CCNA Quality - Environmental Safety Audit Tool

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Name of Auditor

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No patient personal information in public. No opened EMR is left unattended
All patients wear clear ID band with 2 identifiers
All lines are traced and tubings are dated, valid and labeled (Line Reconciliation)
Adult and pediatric patients identified at moderate risk and above are to wear a red patient identification band with 'Risk for Fall" written, 'Falls" alert attached to their file, and a sign placed by their bed, cot, and/or room door
Side rails are up and bed in the lowest level

Regular and infectious waste are disposed properly. Garbage bin is not overfilled
Sharp containers are not more than 3/4 full
Mounted sharp containers are at/or below eye level
Approved WHO poster for hand hygiene is visible in all sink, soap and alcohol hand rub dispensers
Patient' s door has correct transmission-based precaution signage as required
Monitoring of negative pressure room is done on a daily basis if occupied by a patient / weekly for not occupied rooms
Used CSSD items are kept in correct place
Treatment trolleys are clean and tidy
Used linens and hamper bags are stored in soiled utility room. Infected linens are inside the red hamper bag
Staff perform proper hand hygiene before and after visiting patients

Patient rooms are clean and tidy
Patient bathrooms have nonslip surface and there is access from outside if locked inside
No obstacles in the way of emergency exit and fire extinguisher
Fire exits are clearly marked with illuminated exit sign
Daily equipment checklist: Availability, Functionality and Cleanliness - is done every shift<br>
A minimum/maximum level for linen requirement per unit is established and should be adhered to
Fresh/clean linen is to be stored separately from dirty/used linen
Clean linen store is to be secured and preferably locked
Problems with amounts, availability or quality of linens are to be documented on a Linen Problem Log and followedup
Daily linen monitoring sheet is updated and completed
Staff lounge is clean and tidy. Top of lockers are clear from dusts and clutter
Food inside the refrigerator is labelled

Minimum, maximum and critical levels of all supplies/stock are available
List of required supplies/stock by description, item code, and amount available
Supplies/stock stored in an organized and accessible manner that permits easy identification
Each supply/stock item is to be labeled with its name, code, and required minimum and maximum level
Sterile items are stored separately from nonsterile items
No unnecessary boxes and wrappings stored in the stock room/no boxes on the floor
All items/shelves are at least 50 cm away from the ceiling
Heat/smoke detector and sprinkler present
Individual items are arranged into separate labeled containers or shelf space
Heavy items are placed at waist height
Fluids are stored in lower shelves – temperature and humidity is regularly monitored and recorded in the temperature monitoring log sheet
Supplies/stocks are rotated so that the most recently received items and near expiry items shall be utilized
Items that have an expiry date of fewer than 3 months are returned to the warehouse

MSDS folder is available in the area
MSDS list is updated annually (inventory list) and MSDS sheets are updated in the folder
Proper labeling of items according to hazard rating classification (Diamond sticker)
Contact number of Safety Officer is available for any suspected or witnessed release of a hazardous material to the environment
Spill kit is available and not expired