Information
-
Conducted on
-
Facility <br>
-
Auditor Name
-
GOR
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
-
Gloves
-
Gloves are readily available
-
Comply with current standards and suitable for purpose?
-
Gloves are 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.
-
Comply with current standards and is optically clear, anti fog, distortion free and provides close fitting shields at the sides?
-
Protective eyewear is utilized by the healthcare worker when there is a risk of a splash or a 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 resistant/reflective, P2 masks for bronchoscopy?
-
Gowns/Aprons
-
Gowns/Aprons are readily available?
-
Gowns/Aprons comply with standards and are suitable for purpose?
-
Gowns/Aprons appropriate for activity?
-
Gown/Apron removed appropriately?
-
Gown/Apron are worn when there is a risk of a splash or spray of bodily fluid?
-
Gowns/Aprons 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.
