based on the National Specifications for Cleanliness in the NHS and available for all staff to use at ward/departmental level It is recognised that on the job training is a continuous process necessitating a constant review of methods/procedures and monitoring of the individual s general performance. MONITORING COMPLIANCE WITH THIS POLICY The table below outlines the Trusts monitoring arrangements for this policy/document. The Trust reserves the right to commission additional work or change the monitoring arrangements to meet organisational needs. Aspect of compliance or effectiveness being monitored Monitoring method Individual responsible for the monitoring Frequency of the monitoring activity Group / committee which will receive the findings / monitoring report Group / committee / individual responsible for ensuring that the actions are completed Colour coding notices are displayed in all relevant areas as laid out in this policy Cleanliness Audit Facilities Coordinator Monthly IC Link Nurse Meeting Network meetings ICC Meeting Ward/ Department Manager and Sister Facilities Mgmt meeting Supervision The colour coding system and the requirements as set out in this policy, is being used across the Trust Cleanliness Audit Facilities Coordinator Monthly IC Link Nurse Meeting Network meetings ICC Meeting Facilities Mgmt meeting Ward/ Department Manager and Sister Supervision 6 P a g e
8 REFERENCES/BIBLIOGRAPHY National Patient Safety Agency National Colour Coding Scheme National Standards for Cleanliness (April 2007) Patient Environment Action Teams Cumbria Partnership Colour Coding Policy (2009) BSi Specification for the Planning, Application and Measurement of Cleanliness Services in Hospitals (PAS ) Code of Practice for the Prevention and Control Of Healthcare Associated Infections (Health Act 2006) Care Quality Commission Guidance (March 2010) Matrons Charter (October 2004) BS EN ISO 9001:2000 Quality Assurance Standard Revised Guidance on Contracting for Cleaning (December 2004) NHS Standards for Cleanliness (2001) The NHS Plan (July 2000) RELATED TRUST POLICY/PROCEDURES Cleaning Policy Cleaning Manual Infection Prevention and Control 7 P a g e
9 8 P a g e
Cleaning of the Environment: Standard Operating Procedure
Facilities and Estates Cleaning of the Environment: Standard Operating Procedure Document Control Summary Status: New Version: v1.0 Date: September 2015 Author/Title: Author/Title: Author/Title: Owner/Title:
More informationCleaning policy. Document author Assured by Review cycle. 1. Introduction Purpose or aim Scope Definitions...
Cleaning policy Board library reference Document author Assured by Review cycle P005 Head of Estates and Facilities Quality and Standards Committee 3 years This document is version controlled. The master
More informationInspecting Informing Improving. Hygiene code inspection report: West Hertfordshire Hospitals NHS Trust
Inspecting Informing Improving Hygiene code inspection report: West Hertfordshire Hospitals NHS Trust December 2008 Outcome of inspection for: Hospital(s) visited: West Hertfordshire Hospitals NHS Trust
More informationNorth East Ambulance Service NHS Trust Infection Prevention and Control Annual Work Plan April 2009 March 2010 October review (2)
North East Ambulance Service NHS Trust Infection Prevention and Control Annual Work Plan April 2009 March 2010 October review (2) No. Objective Actions Lead Date of 1 Leadership throughout Accountability
More informationabc INFECTION CONTROL STRATEGY
abc INFECTION CONTROL STRATEGY 1. INTRODUCTION East and North Hertfordshire NHS Trust (ENHT) considers the reduction of Healthcare Associated infections (HCAI) a key component of patient safety systems
More informationHealthcare Associated Infection (HAI) inspection tool
Healthcare Associated Infection (HAI) inspection tool Hospital: Ward/Department: Inspector: Date: Guidance note: This tool is designed to assist HEI inspectors assess NHS boards compliance with NHS Quality
More informationLinen Services Policy
Policy No: IC10 Version: 6.0 Name of Policy: Linen Services Policy Effective From: 18/08/2015 Date Ratified 15/07/2015 Ratified Infection Prevention and Control Committee Review Date 01/07/2017 Sponsor
