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132. Three minor shortfalls were found against standard PFE4.
134. Two items of advice were provided against PFE4.
138. Four minor shortfalls were found against standard PFE5.
140. Thirteen items of advice were given against standard PFE5.
141. There should be routine maintenance and servicing of equipment, in accordance with the recommendations of the manufacturers.
143. Good practice was noted at one establishment which regularly and manually challenged the alarm system by creating out-of-limits temperature events, to ensure it was functioning as expected. Other establishments demonstrated robust temperature monitoring and trend analysis of data.
146. Establishments demonstrated good compliance with the disposal standards, as indicated by the small proportion of shortfalls identified. The main gaps were due to lack of policies and procedures, or under-developed systems for recording disposal.
147. Three minor shortfalls were identified against standard D1.
149. Seventeen items of advice were given against standard D1.
150. The most frequent advice given to establishments was about ensuring that clinical waste is bagged separately from human tissue. It is not necessary for each tissue sample to be bagged and disposed of individually.
D2 The reasons for disposal and the methods used are carefully documented
151. Two minor shortfalls were found against standard D2.
154. Nineteen items of advice were given against standard D2.
155. The majority of establishments were advised to consider updating their SOPs, as well as reviewing their current databases, to ensure that they accurately reflected the reason, date and method of disposal of all human...