Instructions for Completing the Infection Prevention and Control Audit
Purpose
The Infection Prevention and Control Audit aims to assess and ensure compliance with infection prevention and control practices within the clinic. This audit is vital for maintaining patient safety and meeting the standards set by the Care Quality Commission (CQC).
Frequency
This audit should be completed twice a month to ensure ongoing compliance and continuous improvement.
Relevant CQC Domains and Key Lines of Enquiry (KLOEs)
This audit supports the following CQC domains and KLOEs:
Safe (S)
S1: How do systems, processes, and practices keep people safe and safeguarded from abuse?
S3: How does the provider make sure that there are sufficient numbers of suitable staff to support the delivery of safe care and treatment?
S5: How well are risks to people assessed, and their safety monitored and managed so they are supported to stay safe?
Effective (E)
E1: Are people's needs assessed and care and treatment delivered in line with current legislation, standards, and evidence-based guidance?
E2: How are people supported to live healthier lives and, where the service is responsible, how do they maintain their health and wellbeing?
Instructions for Completing the Audit
1. Preparation
- Select Auditors: Designate specific staff members responsible for conducting the audits.
- Training: Ensure auditors are trained in infection prevention and control practices and familiar with the audit tool.
2. Observation Process
- Random Selection: Randomly select staff members and times for observation to ensure an unbiased assessment.
- Non-Interference: Observe without interfering with the staff member’s routine. Be discreet and non-intrusive.
3. Audit Sections
General Information
- Fill in the date, auditor name, and time of the audit.
Hand Hygiene
- Check availability of supplies and observe compliance with hand hygiene practices according to the WHO's 5 Moments for Hand Hygiene.
Use of Personal Protective Equipment (PPE)
- Assess the availability and proper use of PPE by healthcare workers.
Environmental Cleanliness
- Evaluate the cleanliness of patient areas and medical equipment.
Waste Management
- Inspect waste disposal practices and compliance with waste segregation policies.
Staff Training and Education
- Verify staff training records and their awareness of infection control policies and procedures.
4. Recording Observations
- Use the audit tool to document observations for each section.
- Mark compliance (Yes/No) and provide comments for any non-compliance.
5. Immediate Feedback
- Provide immediate feedback to the observed staff member, highlighting areas of good practice and areas needing improvement.
6. Documentation and Reporting
- Complete the audit tool for each observation session.
- Compile results and summarise findings, including areas of compliance, non-compliance, and immediate actions taken.
- Provide recommendations for improvement.
7. Review and Follow-Up
- Submit the completed audit tool for review.
- Ensure findings are discussed in relevant meetings and action plans are developed to address any identified issues.
- Monitor the implementation of action plans and reassess during the next audit cycle.
Audit Summary and Actions
Areas of Compliance: List areas where compliance was observed.
Areas of Non-Compliance: List areas where non-compliance was observed.
Immediate Actions Taken: Describe any immediate actions taken to address non-compliance.
Recommendations for Improvement: Provide recommendations for improving infection prevention and control practices.
By completing this audit twice a month, the facility ensures ongoing adherence to infection prevention and control practices, thus maintaining a safe environment for both patients and staff.
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Hand Hygiene
Are hand hygiene supplies (soap, alcohol-based hand rub, paper towels) readily available at the point of care?<br>
Compliance with Hand Hygiene
Do staff clean their hands before patient contact?
Do healthcare workers clean their hands before aseptic tasks?
Do staff clean their hands after body fluid exposure risk?
Do staff clean their hands after patient contact?
Do staff clean their hands after contact with patient surroundings?
Use of Personal Protective Equipment (PPE)
Availability of PPE
Are PPE supplies (gloves) readily available?
Do staff wear gloves when necessary?
Do healthcare workers wear gowns when required?
Is PPE removed and disposed of correctly after use?
Environmental Cleanliness
Are all clinical areas clean and tidy?
Are high-touch surfaces (e.g., door handles) cleaned regularly?