More informationPolicy for Risk Assessment of Young Persons at Work
Young Persons at Work Document Summary To protect the health, safety and welfare of young persons at work in accordance with the Management of Health and Safety at Work Regulations 1999 (as amended). DOCUMENT
More informationAppendix 10a SBAR REPORT MARCH 2010 FREE TO LEAD FREE TO CARE, EMPOWERING WARD SISTER / CHARGE NURSE SITUATION
SBAR REPORT MARCH 2010 FREE TO LEAD FREE TO CARE, EMPOWERING WARD SISTER / CHARGE NURSE SITUATION The purpose of this report is to inform the Board members of the current position and progress of Cwm Taf
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Eastbourne Villa 21 Eastbourne Road, Hornsea, HU18 1QS Tel:
More informationHand Hygiene Policy V2.4
Document reference: POL 040 Document Type: Policy Version: V2.4 Purpose: Responsible Directorate: Executive Sponsor: Document Author: Approved by: Hand Hygiene Policy V2.4 This policy aims to ensure that
More informationAnnounced Inspection Report
Announced Inspection Report Udston Hospital NHS Lanarkshire 20 21 September 2017 www.healthcareimprovementscotland.org The Healthcare Environment Inspectorate was established in April 2009 and is part
More informationUnannounced Inspection Report
Unannounced Inspection Report Stobhill Hospital Glasgow Royal Infirmary NHS Greater Glasgow and Clyde www.healthcareimprovementscotland.org The Healthcare Environment Inspectorate was established in April
More informationThe prevention and control of infections North Cumbria University Hospitals NHS Trust
The prevention and control of infections North Cumbria University Hospitals NHS Trust Region: North West Provider s code: RNL Type of organisation: Acute trust Type of inspection: Enhanced Sites we visited:
More informationGuidance for MRC units on HTA licence applications for storage of human samples for research purposes
Guidance for MRC units on HTA licence applications for storage of human samples for research purposes Summary In England, Wales and Northern Ireland the Human Tissue Authority (HTA) is licensing premises
More informationOne of the recommendations of the Free to Lead, Free to Care, Empowering Ward Sisters/Charge Nurses Ministerial Task and Finish Group: was that
INTRODUCTION One of the recommendations of the Free to Lead, Free to Care, Empowering Ward Sisters/Charge Nurses Ministerial Task and Finish Group: was that All ward sister/charge nurses should have access
More informationHospital Acquired Infections
Hospital Acquired Infections Hospital acquired infections refer to any infection that occurs during a patient s stay in hospital. They have received a lot of media attention in recent years with increasing
More informationSlips Trips and Falls Policy (Staff and Others)
Title Reference Slips Trips and Falls Policy (Staff and Others) HS/POL/076 Description of document The purpose of this policy is to ensure all Norfolk Community Health & Care NHS Trust staff are aware
More informationJOB DESCRIPTION FOR THE POST OF HOTEL SERVICES ASSISTANT IN HOTEL SERVICES
JOB DESCRIPTION FOR THE POST OF HOTEL SERVICES ASSISTANT IN HOTEL SERVICES TITLE: AGENDA FOR CHANGE PAY BAND: DIRECTORATE ACCOUNTABLE TO: REPORTS TO: RESPONSIBLE FOR: Hotel Services Assistant (Generic
More informationProtected Mealtimes Policy
Protected Mealtimes Policy DRAFT 7 [Jan 2012] SG Approved by: On: Review date: Directorate responsible for review: Policy Number: To be read in conjunction with the following policies: Food Safety Policy
More informationOther (please specify): Note: This policy has been assessed for any equality, diversity or human rights implications
Post holder responsible for Procedural Document Author of Policy Division/ Department responsible for Procedural Document Contact details Judy Potter, Lead Nurse, Infection Prevention & Control Judy Potter,
More informationOutbreak Management Policy
Policy No: IC24 Version: 5.0 Name of Policy: Outbreak Management Policy Effective From: 13/09/2012 Date Ratified 27/07/2012 Ratified Infection Prevention & Control Committee Review Date 01/07/2014 Sponsor
More informationInfection Control Safety Guidance Document
