Afif Escheik

Case Cart Audit

An quality audit to review the cases that were picked on a daily basis.

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Title Page

Conducted on
Prepared by
Facility Name
Campus
SPD Location
Campus
- Bellevue
- Elmhurst
- Harlem
- Jacobi
- Kings
- Lincoln
- Metropolitan
- North Central Bronx
- Queens
- South Brooklyn - Coney
- Woodhull
Campus
SPD Location
SPD Location

Case Cart Audit

Date of Surgery
OR Room Number
Case Cart Number
Case Picked By
Case ID Number
Are trays inside cart undamaged and sterile?
What trays are damaged and unsterile?
Is the case cart complete?
What is missing?
Are all special needs and/or loaners accounted for?
What is missing?
Are trays missing instruments or incomplete?
What trays are incomplete?

Afif Escheik

Case Cart Audit

An quality audit to review the cases that were picked on a daily basis.

Use this Template

Print as PDF

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