Teldoc IPC Audit Tool

• Site Audited

  Select OMP Hadley Madeley Leegomery Malinslee Shifnal Priorslee

  • OMP
  • Hadley
  • Madeley
  • Leegomery
  • Malinslee
  • Shifnal
  • Priorslee

• Audit Date

  Date

• Auditor name

• Auditor job title

Management

• Are Infection prevention and control (IPC) policies/guidelines available?

  Yes

  No

  N/A

• Is there a designated Infection Prevention and Control Lead?

  Yes

  No

  N/A

• Is Infection prevention and control included in induction training?

  Yes

  No

  N/A

• Are staff offered immunisation following local risk assessments in line with current guidelines and accurate records kept?

  Yes

  No

  N/A

• Is there a local risk assessment detailing any challenges to effective IPC?

  Yes

  No

  N/A

• Are comprehensive cleaning schedules available and up to date records kept?

  Yes

  No

  N/A

• Is there evidence that the cleanliness of the environment and equipment is monitored?

  Yes

  No

  N/A

Hand Hygiene

• Are all hand washbasins accessible and free of extraneous items?

  Yes

  No

  N/A

• Are hand wash basins, splashbacks and tiles in a good state of repair, visibly clean and free from limescale and extraneous items?

  Yes

  No

  N/A

• Are hand hygiene products in appropriate dispensers and visibly clean?

  Yes

  No

  N/A

• Do staff adopt a bare below the elbow approach? (one plain banded ring only)

  Yes

  No

  N/A

• Are laminated hand hygiene technique posters displayed?

  Yes

  No

  N/A

• Are annual hand hygiene assessments undertaken on all staff within the practice?

  Yes

  No

  N/A

Personal Protective Equipment

• Is personal protective equipment stored appropriately, available and accessible in clinical areas? (gloves, plastic disposable aprons, face masks and eye protection)

  Yes

  No

  N/A

• Are hands decontaminated immediately after removal of personal protective equipment?

  Yes

  No

  N/A

Waste Disposal

• Are waste bins enclosed, lidded, foot operated, clean, with bin liners in place and in a good state of repair?

  Yes

  No

  N/A

• Is clinical waste stored in a locked designated area which is not accessible to unauthorised people or to animals?

  Yes

  No

  N/A

• Is there documentary evidence to demonstrate that all clinical waste (including sharps boxes) is disposed of by a registered waste collection company?

  Yes

  No

  N/A

Sharps Handling & Disposal

• Are sharps boxes discarded to a designed clinical waste collection area when two thirds full or after three months of assembly?

  Yes

  No

  N/A

• Are sharps disposed of safely, bins labelled, stored appropriately, temporary closures in place and only contain appropriate items?

  Yes

  No

  N/A

• Are safer sharps devices routinely used?

  Yes

  No

  N/A

• Do staff know what action to take in the event of a needlestick injury - randomly question staff members?

  Yes

  No

  N/A

Clinical Equipment

• Can staff describe the symbol used to indicate single use items?

  Yes

  No

  N/A

• Are all instruments required to be sterile at the point of use available pre-packed and sterile?

  Yes

  No

  N/A

• Are all reusable items examined for wear and tear?

  Yes

  No

  N/A

• Is the examination couch/chair visibly clean, impervious to fluid and in a good state of repair?

  Yes

  No

  N/A

• Are dressing trolleys clean and in a good state of repair?

  Yes

  No

  N/A

• Are pillows covered in an impervious material to prevent moisture seepage?

  Yes

  No

  N/A

• Are examination specula disposable?

  Yes

  No

  N/A

• Is frequently used patient equipment visibly clean, and in a good state of repair (stethoscopes, BP cuffs and machines, oxygen pleth, doppler machine auorcscopes etc)?

  Yes

  No

  N/A

• Is nebuliser equipment is designated single use?

  Yes

  No

  N/A

• Are volumatics used in clinics single patient use only?

  Yes

  No

  N/A

• Are peak flow mouth pieces single use?

  Yes

  No

  N/A

Clinical Practice

• Is a biohazard spill kit available to deal with blood or body fluid spillage?

  Yes

  No

  N/A

• Are appropriate transport containers available for pathology specimens?

  Yes

  No

  N/A

• Are specimens stored appropriately awaiting collection (Not in vaccine or food fridges)?