Infection Control Safety Guidance Document Lead Directorate and Service: Corporate Resources - Human Resources, Safety Services Effective Date: June 2014 Contact Officer/Number Garry Smith / 01482 391110
More information2.0 Base Shrewsbury and Telford Hospital NHS Trust
1.0 Post Title Healthcare Assistant 2.0 Base Shrewsbury and Telford Hospital NHS Trust 3.0 Department Nursing 5.0 Accountable to Ward Manager 6.0 Post purpose The post holder will provide support and assist
More informationEstates Operations and Maintenance Practice Guidance Note Pest Control V01. Planned Review November Contents. Section Description Page No
Estates Operations and Maintenance Practice Guidance Note Pest Control V01 Date Issued Issue 1 November 2016 Issue 2 November 2017 Planned Review November 2019 E-PGN-34 Part of NTW(O)32 Estates Operations
More informationCleaning Services. Cleaning Services List
Cleaning Services 20 years experience within the cleaning Industry, specializing in providing our clients with tailored products at cost effective rates. Service is focused on operational delivery, which
More informationMERLIN PARK UNIVERSITY HOSPITAL QUALITY IMPROVEMENT PLAN
MERLIN PARK UNIVERSITY HOSPITAL QUALITY IMPROVEMENT PLAN HIQA Report of the Unannounced Monitoring Assessment at Merlin Park University Hospital Galway - 9th July 2013 Areas Assessed: Report Findings Orthopaedic
More informationArrangements. Version 10
UNIQUE IDENTIFIER NO: C-64-2014 Nurse Section A - Arrangements Version 10 Important: This document can only be considered valid when viewed on the Trust s Intranet. If this document has been printed or
More informationCommunity Infection Prevention and Control Guidance for Health and Social Care. Waste Management
Community Infection Prevention and Control Guidance for Health and Social Care Waste Management Version 1.01 May 2015 Harrogate and District NHS Foundation Trust Waste Management May 2015 Version 1.01
More informationAgenda item 3.3 Appendix 4 MANDATORY TRAINING POLICY
Agenda item 3.3 Appendix 4 MANDATORY TRAINING POLICY Reference No: Issued by Policy Manager Version No: 1 Previous Trust / LHB Ref No: n/a Documents to read alongside this Policy Study Leave Guidelines
More informationHealth and Safety Performance Standard HSPS 004 Body Fluid Spillages
Health and Safety Performance Standard HSPS 004 Body Fluid Spillages HSPS.004/Safety, Health and Environment Unit/SCM/27.09.04 1 Safety, Health and Environment Unit Title Reference Number Body Fluid Spillages
More informationLaundry Policy. DOCUMENT CONTROL: Version: 8 Quality Assurance Sub Committee Date ratified: 30 October 2017 Name of
Laundry Policy DOCUMENT CONTROL: Version: 8 Ratified by: Quality Assurance Sub Committee Date ratified: 30 October 2017 Name of Head of Facilities originator/author: Name of responsible Estates Sub Committee
More informationHealth and Safety Policy
Health and Safety Policy EYFS Requirement This policy has been written in line with the Early Years Foundation Stage Safeguarding and Welfare requirements (section 3.52 to 3.54) Related Policies Child
More informationASBESTOS MANAGEMENT POLICY
ASBESTOS MANAGEMENT POLICY Version 5.0 File ref ASBESTOS MANAGEMENT POLICY Date approved June 2016 Date to be reviewed June 2019 To by reviewed by ASBESTOS STEERING GROUP Asbestos Management Policy June
More informationGuideline for the Management of Patients with Known or Suspected Diarrhoea / Viral Gastroenteritis
Guideline for the Management of Patients with Known or Suspected Diarrhoea / Viral Gastroenteritis 1. Introduction 1.1 Patients with diarrhoea pose a risk to other patients from micro-organisms contaminating
More informationHealth & Safety Policy (Part 2: Organisation & Responsibilities)
Health & Safety Policy (Part 2: Organisation & Responsibilities) Approved by: Cumbria Education Trust Board Date: January 2017 Proposed review date: Owner: Annually Headteacher, William Howard School The
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Ventilation Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Ventilation Policy Version.: 1.0 Effective From: 15 January 2016 Expiry Date: 15 January 2019 Date Ratified: 22 December 2015 Ratified By: Estates
