Infection control 1: decontamination of non-invasive shared equipment


Infection control 1: decontamination of non-invasive shared equipment

This article discusses the principles of decontamination and how to standardise the cleaning of shared equipment, such as commodes and beds, which may easily become contaminated with infectious organisms


Non-invasive shared care equipment must be decontaminated according to evidence-based protocols to minimise patients’ risk of healthcare-acquired infections. This article, the first in a six-part series, explains the principles of decontamination and the procedures for cleaning and disinfecting care equipment.

Citation: Wigglesworth N (2019) Infection control 1: decontamination of non-invasive shared equipment. Nursing Times [online]; 115: 3, 18-20.

Author: Neil Wigglesworth is director, infection prevention and control, Guy’s and St Thomas’ Foundation Trust.

  • This article has been double-blind peer reviewed
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  • Click here to see other articles in this series
  • This article is open access and can be freely distributed
  • This article is funded by an unrestricted educational grant from Medipal


Care equipment is easily contaminated with body fluids and infectious agents, which can be transferred during care delivery. To minimise patients’ risk of healthcare-associated infections, it is crucial that decontamination practices are adhered to; as such, healthcare organisations are required to have in place local protocols for cleaning and decontamination that comply with national evidence-based guidance (Department of Health, 2015; Health Protection Scotland, 2015; Loveday et al, 2014; Public Health Agency, 2011; National Patient Safety Agency, 2009). Cleaning is a shared responsibility, with cleaning staff and nurses working collaboratively. Specific responsibilities must be clearly determined, and staff with cleaning responsibilities should have the necessary skills, competencies and resources to fulfil them.

This article, the first in a six-part series on infection prevention and control procedures, focuses on the routine decontamination of reusable non-invasive care equipment (also known as communal equipment). If a patient has an infection that requires transmission-based precautions – such as Clostridium difficile or norovirus – then local policy will describe what disinfectant agents will be used and local policy should be followed.

Principles of decontamination

Routine decontamination of reusable non-invasive care equipment must be done according to manufacturers’ instructions and using suitable cleaning products that are in line with local policy. It should be undertaken:

  • Between each use;
  • After blood and/or body fluid or other visible contamination;
  • At regular predefined intervals as part of an equipment cleaning protocol;
  • Before inspection, servicing or repair (Health Protection Scotland, 2015).

The level of decontamination required depends on the level of risk associated with the item. There are three levels of decontamination for care equipment:

  • Cleaning – thorough cleaning with water and a neutral detergent or disposable detergent wipes to remove substances such as dust, soiling and organic matter, along with a large proportion of micro-organisms – the first and most important step in any decontamination process (Public Health Agency, 2011);
  • Disinfection – use of heat or chemicals after cleaning items known to be/suspected of being: contaminated with blood and/or body fluids; in contact with mucous membranes; used by a patient with a known/suspected infection or colonisation with organisms such as C difficile and multidrug-resistant bacteria, as specified in local protocols (Health Protection Scotland, 2015), to reduce the number of viable micro-organisms to a level that is not harmful to health;
  • Sterilisation – use of heat (some chemicals may sterilise in specific, highly controlled systems) to render objects free from viable micro-organisms, including bacterial spores and viruses (used to decontaminate high-risk items including reusable invasive equipment such as surgical instruments).

The procedures for routine decontamination of hospital beds and commodes are outlined below as examples of routine cleaning and disinfection. During outbreaks of infections or increased incidence of a particular organism, an enhanced cleaning routine is recommended (at least twice daily) (Public Health Agency, 2011). Enhanced cleaning and disinfection may be required in the following circumstances:

  • Following an outbreak or increased incidence of infection;
  • Following discharge, transfer or death of a patient who has had a known infection specified in local protocols;
  • Following isolation/contact precaution nursing of a patient.

This is known as terminal cleaning and should be undertaken following discussion with the infection prevention and control team (Public Health Agency, 2011).

