Title Page
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Date of audit
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Audit completed by
Commode and commode pan audit tool
Questions
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List commodes and commode pans in use by room number (don't include resident information).
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Detergent wipes or pH neutral detergent and warm water, disposable cloth and paper towels, are available for the cleaning of commodes and pans.
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An appropriate chlorine-based disinfectant is available, e.g. Milton, Sanell for the disinfection of commodes and pans.
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A fresh solution of the chlorine-based disinfectant is made up every 24 hours and marked with the date and time of preparation or pre-diluted solutions are available.
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Commodes and pans are decontaminated in a designated area or away from clean items of equipment.
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Hands are washed with liquid soap and warm running water before and after decontaminating commodes and pans.
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Disposable gloves and apron (and facial protection if a risk of splashing) are worn when decontaminating a commode pan.
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Staff can demonstrate the correct procedure for cleaning and disinfecting a commode.
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Stored commodes have indicator tape, signed and dated and are within one month of the date written.
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Commode and commode pans are visibly clean, including underneath surfaces.
Sign off
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Signature of auditor