Information
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Department Audited:
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Type of Department
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Frequency of Audit
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Conducted on
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Prepared by
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Location
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Personnel
PATIENT SAFETY – Margie Martin, Risk Manager & Tricia Heimbigner, Employee Health Manager
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Area is free of patient slip/fall risks.
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No patient contact items or paper goods are stored under sinks.
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Wastebaskets are of fire resistant construction.
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Patient records properly secured and not left unsupervised on a computer monitor.
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Crash carts are locked, with updated logged and cylinder is secured properly.
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Armbands in place.
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Staff Knowledge: Purpose and use of an Unusual Occurrence Report. What is a Confidential Report of Unusual Occurrence? And give an example of when one might be used in your area? Medical equipment malfunctions and failures, including one involving a patient injury. Medical equipment malfunctions and failures are reported immediately to Bio-Med A red out-of-service tag is completed and placed on the equipment. The equipment is removed from service until approved for re-use by Bio-Med. Incidents in which a patient is possibly or actually harmed; an Unusual Occurrence Report must also be completed and sent to Risk Management.
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Comments:
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Signature upon completion of Audit