More informationSTANDARD OPERATING PROCEDURE (SOP) TERMINAL CLEAN OF ISOLATION ROOMS
Page 1 of 5 This SOP applies to all staff employed by NHS Greater Glasgow & Clyde and locum staff on fixed term contracts and volunteer staff. SOP Objective To minimise the risk of healthcare associated
More informationInfection Prevention & Control
Infection Prevention & Control Annual Report 2012/13 and Work Plan for 2013/14 Foreword As the Executive Lead for Infection Prevention and Control, I am pleased to introduce you to Lincolnshire Partnership
More informationHand washing and Hygiene and Infection Control Policy
Hand washing and Hygiene and Infection Control Policy Aim: To promote the use of hand washing as the single most important strategy against the spread of infection within the service The spread of disease
More informationHEALTH AND SAFETY POLICY
NHS GREATER GLASGOW AND CLYDE HEALTH AND SAFETY POLICY November 2015 Lead Manager: K. Fleming Head of Health and Safety Responsible Director A. MacPherson Director of Human Resources and Organisational
More informationWRIGHTINGTON, WIGAN AND LEIGH HEALTH SERVICES NHS TRUST DIRECTOR OF INFECTION PREVENTION AND CONTROL ANNUAL REPORT
WRIGHTINGTON, WIGAN AND LEIGH HEALTH SERVICES NHS TRUST DIRECTOR OF INFECTION PREVENTION AND CONTROL ANNUAL REPORT 2006-2007 Author(s) Gill Harris, Director of Infection Prevention and Control EXECUTIVE
More informationEstablishing an infection control accreditation programme to control infection
International Journal of Infection Control www.ijic.info ISSN 1996-9783 Establishing an infection control accreditation programme to control infection Julie Parker Sheffield Teaching Hospitals NHS Foundation
More informationCONTROLLED DOCUMENT. All Managers. All Employees. Page 1 of 30. Health and Safety Policy Issued: 26/01/2017
CONTROLLED DOCUMENT CATEGORY: CLASSIFICATION: PURPOSE Controlled Document Number: Health and Safety Policy Policy Health and Safety Policy covering scope and responsibilities for health and safety in UHB
More informationPrevention and control of healthcare-associated infections
Prevention and control of healthcare-associated infections Quality improvement guide Issued: November 2011 NICE public health guidance 36 guidance.nice.org.uk/ph36 NHS Evidence has accredited the process
More informationREPORT SUMMARY SHEET
REPORT SUMMARY SHEET Meeting: Trust Board 27 th November 2014 Date: Title: Environmental Cleanliness Annual Report 2013/14 Lead Director: Corporate Objectives: Purpose: Director of Acute Services Provide
More informationWATER COOLERS & ICEMAKERS
Wirral University Teaching Hospital NHS Foundation Trust Policy Reference: 073 WATER COOLERS & ICEMAKERS Version: 6 Name and Designation of Policy Author(s) Ratified By (Committee / Group) Andrea Ledgerton
More informationUnannounced Inspection Report. Aberdeen Maternity Hospital NHS Grampian. 9 October 2013
Unannounced Inspection Report Aberdeen Maternity Hospital NHS Grampian 9 October 2013 The Healthcare Environment Inspectorate is a part of Healthcare Improvement Scotland Healthcare Improvement Scotland
More informationEstates Quality Manual
DOCUMENT CONTROL Author/Contact Document Reference Estates Quality Tel: 01946 523787 Email: steve.dougan@ncuh.nhs.uk Facilities Manger Tel: 01228 814507 Email: carol.johnston@ncuh.nhs.uk EFM_QMS_EFQM Version
More informationInfection Prevention & Control Manual
Infection Prevention & Control Manual Care Home: Care Home Manager: Infection Prevention & Control Link Staff: Version 1.0 - November 2017 (Review date 2019) Introduction The aim of this manual is to provide
More informationJo Mitchell, Head of Assurance & Compliance (EFM) Policy to be followed by (target staff) Distribution Method
Slips, Trips and Falls policy (Non-patient) Type: Policy Register No: 17020 Status: Public Developed in response to: Trust requirements Best Practice Contributes to CQC Outcome number: 15 Consulted With
More informationClinical Supervision and Peer Review Policy
Clinical Supervision and Peer Review Policy Document Summary Clinical supervision is essential in achieving and sustaining high quality practice which improves patient experience, safety and outcomes.