How to clean a hospital bed and mattress

Equipment needed

  • Clean, colour-coded bucket (unless you are using disposable detergent wipes);
  • Colour-coded cloth or disposable detergent wipes;
  • Disposable plastic apron;
  • Single-use non-sterile gloves;
  • Cleaning trolley;
  • General-purpose detergent or general surface cleaner (unless you are using disposable wipes);
  • Non-abrasive cloth (if you are cleaning a mattress);
  • Disposable disinfectant wipes (if you are cleaning a mattress).

The procedure

Beds and mattresses should be checked daily and cleaned:

  • If there is any soiling;
  • Between patients;
  • After blood and/or body fluid contamination.

Ideally, the procedure will be carried out when the patient is out of bed; if this is not possible, explain to the patient what you are doing.

  • Wash your hands, put on an apron and a pair of gloves (Fig 1).
  • If not using disposable wipes, prepare the cleaning solution in the bucket according to the manufacturer’s guidelines and place the bucket on a cleaning trolley.
  • Raise or lower the bed to a convenient height.
  • Remove any items from the bed frame and put them in a safe place.
  • If damp dusting, dampen or rinse the cloth in the cleaning solution. If using detergent wipes, take a wipe from the container.
  • Clean from top to bottom, working downwards to the base and wheels (Fig 2a). If damp dusting, turn the cloth regularly and rinse regularly in the cleaning solution; change the cleaning solution when it becomes soiled. If using wipes, replace when they become dry or soiled.
  • Take care to clean the edges and undersides of surfaces after cleaning the tops.
  • If cleaning the mattress, wipe the impermeable cover clean using an S-shaped motion (Fig 2b) and non-abrasive cloth. Turn the mattress and clean the underside, then clean all the edges. Change the cleaning solution and cloth when soiled or wipes when soiled or dry. Allow the mattress to dry, then wipe all surfaces with a disinfectant wipe.
  • When the bed frame is dry (and the mattress, if cleaned), replace any items that were removed before cleaning commenced.
  • Lower or raise the bed to its original position.
  • Dispose of the cloths or wipes and cleaning solution.
  • Clean and dry the bucket according to local policy.
  • Remove the apron and gloves. Wash your hands.
  • Document that cleaning has taken place according to local policy.

fig 1 personal prep

Source: Peter Lamb

fig 2 cleaning a hospital bed

Source: Peter Lamb

How to clean and disinfect a commode

Equipment needed

  • Colour-coded bucket (unless you are using sporicidal wipes);
  • Colour-coded cloth or detergent disposable wipes (unless you are using combined detergent and disinfectant wipes);
  • Single-use non-sterile gloves;
  • Disposable plastic apron;
  • Non-abrasive cloth;
  • Cleaning trolley;
  • General purpose detergent or general surface cleaner (unless you are using disposable wipes);
  • Sporicidal disinfectant wipes or combined detergent and disinfectant wipes.

The procedure

Commodes should be cleaned in the sluice, which should display a poster showing the cleaning procedure. They should have their pan, seat and frame cleaned after each use, and disassembled for a full clean periodically, as specified in local protocols.

