Managed Isolation and Quarantine Facilities (MIQFs) Infection Prevention and Control (IPC) Readiness Review Crowne Plaza
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Y SE L Managed Isolation and Quarantine Facilities (MIQFs) Infection Prevention and Control (IPC) Readiness Review E Crowne Plaza EA IV D Date of audit: 1 September 2021 T R AC This audit was undertaken aligning to: • MIQF Operations Framework (OFW) Version 7.0 (released 9 August 2021) • MIQF IPC Standard Operating Procedure (SOP) Version 2.0 27 August 2021 O PR EL MIQF IPC Readiness review Page 1 of 18
Y Ministry of Health Auditor/Report Author: Jo Noble IPC Subject Matter Expert: Carol Jarvis SE L Background Information about the Facility E Facility type: (Managed Isolation/Quarantine/Dual use) Managed Isolation EA IV Cohorting schedule or Special MIQF: (type) Cohorting 96 hrs – currently closed D Capacity: Number of returnee rooms (total available) 352 Number of rooms occupied: T Number of returnees on the day of audit: R AC Number of returnees in isolation: Pending arrivals: (number) Pending departures: (number) Pending transfers (e.g., to another facility): (number) O MIQF Manager: Hamish Reichardt MBIE Operations and Security Manager: Not present PR EL Charge Nurse Manager/Nurse Coordinator: Not present MBIE Health and Safety Advisor: Not present Others present: Tim GM Crowne Plaza IHG MIQF IPC Readiness review Page 2 of 18
Y Audit Findings and Recommendations SE L Observation Area Comments Recommendations for Improvement If E Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. EA IV 1. Staff management and training D 1.1 All MIQF staff members have received MIF Manager advised that all staff receive site induction. IPC training during their induction to the T facility (OFW 3.5.1, 4.2.2). 1.2 Induction content and site security plan Induction and site security plan as not reviewed. Signage to clearly delineate zones to be R AC includes information about zoned areas (IPC completed prior to in-fill. i.e. stairwells, back- New zoning was being established to meet changed PPE SOP 3.1). of-house areas, staff only areas, and staff lift requirements, lobbies. 1.3 MIQF maintains an IPC training register Not reviewed. (OFW 3.5.1). O 1.4 IPC training information is recorded by Not reviewed. DHB for health staff, and by MBIE for non- PR EL health staff (OFW 3.5.1). 1.5 Daily staff health checks are completed at It was advised that daily staff health checks are the beginning of each shift and information is completed at the start of each shift in the Health office on recorded (OFW 4.3). level 6. In Auckland, non-health staff are not allowed to undertake staff health checks. 1.6 There are local area procedures (LAP) for Not reviewed. managing symptomatic staff and for notification of the Medical Officer of Health MIQF IPC Readiness review Page 3 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E (MOoH)/Public Health Unit (PHU) (OFW 4.3, 4.5.1). EA IV 1.7 MIQF worker surveillance testing is Not reviewed. D completed to meet the requirements of the COVID-19 Public Health Response (Required Testing) Order 2020 (OFW 12.1). T 2. Hand hygiene R AC 2.1 Hand sanitiser is readily available in appropriate locations (OFW 3.4.1). 2.2 Hand sanitiser is supplied through the Hand sanitiser was observed at required locations but still needed to be made available at the new Level 7 staff entrance, and exercise pathway. Not reviewed. Hand sanitiser to be made available in required locations. O authorised Ministry supply chain or approved by IPC lead (IPC SOP 2). PR 2.3 Handwashing facilities have liquid soap Not reviewed. EL (no bar soap), disposable hand towels and a rubbish bin (IPC SOP 2). 2.4 Signage regarding hand hygiene is visible Limited signage relating to hand hygiene was observed Place hand hygiene signage in lift lobbies, (OFW 3.4.1). throughout the facility. No signage in guest lift lobbies, smoking area, and exercise pathway. smoking areas, new exercise pathway, staff lift lobbies. MIQF IPC Readiness review Page 4 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E 3. Physical distancing and zones EA IV 3.1 Signage is in place for zone changes Zones are not clearly signed to indicate Returnee shared Zoning signage to be placed throughout the (returnee shared areas and staff-only areas) areas/RED and Staff only areas/Green. facility to identify zones. D (IPC SOP 3.1). T 3.2 Dual-use facilities have separate zones for N/A returnees in quarantine and isolation, including signage, barriers, and PPE stations R AC (OFW 2.2). 3.3 Signage is in place regarding 2 metre Signage relating to 2 metre physical distancing was physical distancing for returnees and staff observed throughout the facility. (OFW 3.4.2). O 3.4 Staff and returnees are observed to Not observed. maintain physical distancing in shared and crowded spaces (IPC SOP 3). PR EL 3.5 Staff (including urgent maintenance) It was reported by the Hotel Manager that returnee room entering a returnee’s room comply with the entry complies with the Framework requirements. Framework (OFW 3.5.3.2, OFW 3.5.4). 