A quality improvement project to to evaluate nursing compliance with cleaning shared patient care equipment utilising an ultraviolet marking kit.

Ms Marree Porch1

1Queensland Health, Cairns, Australia


The second edition of the National Safety and Quality Health Service Standards (NSQHS), published by the Australian Commission on Safety and Quality in Health Care, action 3.11 outlines the health services responsibility to maintain a clean and hygienic environment.

Queensland Health (2018) published infection prevention guidelines for cleaning and disinfecting shared patient care equipment.

To evaluate the compliance with the NSQHS Standards and Queensland Health Guidelines an audit was conducted on equivalent equipment on two similar wards.



The initial audit was conducted over a two-week period, on a Monday to Friday basis. The Clinell ultraviolet (UV) torch kit was utilised to conduct the audit.

The results identified poor compliance on both wards with cleaning non-critical equipment. An action plan was developed to improve the results.

A reaudit was conducted three months post initial audit for a period of one week on the same equipment as initial audit.



Out of the 26 pieces of equipment included in the audit there was an improvement in the cleaning of 16 items, 8 items there was no improvement and 2 items there was a decrease in compliance with cleaning compared to the initial audit results.



Through the introduction of several strategies an improvement in the cleaning of patient care equipment was achieved although an improvement in compliance was not able to be achieved across all pieces of equipment. Ongoing monitoring and further education strategies are required to continue to improve cleaning compliance.


Registered nurse for over 20 years. Currently working as a Nurse Educator as has done for the last 6 years. Committee member on the preventing and controlling healthcare associated infection committee.

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