Audit

Vaginal Scope Protected after disinfection.
Note the scope number in comments if applicable.

Is vaginal scope protected from contamination after being disinfected?

Intubation airways are protected from contamination. Single packaging.
5 boxes or Crash carts are to be monitored at each facilty..
Note the box/cart number in comment section.

Is the airways for intubation protected from contamination?

Radiation/Oncology Hot water bath cleaning.

Was the hot water bath cleaned at minimum every 4 weeks?

Physical Therapy Hot and Cold packs/equipment cleaning.

Hot and Cold pack covers are cleaned weekly per policy?

Cold pack storage equipment clean?

Was Hot pack storage equipment cleaned every two weeks per policy?

Dialysis Unit

Water cultures done by third party water treatment company and follow up done per policy.

Water testing done by staff prior to treatment per policy.

Patient receiving dialysis has curos cap on dialysis line.

Was MRSA screening completed as appropriate?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.