3.6 Staff work areas comply with IPC Staff work areas were observed during this review requirements (OFW 3.5.2). appeared to comply with IPC requirements but were vacant at the time, so a real assessment of physical distancing was unable to be done. MIQF IPC Readiness review Page 5 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E 3.7 Cleaning supplies are available in work Not observed in work areas. The staff break room did not Place Clinell wipes in staff break rooms for areas for high-touch surfaces (i.e., tables, have cleaning supplies for individuals to use. staff to clean surfaces following use. EA IV work phones, radios) (OFW 3.5.2). D 3.8 Physical barriers (i.e., Perspex screens) Several operational desks in the Red Zone used during Recommend Perspex screens be used for are used in areas where distancing cannot be arrivals and for exercise/smoking bookings did not have front-facing staff activities in Red zone areas T achieved (IPC SOP 3). Perspex screens where physical distancing was unable such as Arrivals and Smoking area, to to be maintained. increase staff protection. R AC 3.9 Lift/s are dedicated for staff-only use or a Designated staff only lifts (2). mitigation plan is in place for shared lift use (IPC 3). 3.10 Returnee and shared lifts have (OFW No shared lifts. Lifts were observed to have: Hand hygiene signage to be put up to remind 3.4.1, 3.4.2): guests when touching lift buttons. O • ‘one bubble’ signage • ‘one bubble’ signage • hand sanitiser outside lift on each floor • hand hygiene signage • hand sanitiser in lift PR • hand sanitiser outside lift on each floor air cleaner unit in place on ‘max’ setting. EL • • hand sanitiser in lift No hand hygiene signage observed • air cleaner unit in place on ‘max’ setting. 3.11 Returnee smoking areas have (OFW Returnee smoking areas were observed to have: Reiterated need for individual masks to be 10.11, Stay in a MIQF SOP 14): given to smokers if required. Communal • smoking rules signage boxes to be removed or put out of reach by • smoking rules signage • booking process guests. • briefing process (Stay 14.03) • hand sanitiser • booking process • active supervision Smoking area LAP to include entry and exit • hand sanitiser • 2 metre spacing management to ensure 2m distancing when • active supervision • ashtrays for individual smoking stations moving into or out of the area. MIQF IPC Readiness review Page 6 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E • 2 metre spacing • process in place for replacement masks. • ashtrays for individual smoking stations EA IV • process in place for replacement masks. D 3.12 Returnee exercise area has (OFW Returnee exercise area did not have Place physical distancing signage in exercise 10.10): area and access pathway. • physical distancing signage T • physical distancing signage • availability of hand sanitiser Hand sanitiser to be made available at • availability of hand sanitiser • process for replacement masks bottom and top of stairwell and in exercise area. R AC • process for replacement masks • active supervision The new access pathway to the exercise area in the car Process for replacement of masks in • booking process park off Level 15 uses two flights of internal stairs and a exercise area to be implements. • allowance for heavy exercise only as short but narrow hallway. Airflow was unable to be approved (OFW 10.10.3) determined and there are concerns about heavy Recommend review of ventilation in the • cleaning protocol for in-room exercise breathing when going upstairs to the area in the narrow access pathway to the exercise area and stairwell and hallway. consider placement of BGA air cleaning units O equipment (OFW 10.10.4.1). in hallway and keep disused laundry door open with extractor on to increase airflow. PR EL 3.13 Testing rooms have (OFW 3.6.3.4): Testing rooms were observed to have: Suggest placing chairs facing the rear wall or directed towards the privacy screens. • configuration to ensure 2 metre distancing • configuration to ensure 2 metre distancing and and entry/exit entry/exit • hand sanitiser available for staff and • hand sanitiser available for staff and returnees returnees • equipment and PPE stored appropriately • adequate ventilation and/or portable air • furniture and surfaces that are easily cleanable. cleaning units • equipment and PPE stored appropriately Chairs for persons being swabbed were placed facing • furniture and surfaces that are easily outwards into general area, without any barriers to cleanable. restrict sneezes/coughs etc. MIQF IPC