More informationIsolation Care of Patients in Isolation due to Infection or Disease
Infection Prevention and Control Assurance - Standard Operating Procedure 6 (IPC SOP 6) Isolation Care of Patients in Isolation due to Infection or Disease Why we have a procedure? The spread of infection
More informationInfection Prevention and Control (IPC) Standard Operating Procedure for LICE (PEDICULOSIS AND PHTHIRIASIS) in a healthcare setting
Infection Prevention and Control (IPC) Standard Operating Procedure for LICE (PEDICULOSIS AND PHTHIRIASIS) in a healthcare setting WARNING This document is uncontrolled when printed. Check local intranet
More informationJOB DESCRIPTION. Provide a high standard of domestic service to patients, staff and visitors within Clinical/Non Clinical Departments and Theatres
JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title: Domestic Support Worker Responsible to: Domestic Supervisor Department: Domestic Services Department Directorate: Facilities Job Reference: Last Update:
More informationBASINGSTOKE AND NORTH HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST
BASINGSTOKE AND NORTH HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST SUMMARY This policy provides guidance for providing safe maintenance procedures for assets and buildings owned by the Trust. 1 BASINGSTOKE
More informationClinical Coding Policy
Clinical Coding Policy Document Summary This policy document sets out the Trust s expectations on the management of clinical coding DOCUMENT NUMBER POL/002/093 DATE RATIFIED 9 December 2013 DATE IMPLEMENTED
More informationPublic health guideline Published: 11 November 2011 nice.org.uk/guidance/ph36
Healthcare-associated infections: prevention ention and control Public health guideline Published: 11 November 2011 nice.org.uk/guidance/ph36 NICE 2017. All rights reserved. Subject to Notice of rights
More informationJob Description. Service Delivery Manager. Nurse Manager. Ward Sister. Staff Nurses
Job Description Title: Ward Housekeeper Level: Band 1 Accountable to: Responsible to: Nurse Manager Senior Housekeeper Job Purpose The post-holder will assist Nursing staff in the delivery of non-clinical
More informationHygiene Policy. Arrangements for Review:
Hygiene Policy Arrangements for Review: Kika Andreou is responsible for the implementation of this policy and conducting regular reviews. This policy was adopted in July 2011 and reviewed in: September
More informationMoving and Handling Policy
Moving and Handling Policy Ratified Status Approved Final Issued 28 April 2016 Approved By Quality, Patient Safety and Risk Committee Consultation Executive Committee Equality Impact Assessment Embedded
More informationRegional Healthcare Hygiene and Cleanliness Audit Tool
Regional Healthcare Hygiene and Cleanliness Audit Tool Organisation Name: Area Inspected/ Speciality: Auditors: Date: Contents Guidance 4 Audit Tool 4 Scoring 5 Section 0 - Organisational Systems and Governance
More informationDate ratified November Review Date November This Policy supersedes the following document which must now be destroyed:
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Cleaning Policy NTW(O)71 James Duncan Deputy Chief Executive / Executive Director of Finance Steve Blackburn Deputy
More informationFIRST AID POLICY STATEMENT
FIRST AID POLICY STATEMENT Date of Policy September 2008 Updated November 2016 Approved by Principal Yes Review Date November 2017 Key Staff Welfare, Health and Safety Officer, Operations, Reception, Tutors,
More informationROYAL COLLEGE OF ART HEALTH AND SAFETY POLICY
ROYAL COLLEGE OF ART HEALTH AND SAFETY POLICY Mike Alexander Safety, Health and Environmental Officer 25 September 2012 1 1. HEALTH AND SAFETY POLICY STATEMENT In accordance with its duty under the Health
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Water Safety Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Water Safety Policy Version No.: 2.0 Effective From: 09 February 2018 Expiry Date: 09 February 2021 Date Ratified: 09 November 2017 Ratified By: Infection
More informationHEALTH AND SAFETY POLICY
HEALTH AND SAFETY POLICY Policy Statement, Specific Health and Safety Policies/ Safe Working Procedures Version 2 Page 1 of 11 General Health and Safety Policy Statement 1. Objectives 2. Responsibilities
More informationStrategic Cleanliness Improvement Plan
Summary of Objective Key Elements of Programme Strategic Cleanliness Improvement Plan: Summary 1. Board Assurance on Cleanliness Strengthen information in Board Report on cleanliness Board assurance and