  1. Wash hands and put on apron and gloves (Fig 1).
  2. Unless using disposable wipes, prepare the cleaning solution in the bucket according to the manufacturer’s guidelines. Put the bucket on a cleaning trolley.
  3. Take out the pan cover, or seat cover (and disassemble the commode if undertaking a full clean).
  4. Check for signs of wear and tear, replacing the commode if it is damaged.
  5. Dampen the cloth in the cleaning solution or take a sporicidal wipe from the container and activate it in line with the manufacturer’s instructions.
  6. Using an S-shaped motion (Fig 3a), wipe the backrest clean, working from the outside in and from top to bottom. Rinse the cloth or replace the wipe when they become soiled or dry. Do not go over the same surface twice with the same unrinsed cloth or wipe.
  7. Clean the front and back or top and underside of each part of the commode – backrest, armrest, seat, seat cover – before finishing by cleaning the pan (Fig 3b).
  8. Clean the top of the seating area in an S-shaped motion, moving from clean to dirty (Fig 3c).
  9. Turn the commode upside down and clean underneath the seat, ensuring all areas are cleaned (Fig 3d).
  10. Allow the commode to air dry.
  11. Wipe thoroughly with a sporicidal disinfectant wipe, working in the same order as above (unless using combined detergent and disinfectant wipes). Dispose of the wipe.
  12. Dispose of the cloth/wipes and cleaning solution.
  13. Clean and dry the bucket according to local policy.
  14. Remove your gloves and apron. Wash hands thoroughly.
  15. If disassembled, reassemble carefully. Allow surfaces to dry before use.
  16. Place an ‘I am clean’ indicator tape across the arms or seat. Tick the ‘I am clean’ box on the tape, fill in the date and time, and print your name (Fig 3e).

fig 3 cleaning a commode

Source: Peter Lamb

Department of Health (2015) The Health and Social Care Act 2008: Code of Practice on the Prevention and Control of Infections and Related Guidance.

Health Protection Scotland (2015) National Infection Prevention and Control Manual.

Loveday HP et al (2014) epic3: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. Journal of Hospital Infection; 86, S1, 1-70.

National Patient Safety Agency (2009) The NHS Cleaning Manual.

Public Health Agency (2011) The Northern Ireland Regional Infection Prevention and Control Manual.

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Safeguarding of Vulnerable Adults

Dehydration in Older Populations


Nurses and HCAs play an important role in the hydration of clients.

A review of recent literature shows just how important this can be with much of the evidence reporting patients and clients are at a high risk, especially older adults.

A study by Miller (2017) suggests that dehydration is ‘frequently dismissed’ for people in nursing homes. Burns (2016) similarly connects dehydration to concerns for client safety.

Not only can this lead to long-term medical issues, with Lecko and Best (2013, cited in Burns 2016) reporting cases of pressure ulcers, falls, and UTIs being associated with dehydration, but dismissed dehydration may also diminish the person’s overall quality of life (Miller 2017).

‘Dehydration of as little as 2% loss of body weight results in impaired physiological responses and performance.’ (Nutrient Reference Values 2014).

Dehydration is not an issue confined to nursing homes, as it is also linked to hospital care (Burns 2016).

Chan et al. (2018) express that dehydration also significantly affects ‘care outcomes and postoperative recovery’. Interestingly, the retrospective documentary review found that there was a ‘high prevalence’ of older people being dehydrated at hospital admission. Female clients and people with swallowing difficulties may also be more likely to be connected to dehydration (Chan et al. 2018).

Managing Dehydration

Nurses play an important role in the hydration of clients.

Nurses and carers can promote hydration by adequately screening clients for hydration (Miller 2017).

Hydration is also influenced by ‘physical, mental and behavioural factors’ that affect the ‘willingness’ and ability for people to remain hydrated (Miller 2017).

A non-modifiable risk factor for dehydration is older age (Burns 2016). Whilst it may not be possible to turn back time, nurses can use this information to modify their practice.

In nursing homes, it is recommended that nurses perform hourly checks on clients to ensure that they have access to and are assisted with hydration (Burns 2016). Chan et al. (2018) acknowledge that it is crucial for nurses to identify and treat dehydration early.

Signs of Dehydration

Some signs of dehydration may include:

  • Increased thirst
  • Altered mood
  • Headache
  • Dry/cracked lips
  • Nasal dryness
  • Hallucinations
  • The person may respond more slowly

(Better Health Channel 2014)

Burns (2016, p. 21) highlights that: ‘Signs of severe dehydration, which can result in a medical emergency, include (NHS Choices 2015):

  • Lethargy.
  • Confusion.
  • Oliguria.
  • Weak/rapid pulse.
  • Reduced consciousness.’

