Information

  • PPE Audit

  • Facility

  • Auditor Name

  • Gloves are readily available?

  • Gloves appropriate for activity?

  • Hand Hygiene prior to application of gloves

  • Gloves removed appropriately and hand hygiene performed directly after removal?

  • Gloves are patient and procedure specific? ie gloves changed between patients and after every episode of individual patient care.

  • Protective Eyewear

  • Protective eyewear readily available?

  • Protective Eyewear it utilised by the healthcare worker when there is a risk of a splash or spray of bodily fluid?

  • Protective Mask

  • Surgical masks are readily available?

  • Surgical mask is worn and fitted according to manufacture instructions?

  • Surgical mask is immediately disposed after use?

  • Surgical mask apply with current standards and are appropriate for use in the operating theatre, ie cover nose and mouth and are water resistance/reflective, P2 masks for bronchoscopy?

  • Gowns

  • Gowns are readily available?

  • Gown appropriate for the activity?

  • Gown comply with standards and are suitable for purpose?

  • Gown removed appropriately?

  • Gowns are worn when the is a risk of a splash or spray of bodily fluids?

  • Gowns are changed after every pt procedure or episode of pt care and when visibly soiled/wet. They are removed in the area where care takes place.

  • Comment:

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.