Readiness review Page 7 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E 3.14 Air cleaning units are in place in corridors Air cleaning units were observed in corridors and lifts to Units to be secured as per advised. and lifts (IPC SOP 8.8, Appendix 11), and are: be EA IV • operating on ‘max airflow’ setting • operating on ‘max airflow’ setting D • secured to the wall • listed on the cleaning register. • listed on the cleaning register. Units were not yet secured to the wall. T 4. Personal protective equipment (PPE) (OFW 3.6.2). R AC 4.1 There are adequate supplies of PPE PPE supplies were observed and appeared to be sufficient. Non-health staff supplies had been received and stored separately. The MIF Manager advised that the process for re-ordering was not yet known. Process on how to re-order PPE supplies to be communicated. It would seem logical that this be a whole of facility process rather than individual agencies. O 4.2 There are adequate bins available for PPE Contactless bins were observed at PPE stations that had disposal (IPC SOP 4.6). been established throughout the facility. PR EL 4.3 PPE stations are located at transition Not all transition zones between returnee ‘red’ shared Assess zones and place PPE stations in zones (IPC SOP 4). areas and staff-only ‘green’ areas had PPE stations in transition areas. place. 4.4 PPE is safely stored off the floor (such as PPE was observed to be stored as required. Stock on shelves) and rotated to use older stock first rotation was unable to be determined. (OFW 3.6.2). 4.5 PPE is observed to be worn as per Unable to be observed during this review. The summary Guidance to direct on required PPE for tasks guidance summary table (IPC SOP 4.1). guidance table states “should” for N95 use in some requiring N95 use in zones. instances and this is causing uncertainty about use and MIQF IPC Readiness review Page 8 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E implementation of safe practices and PPE breach reporting. EA IV 4.6 Staff who are required to wear P2/N95 Hotel Manager reported on recent N95 fitting and fit All staff to be trained on N95 fit checking. D masks have been trained to fit check (IPC check training using Jet park video and practice. Hotel SOP 4.5). duty managers are designated as N95 fit-checking champions. There is still a need for non-hotel staff and T new staff to received fit-check training. R AC 4.7 Staff who are required to wear P2/N95 Not completed for all non-health staff who are required to MBIE to implement fit-testing. masks have completed fit testing (IPC SOP wear N95 (with the exception of maintenance staff). 4.5). 5. Returnee IPC requirements O 5.1 The MIQF has an arrival process that No arrivals process was observed during this review. The Recommend returnees who arrive wearing a includes 2 metre physical distancing, medical process was advised by the MIF and Hotel managers cloth mask be provided with a medical mask mask usage, and hand hygiene before and with a walk-through of the pathway. Hand hygiene and and instructed to wear over the top of the after touching surfaces (OFW 9.2). physical distancing marking was in place. It was reported cloth mask until in their rooms. PR EL that a mask-change process was not currently in place due to multiple changes in opinions about how this should be managed. A process for managing arrivals wearing cloth masks was discussed. 5.2 Returnee daily health and wellbeing Not reviewed. checks are completed as prescribed in the Framework including facilities using health check rooms (OFW 10.2, 10.2.2). MIQF IPC Readiness review Page 9 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E 5.3 Returnee testing is managed as The MIF manager reported that routine returnee testing is prescribed (OFW 11.3). completed as prescribed in the Framework in a EA IV designated testing room. D 5.4 Symptomatic returnees are managed as Not reviewed prescribed (OFW 10.3). T 5.5 Symptomatic returnees with a negative Not reviewed COVID-19 PCR are managed as prescribed R AC (OFW 10.3.1): • daily health checks • smoking/exercise arrangements • escalation for prolonged symptoms (OFW 10.3.2) O • bubble management followed (OFW 10.3.3). PR 5.6 Where continuous positive airway Not reviewed EL pressure therapy (CPAP) is used at the facility, adhere to process as prescribed (OFW 3.4.7, IPC SOP Appendix 9), including (but not limited to): • clinical risk assessment • room placement and ventilation • cleaning of machines (IPC SOP 8.7.1). MIQF IPC Readiness review Page 10 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E 5.7 Where nebulisers are required to be used Not reviewed by a returnee, adhere to Framework (OFW EA IV 3.4.8). D 5.8 All deliveries are taken to returnee’s door The hotel manager reported that the new delivery’s by MIQF staff (OFW 10.8.1). window was in place in the full-height wall now T separating the hotel from the atrium. The Concierge would continue to deliver items to the guest rooms. Knock and drop. Frequency of deliveries to returnee R AC zones was discussed specifically to minimise staff movement into returnee corridors. A hotel beverage service including delivery to the room was in place. 