The systematic review by Hooper et al. (2015) found that:

‘There is limited evidence of the diagnostic utility of any individual clinical symptom, sign or test or combination of tests to indicate water-loss dehydration in older people. Individual tests should not be used in this population to indicate dehydration; they miss a high proportion of people with dehydration, and wrongly label those who are adequately hydrated.’

Why Are Older Adults at Risk of Dehydration?

Due to the ageing process, older adults may not feel as thirsty. Some older people may have poor signalling and not recognise their thirst or dehydrated state (Better Health Channel 2014). This may therefore lead to dehydration or ‘water loss dehydration’. Hooper et al. (2015) explain that ‘water loss dehydration’ refers to the person not consuming enough fluids.

The Better Health Channel (2014) also identifies poor mobility as a risk factor for dehydration in the elderly. This highlights the need for nurses to complete regular, hourly rounds to check that clients have access to and assistance with drinking.

Other aspects that nurses may need to be aware of when nursing older clients is that medications (e.g. laxatives, diuretics) may place the person at risk of dehydration(Better Health Channel 2014). Also, the ageing process can lead to declining kidney function, which can place the older individual at further risk of dehydration.

Better Health Channel (2014) also reinforce that older people may experience dehydration related to chronic disease (e.g. diabetes, kidney disease) and hormonal changes.

Testing for Dehydration

Hooper et al.’s (2015) systematic review examined 67 different tests to evaluate whether any tests were able to satisfactorily tell if the person was hydrated or not.

Their study of older adults states that:

‘There was sufficient evidence to suggest that some tests should not be used to indicate dehydration. Tests that should not be used include dry mouth, feeling thirsty, heart rate, urine colour, and urine volume’

Hydration Recommendations

Nutrient Reference Values for Australia and New Zealand (2014) recommends that women aged over 70 years have 8 cups or 2.1L of fluids to drink in a day, and that males aged 70 years and over have 10 cups or 3.4L of fluids to drink per day.

This recommendation is an average, and evidently, factors such as very hot climates must be taken into account for the individual’s hydration needs (Nutrient Reference Values 2014).

For example, the following may lead to a person needing additional fluids to remain hydrated (Better Health Channel 2014): high protein diets, high fibre diets, vomiting, diarrhoea, sweating or exercise.

It is suggested that 75% of adult hydration is from oral fluids and 25% is from foods (Nutrient Reference Values 2014).

Obviously, healthcare professionals must be careful to follow the hydration needs of the individual such as fluid restrictions set by specialist doctors. It is thereby also essential to document fluid balance accurately.

One of the rare risks of consuming too much water can include hyponatraemia (Better Health Channel 2014). Hyponatraemia could potentially lead to blurred vision, coma, death, cramps, convulsions, or brain swelling (Better Health Channel 2014).

  • Better Health Channel 2014, Water – a vital nutrient, State Government of Victoria, Melbourne, viewed 23 April 2018,
  • Burns, J 2016, ‘Patient safety and hydration in the care of older people’, Nursing Older People, vol. 28, no. 4, pp. 21-4, viewed 23 April 2018,
  • Chan, HYL, Cheng, A, Cheung, SSS, Pang, WW, Ma, WY, Mok, LC, Wong, WK & Lee, DTF 2018, ‘Association between dehydration on admission and postoperative complications in older persons undergoing orthopaedic surgery’, Journal of clinical nursing, viewed 23 April 2018,
  • Hooper, L, Abdelhamid, A, Attreed, NJ, Campbell, WW, Channell, AM, Chassagne, P, Culp, KR, Fletcher, SJ, Fortes, MB, Fuller, N, Gaspar, PM, Gilbert, DJ, Heathcote, AC, Kafri, MW, Kajii, F, Lindner, G, Mack, GW, Mentes, JC, Merlani, P, Needham, RA, Olde Rikkert, MGM, Perren, A, Powers, J, Ranson, SC, Ritz, P, Rowat, AM, Sjöstrand, F, Smit,h AC, Stookey, JJD, Stotts, NA, Thomas, DR, Vivanti, A, Wakefield, BJ, Waldréus, N, Walsh, NP, Ward, S, Potter, JF, Hunter, P 2015, ‘Clinical symptoms, signs and tests for identification of impending and current water-loss dehydration in older people’, Cochrane Database of Systematic Reviews 2015, no. 4, viewed 23 April 2018,

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Germs in Your Gut Are Talking to Your Brain. Scientists Want to Know What They’re Saying.

