• Department Audited:

  • Type of Department

  • Frequency of Audit

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PATIENT SAFETY – Margie Martin, Risk Manager & Tricia Heimbigner, Employee Health Manager

  • Area is free of patient slip/fall risks.

  • No patient contact items or paper goods are stored under sinks.

  • Wastebaskets are of fire resistant construction.

  • Patient records properly secured and not left unsupervised on a computer monitor.

  • Crash carts are locked, with updated logged and cylinder is secured properly.

  • Armbands in place.

  • 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.

  • Comments:

  • Signature upon completion of Audit

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.