Problems with cleanliness and other issues in the neonatal units of two Dublin maternity hospitals have been raised by the health watchdog HIQA, following recent unannounced inspections.
Poor cleanliness in the neonatal unit and an absence of designated cleaning staff for patient equipment were found at the National Maternity Hospital in Holles Street in September.
HIQA said this was of concern, given the vulnerability of the neonates accommodated.
Congealed blood was visible in the area where sample bottles are inserted into a blood-gas machine and red stains were visible on the base of an incubator.
There were also problems with the cleanliness of patient areas.
Two used blood transfusion bags were wrapped in paper and stored on bedside tables beside two cots.
HIQA noted that a new neonatal intensive care unit is being built at Holles Street and is due to be occupied from January.
Hand hygiene compliance was found to be good at the hospital.
An unannounced inspection At the Rotunda Hospital in October found that improvement was needed in cleanliness in its neonatal unit and patient equipment in the gynaecology ward.
There were also issues with a lack of designated cleaning staff.
Unacceptable levels of dust were found in some areas and brown staining was observed on the inside of a procedure/medication preparation trolley.
HIQA said that neonates are particularly vulnerable to healthcare acquired infections, due in part to an immature immune system.
The Rotunda told HIQA that it had infrastructural challenges due to the age of the building.
The authority also raised a significant concern with safe injection practices on the neonatal unit.
Inspectors found that a vial was kept for half an hour and used multiple times for different patients requiring the same intravenous antibiotics.
HIQA said this was a concern as it is not in line with safe injection best practice.
A risk assessment for Legionella had not been conducted since 2010.
The hospital said that a Legionella risk will be conducted when refitting works are completed in the hospital's boiler room.
Hand hygiene was only observed in 68% of opportunities available to staff.
An unannounced inspection at Temple Street Children's University Hospital in September found patient equipment was generally clean, although patient areas needed improvement.
Significant improvement was shown in hand hygiene, with 100% of hygiene opportunities taken on the day of the inspection.
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