The body’s microbial community may influence the brain and behavior, perhaps even playing a role in dementia, autism and other disorders.

Carl Zimmer

By Carl Zimmer Jan. 28, 2019

In 2014 John Cryan, a professor at University College Cork in Ireland, attended a meeting in California about Alzheimer’s disease. He wasn’t an expert on dementia. Instead, he studied the microbiome, the trillions of microbes inside the healthy human body.

Dr. Cryan and other scientists were beginning to find hints that these microbes could influence the brain and behavior. Perhaps, he told the scientific gathering, the microbiome has a role in the development of Alzheimer’s disease.

The idea was not well received. “I’ve never given a talk to so many people who didn’t believe what I was saying,” Dr. Cryan recalled.

A lot has changed since then: Research continues to turn up remarkable links between the microbiome and the brain. Scientists are finding evidence that microbiome may play a role not just in Alzheimer’s disease, but Parkinson’s disease, depression, schizophrenia, autism and other conditions.

For some neuroscientists, new studies have changed the way they think about the brain.

One of the skeptics at that Alzheimer’s meeting was Sangram Sisodia, a neurobiologist at the University of Chicago. He wasn’t swayed by Dr. Cryan’s talk, but later he decided to put the idea to a simple test.

“It was just on a lark,” said Dr. Sisodia. “We had no idea how it would turn out.”

He and his colleagues gave antibiotics to mice prone to develop a version of Alzheimer’s disease, in order to kill off much of the gut bacteria in the mice. Later, when the scientists inspected the animals’ brains, they found far fewer of the protein clumps linked to dementia.

Just a little disruption of the microbiome was enough to produce this effect. Young mice given antibiotics for a week had fewer clumps in their brains when they grew old, too.

“I never imagined it would be such a striking result,” Dr. Sisodia said. “For someone with a background in molecular biology and neuroscience, this is like going into outer space.”

Following a string of similar experiments, he now suspects that just a few species in the gut — perhaps even one — influence the course of Alzheimer’s disease, perhaps by releasing chemical that alters how immune cells work in the brain.

After receiving this so-called fecal transplant, the germ-free mice got hungry, too, and put on weight.

Altering appetite isn’t the only thing that the microbiome can do to the brain, it turns out. Dr. Cryan and his colleagues, for example, have found that mice without microbiomes become loners, preferring to stay away from fellow rodents.

The scientists eventually discovered changes in the brains of these antisocial mice. One region, called the amygdala, is important for processing social emotions. In germ-free mice, the neurons in the amygdala make unusual sets of proteins, changing the connections they make with other cells.

Studies of humans revealed some surprising patterns, too. Children with autism have unusual patterns of microbial species in their stool. Differences in the gut bacteria of people with a host of other brain-based conditions also have been reported.

But none of these associations proves cause and effect. Finding an unusual microbiome in people with Alzheimer’s doesn’t mean that the bacteria drive the disease. It could be the reverse: People with Alzheimer’s disease often change their eating habits, for example, and that switch might favor different species of gut microbes.

Fecal transplants can help pin down these links. In his research on Alzheimer’s, Dr. Sisodia and his colleagues transferred stool from ordinary mice into the mice they had treated with antibiotics. Once their microbiomes were restored, the antibiotic-treated mice started developing protein clumps again.