  Yes

  No

  N/A

• Are sterile products are stored above floor level?

  Yes

  No

  N/A

• Are clinical supplies in date and undamaged?

  Yes

  No

  N/A

• Is disposable couch roll changed between patients?

  Yes

  No

  N/A

• Are tourniquets single use?

  Yes

  No

  N/A

General Environment

• Is the general environment visibly clean, free of clutter and in a good state of repair?

  Yes

  No

  N/A

• Are all floor coverings intact, visibly clean and free from tears or damage?

  Yes

  No

  N/A

• Is all furniture visibly clean and in a good state of repair?

  Yes

  No

  N/A

• Are walls are intact and have smooth, washable surfaces?

  Yes

  No

  N/A

• Are walls are intact and have smooth, washable surfaces?

  Yes

  No

  N/A

• Is vinyl flooring in place in all clinical areas including all consulting and treatment rooms?

  Yes

  No

  N/A

• Is equipment such as computer terminals and keyboards within clinical areas visibly clean?

  Yes

  No

  N/A

• Are privacy curtains changed on a six monthly basis?

  Yes

  No

  N/A

• Are all high and low horizontal surfaces visibly clean, free from dust, accessible and uncluttered for ease of cleaning?

  Yes

  No

  N/A

Dirty Utility & Toilets

• Does the dirty utility have a separate designated hand wash basin?

  Yes

  No

  N/A

• Is the dirty utility door kept closed and locked?

  Yes

  No

  N/A

• Is the dirty utility free from extraneous items?

  Yes

  No

  N/A

• Are toilets visibly clean and in a good state of repair?

  Yes

  No

  N/A

• Are toilets free from extraneous items?

  Yes

  No

  N/A

• Are toilet brushes and holders visibly clean and in good condition?

  Yes

  No

  N/A

• Are baby changing facilities visibly clean and in a good state of repair?

  Yes

  No

  N/A

Cleaning

• Is cleaning equipment colour coded?

  Yes

  No

  N/A

• Are single-use disposable gloves that meet the appropriate standards available and worn by cleaning staff?

  Yes

  No

  N/A

• Is there a dedicated room for storage of cleaning equipment?

  Yes

  No

  N/A

• Is all cleaning equipment stored appropriately, visibly clean and in a good state of repair?

  Yes

  No

  N/A

• Are mops-heads disposable?

  Yes

  No

  N/A

• Is general purpose detergent available for cleaning? (surface wipes and liquid)

  Yes

  No

  N/A

• Are diluted products prepared correctly, labelled and discarded after 24 hours?

  Yes

  No

  N/A

• Are COSHH Data Sheets available for all cleaning products used within the practice?

  Yes

  No

  N/A

• Is agreed cleaning schedule available to all staff?

  Yes

  No

  N/A

• Is there a cleaner’s book or another way of dealing with any cleaning issues as they arise and do staff use it?

  Yes

  No

  N/A

• Does the equipment used for cleaning meet the requirements of Infection Prevention and Control Policy?

  Yes

  No

  N/A

• Is the equipment used for cleaning stored in accordance Infection Prevention and Control Policy?

  Yes

  No

  N/A

• Does cleaning meet contracted standards for clinical areas (assess 3 rooms and note any concerns)

• Does cleaning meet contracted standards for non-clinical areas (assess 1 area and note any concerns)

• Yes

  No

  N/A

• Does cleaning meet contracted standards for toilets (assess 2 toilets and note any concerns)

Cleaning Cupboard Audit

• Sink clean and free of clutter

  Yes

  No

  N/A

• Mops inverted, stored on a wall rack and heads clean

  Yes

  No

  N/A

• Mop buckets stored inverted

  Yes

  No

  N/A

• Mop bucket clean and unsoiled

  Yes

  No

  N/A

• Are appropriate gloves in use?

  Yes

  No

  N/A

• Adequate cleaning supplies in stock

  Yes

  No

  N/A

• Cleaning products stored correctly and off the floor

  Yes

  No

  N/A

• Evidence of colour coding for cleaning items

  Yes

  No

  N/A

• Floor space clear and clean

  Yes

  No

  N/A

• Designated area for disposal of dirty water

  Yes

  No

  N/A