More informationJOB DESCRIPTION. Role Responsibilities and Duties: 1. Undertake duties in accordance with departmental policies and procedures
JOB DESCRIPTION Job Title: Patient Coordinator Reports to: OPD Team Leader Accountable to: Front of House Manager Role Summary: Under the general guidance of the Front of House Manager or delegate be responsible
More informationInspection Report. Royal Infirmary of Edinburgh. NHS Lothian 18 and 19 January February 2010
Inspection Report Royal Infirmary of Edinburgh NHS Lothian 18 and 19 January 2010 2 February 2010 qüé=eé~äíüå~êé=båîáêçåãéåí=fåëééåíçê~íé=áë=~=é~êí=çñ=kep=nì~äáíó=fãéêçîéãéåí=påçíä~åç= The Healthcare Environment
More informationHANDLING OF LAUNDRY POLICY
HANDLING OF LAUNDRY POLICY Version: 6 Ratified by: Date ratified: November 2015 Title of originator/author: Title of responsible committee/group: Senior Managers Operational Group Facilities Manager Estates
More information13 SUPPORT SERVICES OVERVIEW OF SUPPORT SERVICES
1 13 SUPPORT SERVICES OVERVIEW OF SUPPORT SERVICES The organisation may employ its own personnel to provide support services, such as laundry, housekeeping and catering or support services may be outsourced,
More informationHealth & Safety Policy
Health & Safety Policy DATE ISSUED: 1 April 2014 DATE TO BE REVIEWED: 1 April 2014 Health & Safety Policy Page 1 of 11 CONTENTS POLICY OVERVIEW 1 Introduction 2 Purpose 3 Who This Policy Applies To 4 Key
More informationHOTEL SERVICES CLEANING POLICY
HOTEL SERVICES CLEANING POLICY CLASSIFICATION TRUST POLICY NUMBER APPROVING COMMITTEE RATIFYING COMMITTEE Risk Management RM.6005.2 Health & Safety Committee Quality & Risk Committee DATE RATIFIED 25 November
More informationADULT MENTAL HEALTH DIVISION JOB DESCRIPTION. To directly manage and supervise where appropriate support services staff
Appendix 8 ADULT MENTAL HEALTH DIVISION JOB DESCRIPTION Job Title: Support Services Manager Grade: Band 6 Hours: Base: Responsible to: Accountable to: TBC TBC Area Lead Nurse Area Manager JOB SUMMARY To
More informationInfection Prevention and Control Assurance
Infection Prevention and Control Assurance Who Should Read This Policy Target Audience All Clinical Staff Version 1.0 November 2015 Infection Prevention and Control Assurance Policy Ref. Contents Page
More informationSALTWOOD PLAY & LEARNING CENTRE Breakfast Club - Saltwood Nursery After School Club. Health and safety
Statutory Framework: SALTWOOD PLAY & LEARNING CENTRE Breakfast Club - Saltwood Nursery - 321 After School Club Health and safety The Revised Statutory Framework for the Early Years Foundation Stage 2014
More informationNHS Greater Glasgow & Clyde Infection Prevention & Control Education Strategy For Mandatory & Continuing Education
NHS Greater Glasgow & Clyde Infection Prevention & Control Education Strategy for Mandatory & Continuing Education September 2011 Document Control Summary Approved by and date Board Infection Control Committee
More informationInfection Control Care Plan. Patient Demographic / label. Hospital: Ward:
Patient Demographic / label Infection Control Care Plan for a patient with loose stools of unknown origin Statement: This care plan should be used with patients who have loose stools of unknown origin.
More informationStandard Operating Procedure (SOP)
Standard Operating Procedure (SOP) Maintaining a Clean Environment on the Health Bus DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Effectiveness Committee Date ratified: 6 August 2013 Name of originator/author:
More informationAnimals and Pets in Healthcare Facilities Policy
Animals and Pets in Healthcare Facilities Policy Post holder responsible for Procedural Document Author of Guideline Division/ Department responsible for Procedural Document Contact details Judy Potter,
More informationFIRST AID POLICY. (to be read in conjunction with Administration of Medicines Policy) CONTENTS
FIRST AID POLICY (to be read in conjunction with Administration of Medicines Policy) CONTENTS Authority & circulation... 2 Definitions...... 2 Aims of this policy...... 2 Who is responsible...... 3 First
More informationNURSE-LED DISCHARGE POLICY
THE NORTH WEST LONDON HOSPITALS TRUST Name: NURSE-LED DISCHARGE POLICY Communication 1. All staff must be aware of this policy. 2. All first line managers must have read and have a working knowledge of
More informationJOB DESCRIPTION : SENIOR PHARMACY ASSISTANT
JOB DESCRIPTION JOB TITLE DEPARTMENT : SENIOR PHARMACY ASSISTANT : The post-holder will work on wards and in Pharmacy at Heartlands Hospital, Good Hope Hospital or at Solihull Hospital GRADE : Band 3 HOURS
More informationManagement Standard: Control of Legionella
