General Workplace Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Assessment and reassessment

• Assessment complete within 24 hours of admission or transfer

  Yes

  No

  N/A

• Reassessment each shift and or with change in condition

  Yes

  No

  N/A

Medication Mngt

• No unsecured medications--check drawers, charting stations, etc

  Yes

  No

  N/A

• Staff can speak to narcotic wasting procedure, non narcotic drug disposal

  Yes

  No

  N/A

Urinary catheter evidence based practices

• Staff can speak to nurse driven Foley catheter removal

  Yes

  No

  N/A

• Orders are in power chart for patients with Foley catheter

  Yes

  No

  N/A

Isolation practices

• Observe isolation carts and signage; orders same as signage

  Yes

  No

  N/A

• Observe gown and glove procedures for entering/exiting isolation rooms

  Yes

  No

  N/A