Audit

HAND HYGIENE

Before hood cleaning

After hood cleaning

Before compounding

After compounding

Other

PERSONAL PROTECTIVE EQUIPMENT

PPE for compounding (Shoe covers, head cover, surgical mask, gown, sterile gloves) properly worn.

Sterile gloves doffed when exit the compounding area & hand hygiene performed.

Hand hygiene performed, PPE donned in segregated compounding area, sterile gloves donned.

Correct PPE used for cleaning hood

STERILE TECHNIQUE Including Hood Cleaning

Cleaning log properly maintained.

If gloves become contaminated while working in the compounding area, gloves are disinfected with 70% isopropyl alcohol.

Sterile water for cleaning not open >24h.

ENVIRONMENTAL HYGIENE

Waste contained (includes any type of waste, receptacles not overflowing, bags of waste not on floor, etc.)

Work surfaces clean and free of debris

Personal belongings stored in designated area, away from work space

No eating in satellite pharmacies nor drinks other than bottled water

Furniture, tables, etc. in good repair

LEECHES-staff can speak to:

Refrigerator temperature monitoring

Where the leeches come from

The process for maintaining them (LEECHES)

STAFF INTERVIEWS

When do you practice hand hygiene?

When do you don PPE and what PPE do you use?

What is the procedure for cleaning the hood?

Can you show me your hood cleaning log?

Do staff come to work when they are sick?

How do you practice respiratory etiquette?

How often is the pharmacy cleaned by EVS and can you show me the EVS cleaning log?

NOTES
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.