ANNUAL REVIEW master Final3a - St Vincent's University Hospital

St. Vincent’s Healthcare Group Limited - Annual Review 2007
St. Michael’s Hospital
Sarah Jane Slattery and Basker Sathiyanthan. We wish them all the best in their new careers.
We welcomed Lindsay Jones and Maria Kane to Microbiology, Dr Lilian Rajan as locum Consultant
Microbiologist and Sinead Impey to our Clerical staff. Congratulations to Geraldine Lunney who was
appointed as our Quality Coordinator during the year.
15 staff attended 25 training courses during the year. In addition Catherine Fitzpatrick trained as a manual
handling facilitator. Nicola Flaherty successfully completed her traineeship and obtained full Academy
membership. Orla Donaghue commenced a Masters programme and Sinead Impey commenced the Medical
Records course in D.I.T. Catherine Doherty and Michael Carey completed their second year on the Skillvec
program.
A number of internal and external Audits were carried out in the department during the year. The external
Audits included the H.S.A., The Hygiene Audit and the Dangerous Goods Advisor. Internal audits included
an audit of equipment folders, horizontal audits of individual tests, armband audits and a complete audit of
transfusion of a unit of blood. Every quarter a review of the incident book was presented at the Quality
Meetings and Safety Meetings.
Look-up facilities were rolled out throughout the hospital in January so that all Wards and Clinics can now
view their pathology results electronically. The Healthlink software interface was purchased during the year.
This enables the electronic downloading of results to GP practice management systems.
Validation of the special software for the Warfarin dose monitoring was completed and the new system for
running the warfarin clinic commenced. The system is similar to the one used in St. Vincent’s University
Hospital. An average of 94 patients were dose-monitored at the clinic each week. This clinic has doubled in
size in the last two years and is now at its maximum capacity.
The Blood Transfusion department is preparing for the full implementation of the E.U. Directive on Blood,
which comes into force in November 08. The first annual report from this department on behalf of the
Hospital was submitted in January to the IMB. During the year the Blood Transfusion Department introduced
a system for transferring units of blood to St. Vincent’s University Hospital, which are short dated and have
not been transfused prior to expiry. The Strategic Planning group met to discuss how best the Blood
Transfusion department in St. Michael’s Hospital could meet the ISO15189 standards, which is the
requirement of the EU Directive. It was decided that because of the small volume of work and the lack of
space in the department, the best option was to transfer the serology testing to St. Vincent’s University
Hospital. A working group was set up to implement this. A Blood Transfusion Area Network group was set
up during the year to include St. Vincent’s University Hospital, St. Michaels Hospital, Holles St Hospital and
St. Columcilles Hospital for the implementation and auditing of the transfusion services. A Network Quality
Officer was also appointed to work between the networked hospitals.
Library
In July 2007 the joint catalogue of St. Vincent’s Healthcare Group went live on-line. St. Michael’s Hospital
library continues to provide a loan service, study space, Internet access, printing and copying facilities to all
staff and students on placement in the hospital. The Librarian is involved in the Accreditation project, the
Hospital Newsletter and orientation for new staff and students.
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