CM002 Quality Assurance Plan Monthly Aduit

• Conducted on

  Date

• Prepared by

• Has cases been reviewed for the previous month

  Yes

  No

  N/A

• Were there any Sentinel Events recorded for last Month>

  Yes

  No

Complaints

• Any complaints recorded for the previous month?

  Yes

  No

Name Badge Audit

• Have all staff been issued with FR3 Crown ID

  Yes

  No

  N/A

• Was the staff member at the time of this audit wearing this ID

  Yes

  No

  N/A

Equipment Compliance Audit

• Has all the equipment been serviced

  Yes

  No

  N/A

Calendar Log Audits

• Was 10%of case review completed?

  Yes

  No

  N/A

• Was CAC meeting notes and data provided?

  Yes

  No

  N/A

• Was the name badge audit completed?

  Yes

  No

  N/A

• Was the infection control audit completed?

  Yes

  No

  N/A

• Was the manual handling observation audit completed?

  Yes

  No

  N/A

• Was the drug compliance audit completed?

  Yes

  No

  N/A

• Was the equipment compliance audit completed?

  Yes

  No

  N/A

• Were the yearly training scenarios completed

  Yes

  No

  N/A

Infection Prevention Control Audit (IPC)

• Was the First Responder currently on duty equipped with the appropriate PPE (Gloves, Googles, Both P2 and surgical masks)

  Yes

  No

  N/A

• Was there a sharps container and hand sanitiser in response kits and the medical service room?

  Yes

  No

  N/A

Manual Handling Observation Audit

• Was the Manual Handling Kit Checked and in working order?

  Yes

  No

  N/A

• Have all staff been trained and sign off in the manual handling equipment?

  Yes

  No

  N/A

Drug Compliance Audit

• Any Non-Compliances Reported?

  Yes

  No

• Any Drug Discrepancy reported?

  Yes

  No

• Any Broken Medications Recored?

  Yes

  No

• Expiry Dates Checked for the Month?

  Yes

  No

  N/A

• Any Breaches of the Medication Management Procedure?

  Yes

  No