During this activity domestic staff collectively focused on the sink area as the greatest high-risk zone for pathogens. Focus was also drawn to the patient’s bed and bedside table, in addition to the patient themselves. The patient’s chair was also mentioned, however this was not portrayed as being as high a risk as the other areas. This was the same for the floor. Indeed, priority instead appeared to be focused on areas where the patient has the most contact – bed and bedside table – and areas for hand washing – sink, soap, towel dispensers and bin. The switches above the bed and the lamp were also deemed to be of high risk, whilst only one red marker was placed onto the IV drip.
Domestic role enactment was also elicited:
“I pump up the bed and clean underneath it, wash the chair the bedside cabinet then the locker, the lamp, dust that, clean the sink, empty the bin, change the hand paper towels and things like that and wash the floor and the little table where they have their lunch. Basically just give the room a good clean.” Domestic
Low and high risk pathogen sites indicated by Domestics (1A)
Low and high risk pathogen sites indicated by Domestics (1B)
Nursing Staff Members’ Responses
During this activity nursing staff highlighted almost all areas as being places where pathogens may be found. Some areas of high-risk were highlighted as the patient, patient’s notes, medical equipment (IV drip and the switches above the bed), the sink, the gloves and the patient’s chair. Of these areas, the greatest emphasis was placed on the patient, medical equipment and patient’s notes.
“For the high risk areas you are looking [at] the patient themselves and the entry way into the patient and the bed space”. Nurse
Low and high risk pathogen sites indicated by nurses (1A)
Low and high risk pathogen sites indicated by nurses (1B)