OHSS: H&S Management Standard 103 Control of Legionella Management Standard: Control of Legionella 1. Legal Framework This policy is produced to ensure compliance with; 1.1. the Health and Safety at Work
More informationChapter 34 Sunrise Regional Health Authority Infection Prevention and Control 1.0 MAIN POINTS
Chapter 34 Sunrise Regional Health Authority Infection Prevention and Control 1.0 MAIN POINTS Sunrise Regional Health Authority (Sunrise) is responsible for preventing and controlling the spread of infections
More informationSTAFF DRESS CODE & UNIFORM POLICY
STAFF DRESS CODE & UNIFORM POLICY POLICY REFERENCE NUMBER COR015 DATE RATIFIED (this version) July 2016 NEXT REVIEW DATE July 2019 APPROVED BY (state group) Clinical Policy Steering Group ACCOUNTABLE DIRECTOR
More informationUnannounced Inspection Report: Independent Healthcare
Unannounced Inspection Report: Independent Healthcare Marie Curie Hospice - Edinburgh Marie Curie Cancer Care Edinburgh 22 May 2013 Healthcare Improvement Scotland is committed to equality. We have assessed
More informationThe national specifications for cleanliness in the NHS: a framework for setting and measuring performance outcomes April 2007
The national specifications for cleanliness : a framework for setting and measuring performance outcomes April 2007 National Patient Safety Agency The national specifications for cleanliness Preface Preface
More informationMedical and First Aid
Medical and First Aid Date Review Date First Aid Nominated Persons Nominated Governor 25.10.17 Annual Joan Goatley - Lead Dawn Robinson Anna Hassan Julie Gilmartin Chair of Governors We believe this policy
More informationCleaning and Decontamination of the Environment and Patient Equipment Procedures (IPC Policy Manual)
Cleaning and Decontamination of the Environment and Patient Equipment Procedures (IPC Policy Manual) (This document is a merge of the Cleaning Systems and Processes for the Environment, Patient Equipment
More informationDignity and Respect Charter for patients. Version 6.0
Dignity and Respect Charter for patients Version 6.0 Purpose: For use by: This document is compliant with /supports compliance with: To advise and inform hospital staff of the right for all patients, their
More informationSt Anne's Community Services Staff Manual
4.01 St Anne's Health and Safety Policy Title of Policy: 4.01 St. Anne s Health and Safety Policy Issue date: July 2016 Version number: V5.0 Ratified by: H&S Committee 27 th July 2016 Expiry date: July
More informationPolicy for the Control and Management of patients Colonised or Infected with Vancomycin resistant enterococci (VRE)
Policy for the Control and Management of patients Colonised or Infected with Vancomycin resistant enterococci (VRE) Author: Responsible Lead Executive Director: Endorsing Body: Governance or Assurance
More informationStandard Operating Procedure Template
Standard Operating Procedure Template Title of Standard Operation Procedure: Cleaning Toys, Games and Play Equipment on the Paediatric Ward Reference Number: Version No: 1 Issue Date: Purpose and Background
More informationReducing MRSA. HCAIs are a disgrace. Does your CE know about HCAIs as quickly as 4 hour wait or waiting list breaches?
Reducing MRSA HCAIs are a disgrace Does your CE know about HCAIs as quickly as 4 hour wait or waiting list breaches? How can a Trust succeed in financial turnaround if patients are languishing on the wards
More informationINFECTION PREVENTION AND CONTROL
INFECTION PREVENTION AND CONTROL MANAGEMENT OF SPILLAGES POLICY REFERENCE NUMBER: Clin 021 NUMBER VERSION 2 RATIFYING COMMITTEE DATE Infection Prevention and Control Committee 03/12/2009 Provider Integrated
More informationCommunications and Implementation Strategy. NHS Scotland National Cleaning Services Specification (NCSS) 2016
Communications and Implementation Strategy NHS Scotland National Cleaning Services Specification (NCSS) 2016 December 2016 Contents Page 1. Introduction... 1 2. Background... 2 3. Communications Governance...
More informationOccupational Health & Safety Policy and Procedure
Purpose: To affirm the commitment of the Daylesford Neighbourhood Centre (DNC) to provide and maintain an environment that is free from risks to the health and safety of staff, students and members of
More informationJOB DESCRIPTION. Ward/dept Queen Victoria Hospital, East Grinstead
JOB DESCRIPTION Job Title: Staff Nurse Intensive care Band: 5 Base: Division / Department: Ward/dept Queen Victoria Hospital, East Grinstead Nursing and Quality Hours: Reports to: Accountable to: Ward
More information