5.9 Bubbles are managed following the The hotel manager reported rooms are allocated for Framework principles (OFW 10.1). bubbles. O 5.10 Bubble breaches are managed as It was advised during this review that bubble breaches prescribed in the Framework (OFW 10.1.4). are risk assessed as per the MIQ incident reporting PR EL priority matrix. 5.11 Close contacts of confirmed (or Not reviewed probable) cases are managed according to the guidance in the Framework (OFW 10.4). 5.12 Transfer of returnees during their stay in The MIF Manager advised during this review the process a MIQF is managed as prescribed (OFW 10.7, for any returnees requiring transfer to another MIQF IPC SOP 4.1). which aligns with the framework. 5.13 The MIQF has an implemented health Not reviewed exit screening process managed by the health MIQF IPC Readiness review Page 11 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E leads that includes completion of the Final Health Check Form (OFW 13.6). EA IV 6. Blood and body fluid exposure (BBFE) D 6.1 Staff have access to the DHB Blood and Not reviewed T Body Fluid Exposure Policy (IPC SOP 6). 6.2 Staff know how to manage a BBFE or spill Not reviewed R AC (IPC SOP 6, 8.11). 7. Laundry 7.1 Laundry providers (internal and external) Hotel linen and returnee laundry is managed on-site Placement of a PPE station was comply with Laundry Standards AS/NZS following the principals of the ANZS 4146 recommended for laundry staff collecting O 4146:2000 Laundry Practice (IPC SOP 7.1). used linen and personal laundry. The laundry was reviewed. There was a clear delineation of clean and dirty PR EL Management of pre-14-day departure, linen and laundry included instruction on decreasing agitation during sorting. 7.2 On-site laundry facility has been approved n/a by the MIQF IPC lead (IPC SOP 7.2.1). 7.3 Hotel communal/guest laundry rooms are The hotel laundry is closed to returnee access. closed for use by returnees (IPC SOP 7.1). MIQF IPC Readiness review Page 12 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E 7.4 Dirty linen is segregated from clean linen A dirty and clean linen pathway was observed. (IPC SOP 7.1). EA IV 7.5 Clean linen is covered and delivered to a Clean linen was observed to be covered and/or bagged D clean collection point that is not used for dirty and placed in storage areas away from dirty linen. linen (IPC SOP 7.1). T 7.6 Returnees’ personal laundry is bagged at Returnees place their laundry in a cloth bag laundry bag source and handled separately to MIQF linen and placed outside of their room for collection. R AC (OFW 3.6.4). 8. Cleaning and food services 8.1 There is an implemented cleaning plan High touch surfaces were reported to be cleaned Recommend review of High-touch surfaces including (OFW 3.6.3): frequently. A high-touch register was not sighted. High- cleaning areas in returnee zones to minimise O touch surfaces are cleaned at a minimum of twice daily. staff movements in returnee corridors. • furniture and soft furnishings in returnees’ Minimum of twice daily. rooms, and testing rooms Hotel manager advised returnees are provided with a PR cleaning pack on request. These cleaning packs are • EL a register for high-touch points in common areas, cleaned at least twice a day (IPC disinfected with an approved IPC process following SOP 8.9, OFW 3.6.3.5). departure. • a cleaning pack provided to returnees (OFW 3.6.3.1). 8.2 Room cleaning follows a clean to dirty flow Not reviewed (IPC SOP 8.3.3.1). MIQF IPC Readiness review Page 13 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E 8.3 Crockery, glassware and cutlery is Not reviewed cleaned in a commercial dishwasher or EA IV kitchen process (IPC SOP 8.3.2.4). D 8.4 Clean linen and towels are not placed into Not reviewed room until cleaning is completed (IPC SOP T 8.3.2.4). 8.5 Cleaning for confirmed or probable Not reviewed R AC positive cases (IPC SOP 8.4), short stay returnees (IPC SOP 8.3.3) and room change (IPC SOP 8.3.2) meets the requirements of the SOP, particularly in terms of: • ventilation O • PPE • IPC approval for stand down. PR 8.6 Cleaning chemicals are approved for use All cleaning chemicals have been approved by the IPC EL by IPC lead (IPC SOP 8.4.2.2). lead. 8.7 If electrostatic cleaners are used, they Not reviewed have been approved by the IPC lead (IPC SOP 8.5). 