“We’re extremely confident that it’s the bacteria that’s driving this,” he said. Other researchers have taken these experiments a step further by using human fecal transplants.

 If you hold a mouse by its tail, it normally wriggles in an effort to escape. If you give it a fecal transplant from humans with major depression, you get a completely different result: The mice give up sooner, simply hanging motionless.

As intriguing as this sort of research can be, it has a major limitation. Because researchers are transferring hundreds of bacterial species at once, the experiments can’t reveal which in particular are responsible for changing the brain.

Now researchers are pinpointing individual strains that seem to have an effect.

To study autism, Dr. Mauro Costa-Mattioli and his colleagues at the Baylor College of Medicine in Houston investigated different kinds of mice, each of which display some symptoms of autism. A mutation in a gene called SHANK3 can cause mice to groom themselves repetitively and avoid contact with other mice, for example.

In another mouse strain, Dr. Costa-Mattioli found that feeding mothers a high-fat diet makes it more likely their pups will behave this way.

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When the researchers investigated the microbiomes of these mice, they found the animals lacked a common species called Lactobacillus reuteri. When they added a strain of that bacteria to the diet, the animals became social again.

Dr. Costa-Mattioli found evidence that L. reuteri releases compounds that send a signal to nerve endings in the intestines. The vagus nerve sends these signals from the gut to the brain, where they alter production of a hormone called oxytocin that promotes social bonds.

Other microbial species also send signals along the vagus nerve, it turns out. Still others communicate with the brain via the bloodstream.

 It’s likely that this influence begins before birth, as a pregnant mother’s microbiome releases molecules that make their way into the fetal brain.

Mothers seed their babies with microbes during childbirth and breast feeding. During the first few years of life, both the brain and the microbiome rapidly mature.

To understand the microbiome’s influence on the developing brain, Rebecca Knickmeyer, a neuroscientist at Michigan State University, is studying fMRI scans of infants.

In her first study, published in January, she focused on the amygdala, the emotion-processing region of the brain that Dr. Cryan and others have found to be altered in germ-free mice.

Dr. Knickmeyer and her colleagues measured the strength of the connections between the amygdala and other regions of the brain. Babies with a lower diversity of species in their guts have stronger connections, the researchers found.

Does that mean a low-diversity microbiome makes babies more fearful of others? It’s not possible to say yet — but Dr. Knickmeyer hopes to find out by running more studies on babies.

As researchers better understand how the microbiome influences the brain, they hope doctors will be able to use it to treat psychiatric and neurological conditions.

 It’s possible they’ve been doing it for a long time — without knowing.

In the early 1900s, neurologists found that putting people with epilepsy on a diet low in carbohydrates and high in protein and fat sometimes reduced their seizures.

Epileptic mice experience the same protection from a so-called ketogenic diet. But no one could say why. Elaine Hsiao, a microbiologist at the University of California, Los Angeles, suspected that the microbiome was the reason.

To test the microbiome’s importance, Dr. Hsiao and her colleagues raised mice free of microbes. When they put the germ-free epileptic mice on a ketogenic diet, they found that the animals got no protection from seizures.

But if they gave the germ-free animals stool from mice on a ketogenic diet, seizures were reduced.

Dr. Hsiao found that two types of gut bacteria in particular thrive in mice on a ketogenic diet. They may provide their hosts with building blocks for neurotransmitters that put a brake on electrical activity in the brain.

It’s conceivable that people with epilepsy wouldn’t need to go on a ketogenic diet to get its benefits — one day, they may just take a pill containing the bacteria that do well on the diet.

Sarkis Mazmanian, a microbiologist at Caltech, and his colleagues have identified a single strain of bacteria that triggers symptoms of Parkinson’s disease in mice. He has started a company that is testing a compound that may block signals that the microbe sends to the vagus nerve.

Dr. Mazmanian and other researchers now must manage a tricky balancing act. On one hand, their experiments have proven remarkably encouraging; on the other, scientists don’t want to encourage the notion that microbiome-based cures for diseases like Parkinson’s are around the corner.

