HIQA inspections find poor hygiene in four hospitals
Mater Misericordiae in Dublin and Nenagh Hospital judged to be ‘generally unclean’
In St Vincent’s University Hospital in Dublin inspectors found that environmental hygiene was not effectively managed and that a culture of hand hygiene was not embedded among all staff.
It found that some of the hand wash sinks were unclean and that non-compliance of hand-wash practices posed a risk of the spread of hospital-based infections.
Inspectors in St Vincent’s also reported:
- a mould-like substance on a surface between a sink and a wall in the Emergency Department
- unclean wall and floor coverings in a bathroom on St Patrick’s Ward
- a “dirty” utility room which was not fit for purpose on St Patrick’s Ward where cupboard doors were falling off.
In a statement released this afternoon St Vincent’s University hospital said it considers hand hygiene compliance “one of the single most important factors in reducing and eliminating healthcare associated infections”.
“The hospital continually monitors its progress in this area and these recent HIQA hand hygiene findings are below what St Vincent’s normally achieves,” it said, adding that a national hand hygiene audit undertaken earlier this year showed 91 per cent compliance.
In the Adelaide and Meath Hospital in Tallaght Hiqa inspectors found that the Lane and Osborne wards were “generally clean” with a number of exceptions.
Inspectors in Tallaght reported that:
- 38 per cent of nursing and healthcare assistant staff on the Lane ward had not completed hand hygiene training in the year up to the end of June and that a culture of hand hygiene practice was not embedded at all levels or among all grades of staff
- a step-ladder in a treatment room was heavily soiled
- broken and worn edges of some patient bedside tables; cracked, peeling or missing paint; and a black mould-like substance on the edges of some protective wall borders and wall joints
- the treatment room was non-compliant with national standards including dust, access issues, damaged equipment and a mould-like substance
In a statement released this afernoon Tallaght Hospital acknowledged the findings of HIQA report, adding that the incidences of non-compliances identified in the report were unacceptable.
It said that, in line with the HIQA report recommendations, a Quality Improvement Programme had been initiated by the hospital.
“Tallaght Hospital will continue to ensure that the above measures aimed at ensuring the highest level of hand hygiene are fully implemented and enforced at all grades and that a culture of hand hygiene becomes fully embedded at all levels within the organisation,” the statement said.
In Ennis Hospital, where inspections were undertaken in the Fergus and Burren wards, inspectors found both to be very clean with “very few” exceptions.
It found that hand hygiene training is mandatory and regular hand hygiene audits are undertaken although some opportunities for hand hygiene were missed.
However, inspectors found three boxes of intravenous fluids stored on the floor of the drugs room.