8.8 Processes are in place for cleaning Not reviewed shared medical equipment and phones (IPC SOP 8.6, 8.8.1). MIQF IPC Readiness review Page 14 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E 8.9 Meal deliveries follow a circular flow to The hotel manager advised meals are delivered on each Meal delivery to follow a racetrack flow to avoid opposing doors being opened together side of the returnee corridors in continuous blocks of avoid simultaneous door opening EA IV (OFW 11.5.5). rooms. This process could result in opposite rooms opening doors simultaneously D Recommend a paperless menu ordering process be implemented T On arrival returnees are required to complete a paper- based menu which is collected by Hotel staff and processed. This requires physical handling. The Hotel R AC manager reported the clipvoards are snaitsed after each use 8.10 Food trolleys are cleaned after use (IPC Not reviewed SOP 8.12). O 9. Transport 9.1 Transport to a MIQF meets IPC Transport was not observed during this audit. The MIF PR EL requirements (OFW 8.4.1.1): Manager advised that processes are in place that align with the Framework. • returnees/air crew must wear medical mask unless exempt • 2 metre distancing on entry and exit • hand hygiene on entry and exit. 9.2 Drivers comply with IPC requirements Transport drivers were not observed during this audit. (i.e., PPE, physical distancing, entry/exit) The MIF Manager advised that drivers’ processes comply (OFW 8.4.1.1). with IPC requirements. MIQF IPC Readiness review Page 15 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E 9.3 Luggage and passenger unloading occurs Luggage and returnees unloading was not observed as per Framework (OFW 8.4.1.1). during this Audit. The MIF Manager advised Secure flight EA IV deliver returnee luggage, this process not reviewed during this review D 9.4 Vehicle cleaning is undertaken (IPC SOP Vehicle cleaning not reviewed T 9.1). 10. Waste management R AC 10.1 MIQF waste management local area procedure (LAP) aligns with local DHB policy (IPC SOP 10.1). 10.2 PPE and waste from rooms goes into The LAP for waste management was not sighted. PPE waste was reported to be placed into the general O general waste stream (IPC SOP 10.1). waste bins PR EL 10.3 Regular collection occurs, and bins and Not reviewed skips are not over-filled (OFW 3.6.4). 10.4 Bins are contactless and lined (OFW Bins were observed to be lined and contactless. 3.6.4). 10.5 Rubbish bags are closed and tied at It was reported open paper meal rubbish bags are placed Plastic rubbish bags to be provided to source (IPC SOP 10.1). outside the returnee room for collection. returnees with instruction in the Welcome letter on correct process to place all rubbish MIQF IPC Readiness review Page 16 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E inside the plastic bag, tie, and place outside room door. EA IV 10.6 Medical masks, gloves and an apron are Not observed. D worn by staff collecting waste bags (OFW 3.6.4). T 10.7 Shared bins in hallways must have No shared bins are in this facility’s hallways. signage and co-located hand sanitiser for R AC returnee use (IPC SOP 10.1). 10.8 Waste trolleys are cleaned after use (IPC Hotel manager reported that waste trolleys are cleaned SOP 10.1.1). after use, staff wearing required PPE. 11. Maintenance O 11.1 MIQF staff undertake essential room Essential room maintenance is undertaken in alignment maintenance following SOP (IPC SOP 11). with the IPC SOP including PPE, and the returnee is not PR present in the room. EL 12. Changes to hotel configuration 12.1 Any changes are discussed with the IPC Not reviewed. lead (IPC SOP 12). 12.2 The IPC lead determines zones and PPE Not reviewed requirements for temporary zone changes or facility closures (IPC SOP 12). MIQF IPC Readiness review Page 17 of 18
Y Observation Area Comments Recommendations for Improvement If SE L Numbering aligns with the MIQF IPC SOP State what evidence verifies why each standard/criterion ‘Not Met’ (V1.7) and/or OFW (V7.0). is not met. E 13. Emergency evacuations EA IV 13.1 The MIQF has a documented evacuation The evacuation plan was advised but not sighted during plan (OFW 6.7). this review. D The evacuation assembly points include a public area which will require crowd control T 13.2 Medical masks are available for Not reviewed R AC returnees and PPE is available for staff during evacuation (IPC SOP 13). 13.3 The assembly point has signage and The assembly point did not have space for 2 metre indications for 2 metre physical distancing distancing and bubble allocation if at full capacity. (OFW 6.7, Stay in a MIQF SOP 23). O 14. Medical emergencies PR EL 14.1 Staff have access to and can articulate Not reviewed DHB cardiac arrest CPR policy and procedures (IPC SOP 14). 14.2 Health staff can articulate PPE Not reviewed. requirements for CPR (IPC SOP 14). MIQF IPC Readiness review Page 18 of 18
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