Is medical equipment cleaned and disinfected between patient uses?
Is there a schedule for regular cleaning of equipment and is this maintained and completed?
Waste Management
Are waste bins available and correctly labeled (e.g., general waste, clinical waste, sharps)?
Are waste bins emptied regularly?
Are sharps disposed of in designated sharps containers?
Is clinical waste segregated from general waste?
Is hazardous waste disposed of according to policy?
Staff Training and Education
Are staff members trained in infection prevention and control practices?
Are training records up to date?
Are regular infection control updates provided to staff?
Are staff members aware of current infection control policies and procedures?
Audit summary and actions
List areas where compliance was observed.
List areas where non-compliance was observed.
Describe any immediate actions taken to address non-compliance.
Provide recommendations for improving infection prevention and control practices.
Anonymous
BDV - Infection Prevention and Control Audit
Instructions for Completing the Infection Prevention and Control Audit
Purpose
The Infection Prevention and Control Audit aims to assess and ensure compliance with infection prevention and control practices within the clinic. This audit is vital for maintaining patient safety and meeting the standards set by the Care Quality Commission (CQC).
Frequency
This audit should be completed twice a month to ensure ongoing compliance and continuous improvement.
Relevant CQC Domains and Key Lines of Enquiry (KLOEs)
This audit supports the following CQC domains and KLOEs:
Safe (S)
S1: How do systems, processes, and practices keep people safe and safeguarded from abuse?
S3: How does the provider make sure that there are sufficient numbers of suitable staff to support the delivery of safe care and treatment?
S5: How well are risks to people assessed, and their safety monitored and managed so they are supported to stay safe?
Effective (E)
E1: Are people's needs assessed and care and treatment delivered in line with current legislation, standards, and evidence-based guidance?
E2: How are people supported to live healthier lives and, where the service is responsible, how do they maintain their health and wellbeing?
Instructions for Completing the Audit
1. Preparation
- Select Auditors: Designate specific staff members responsible for conducting the audits.
- Training: Ensure auditors are trained in infection prevention and control practices and familiar with the audit tool.
2. Observation Process
- Random Selection: Randomly select staff members and times for observation to ensure an unbiased assessment.
- Non-Interference: Observe without interfering with the staff member’s routine. Be discreet and non-intrusive.
3. Audit Sections
General Information
- Fill in the date, auditor name, and time of the audit.
Hand Hygiene
- Check availability of supplies and observe compliance with hand hygiene practices according to the WHO's 5 Moments for Hand Hygiene.
Use of Personal Protective Equipment (PPE)
- Assess the availability and proper use of PPE by healthcare workers.
Environmental Cleanliness
- Evaluate the cleanliness of patient areas and medical equipment.
Waste Management
- Inspect waste disposal practices and compliance with waste segregation policies.
Staff Training and Education
- Verify staff training records and their awareness of infection control policies and procedures.
4. Recording Observations
- Use the audit tool to document observations for each section.
- Mark compliance (Yes/No) and provide comments for any non-compliance.
5. Immediate Feedback
- Provide immediate feedback to the observed staff member, highlighting areas of good practice and areas needing improvement.
6. Documentation and Reporting
- Complete the audit tool for each observation session.
- Compile results and summarise findings, including areas of compliance, non-compliance, and immediate actions taken.
- Provide recommendations for improvement.
7. Review and Follow-Up
- Submit the completed audit tool for review.
- Ensure findings are discussed in relevant meetings and action plans are developed to address any identified issues.
- Monitor the implementation of action plans and reassess during the next audit cycle.
Audit Summary and Actions
Areas of Compliance: List areas where compliance was observed.
Areas of Non-Compliance: List areas where non-compliance was observed.
Immediate Actions Taken: Describe any immediate actions taken to address non-compliance.
Recommendations for Improvement: Provide recommendations for improving infection prevention and control practices.
By completing this audit twice a month, the facility ensures ongoing adherence to infection prevention and control practices, thus maintaining a safe environment for both patients and staff.
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