That’s not easy when people can buy probiotics without a prescription, and when some companies are willing to use preliminary research to peddle microbes to treat conditions like depression.

“The science can get mixed up with what the pseudoscientists are doing,” said Dr. Hsiao.

Dr. Costa-Mattioli hopes that L. reuteri some day will help some people with autism, but he warns parents against treating their children with store-bought probiotics. Some strains of L. reuteri alter the behavior of mice, he’s found, and others don’t.

Dr. Costa-Mattioli and his colleagues are still searching for the most effective strain and figuring out the right dose to try on people. “You want to go into a clinical trial with the best weapon, and I’m not sure we have it,” he said.

Katarzyna B. Hooks, a computational biologist at the University of Bordeaux in France, warned that studies like Dr. Costa-Mattioli’s are still unusual. Most of these findings come from research with fecal transplants or germ-free mice — experiments in which it’s especially hard to pinpoint the causes of changes in behavior.

“We have the edges of the puzzle, and we’re now trying to figure out what’s in the picture itself,” she said.

Welcome to our new Corporate Member, CPL/Servisource!



What are the benefits associated with these Healthcare Assistant jobs ?

-Excellent rates of pay
-Weekly pay + paid holidays
-Subsidised training scheme to keep you up to date with all of your mandatory certificates

- Flexible hours to promote a great work/life balance


What are the requirements for these Healthcare Assistant jobs ?

FETAC/QQI Level 5 in Healthcare Support/Pre-Nursing Studies (or equivalent) – 2nd or 3rd Year STUDENT NURSES are also eligible to apply!

250 hours work experience as a Healthcare Assistant
Hepatitis B Vaccines
In-date certificates for Patient Moving and Handling, Infection Control, Safeguarding Adults, MAPA and CPR (can be provided by our training department if needed)
Fluency in English with excellent communication and interpersonal skills

Must have full eligibility to work in Ireland

All applications will be treated with the strictest of confidence

To apply for these Healthcare Assistant jobs in Dublin North please send an updated CV to quoting the job order number JO-1811-419471 in the subject bar of your email


Welcome to our new Corporate Member, Highfield Healthcare!

Welcome to Highfield Healthcare.

Highfield healthcare


Highfield Healthcare now has 4 facilities and a total complement of 313 beds and is highly regarded for the provision of acute mental health treatment and care for adults and older persons with acute, serious and enduring mental health disorders and complex mental health issues associated with neuropsychiatric disorders and dementia.

Careers at Highfield Healthcare

At Highfield Healthcare we foster an environment that is based on great people and exceptional patient care. Whether you are employed in one of our long stay residential units or in our acute adult mental health hospital you will be part of a team of professionals who are progressive and innovative in their delivery of care. We respect the individual and recognise that our greatest strength lies with our people. We are always looking for energetic and talented individuals with a desire to make a difference in the delivery of world class care.

Training and development is an integral part of our culture and goes hand in hand with our investment in advancing technology. We pride ourselves on developing a highly skilled and motivated workforce and have strong links with many professional associations.

As an employee of Highfield Healthcare you can expect the following benefits:

  • Opportunities for advancement and career development
  • Flexible working arrangements
  • Relocation packages for overseas nurses
  • Premium for Night Duty, Sundays and Bank Holidays
  • Staff support and counselling services
  • Discounted health insurance
  • Employee discount schemes
  • Subsidised restaurant
  • Free tea and coffee
  • Free on-site parking
  • Excellent local transport services (served by Dublin Bus 1, 16, 33, 41, 41c, 44)
  • TaxSaver travel scheme
  • Cycle to Work scheme

In whatever capacity, you choose to join the Highfield Healthcare team, you’re here to make a difference. We’ll encourage your growth with educational options. We’ll value your input and feedback and support your curiosity to explore new professional avenues.

We are always happy to hear from candidates interested in working with us.