Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

A1.a Check and replace equipment and consumables

  • 1. Vehicle equipment and consumables are present as per inventory/checklist?

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  • 2. All equipment is tested for serviceability and faults reported?

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  • 3. All consumables are within date if appropriate?

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  • 4. All equipment is stowed securely?

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  • 5. Deficiencies are rectified and/or reported?

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A1.b Ensure vehicle and equipment are in a clean and hygienic condition.

  • 1. Surfaces are visibly free from dirt, dust and debris?

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  • 2. Vehicle and equipment are cleaned regularly and when appropriate?

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  • 3. Vehicle and equipment disinfected/decontaminated using appropriate agents, when required?

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  • 4. Used consumables/equipment are disposed of in accordance with required procedures?

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  • 5. Disposal procedures are followed for soiled linen?

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  • 6. Protective clothing is worn appropriate to cleaning/decontamination of vehicle/equipment?

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Section B

Unit: B1 Manage emergency situations

B1.a Ensure and maintain overall safety of the situation.

  • 1. The situation is assessed to determine existing or potential dangers?

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  • 2. Vehicle warning devices are activated to protect the vicinity of the incident?

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  • 3. The risks to bystanders are minimised by personal actions or instructions?

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  • 4. Potentially hazardous items, individuals or environments are identified and the hazard minimised where possible?

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  • 5. The situation is continually monitored?

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  • 6. The patient is removed or protected from hazards or further injuries where possible?

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  • 7. Agreed procedures for the protection of staff/others are adhered to?

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B1.b Determine Emergency resource requirements.

  • 1. Priorities for action are established?

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  • 2. The need for extra staff/equipment is assessed and they are requested if necessary?

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B1.c Inform others of Emergency requirements.

  • 1. The circumstances of the incident are reported to control in a clear, logical and concise manner?

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  • 2. Specialist assistance is sought if required?

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  • 3. Liaison is established with the senior personnel of other organisations in attendance at the incident?

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B1.d Determine treatment priorities of patients.

  • 1. Patient’s medical conditions or injuries are diagnosed where possible?

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  • 2. The sequence of treatment determined is appropriate to the patient’s condition and circumstances?

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  • 3. Triage procedures are implemented as appropriate?

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B1.e Establish care requirements of the situation.

  • 1. Existing care expertise is identified within the team and additional/required skills identified?

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  • 2. Patient care requirements are established and prioritised via a primary survey?

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B1.f Advise and inform helpers of assistance required.

  • 1. Clarification/confirmation on the required or actual movement of the patient is given throughout the process?

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  • 2. Instructions on the nature of the assistance are given in a clear, calm and informative manner?

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Unit: B3 Provide social care to patients

B3.a Communicate with patients and others

  • 1. Communications with the patient and others are made in a reassuring and considerate manner?

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  • 2. The condition of the patient and the intended course of action are explained in a manner which minimises the possibility of causing distress?

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  • 3. Communication is clear and concise and at a pace and level appropriate to their understanding?

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  • 4. The nature, degree and permanency of any communication difficulty are considered?

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  • 5. Requests from the patients and others for information are dealt with in a supportive manner?

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  • 6. Information deemed detrimental to the well being of the patient is withheld from the patient and others?

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B3.b Contribute to the social welfare of patients and others.

  • 1. The patient’s dignity and modesty are preserved?

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  • 2. The social needs of the patient are met as appropriate and whenever possible?

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  • 3. Security of the patient’s possessions and valuables is ensured?

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  • 4. Patient confidentiality is established and maintained?

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Unit: C5 Manage patients with injuries/illness using ambulance skills

C5.f Manage patients with mental illnesses

  • 1. When dealing with the patient, you aim to be honest, courteous, respectful and mindful of relatives?

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  • 2. When admitting a patient, the appropriate authorisation is present?

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  • 3. The appropriate resources have been contacted/are present?

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  • 4. When ‘sectioning’ a patient, the appropriate documentation is complete?

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  • 5. The relevant section applied to the patient?

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  • 6. Patients are never forcibly restrained/removed from home address by Ambulance staff?

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  • 7. The AMPH/MH Nurse is transported for continuity/patient care?

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Unit: C8 Transfer of patients

C8.a Lift/handle patients under a range of conditions

  • 1. The patient is positioned for lifting according to their condition?

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  • 2. Patients are assisted where appropriate in moving with regards to any disability or handicap?

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  • 3. Patients are immobilised and secured correctly into equipment appropriate to medical and environmental conditions?

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  • 4. The kinetics of lifting and safety procedures are employed?

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  • 5. The patient is informed of the lifting procedure and intended actions?

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  • 6. The assistance of colleagues is obtained when necessary?

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C8.b Transfer patients to and from a vehicle

  • 1. The most appropriate method of patient transfer in relation to medical and physical need is selected?

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  • 2. Available resources are identified, organised and utilised to assist with transfer as necessary?

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  • 3. Access/egress routes are planned and obstacles are removed or avoided?

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  • 4. Treatment regimes/arrangements are continued/preserved as necessary during transfer?

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C8.d Transfer/accept responsibility for patients

  • 1. Verbal information is given concisely and accurately?

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  • 2. Confidential information is dealt with discreetly?

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  • 3. All documentation and personal belongings are transferred to authorised personnel?

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  • 4. Information and patient are not separated?

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  • 5. Clarification is sought regarding any special conditions which relate to the patient or the circumstances of transfer?

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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.