TSDFT Podiatry Nail Surgery Audit Tool v1.2

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Procedure ( if known)

Preparation of Trolleys by Assistant

• Staff member is naked below the elbow, no wrist or hand jewellery?

  Yes

  No

  N/A

• Hands are decontaminated prior to start with liquid soap and water?

  Yes

  No

  N/A

• A plastic apron is put on?

  Yes

  No

  N/A

• Trolleys are cleaned with soap and water ( or equivalent detergent wipes) and dried with a paper towel?

  Yes

  No

  N/A

• Plastic apron is removed and disposed of in appropriate waste bin?

  Yes

  No

  N/A

• Hands are decontaminated with liquid soap and water?

  Yes

  No

  N/A

Trolley 1 - Aseptic technique nail surgery pack

• Equipment required for the procedure is placed on top of trolley?

  Yes

  No

  N/A

• Sterile dressing pack outer packaging is removed and is not contaminated?

  Yes

  No

  N/A

• Dressing pack is opened using only the corners of the paper?

  Yes

  No

  N/A

• Items that are required are carefully placed onto the sterile field ensuring the outer packaging does not come into contact with the sterile field?

  Yes

  No

  N/A

• Sharps bin is attached to the trolley (purple lidded)?

  Yes

  No

  N/A

• Temporary closure in position (when not in use)?

  Yes

  No

  N/A

Trolley 2 - For local anaesthetic procedure

• Equipment required for the procedure is placed on to of the trolley including the yellow tray for the local anaesthetic?

  Yes

  No

  N/A

• Sharps bin is attached to the trolley (yellow lidded)?

  Yes

  No

  N/A

• Temporary closure in position (when not in use)?

  Yes

  No

  N/A

Trolley 3

• Trolley is cleaned with soap and water (or equivalent detergent wipes) and dried with a paper towel?

  Yes

  No

  N/A

• Gown sterile gloves placed onto the top of the trolley without contamination?

  Yes

  No

  N/A

Assistant prepares patients feet

• Hands decontaminated prior to start with liquid soap and water?

  Yes

  No

  N/A

• Don PPE: Apron and sterile gloves?

  Yes

  No

  N/A

• Clean patients feet?

  Yes

  No

  N/A

• Dries patients feet?

  Yes

  No

  N/A

• Removes PPE correctly - Gloves ( remove the first glove by holding the cuff and turning it inside out, remove the second glove by inserting fingers inside the wrist of the glove, pull it off whilst turning it inside out). Apron ( undo at the back, pull away from the body and roll inwards away from the body?

  Yes

  No

  N/A

• Hands are decontaminated with liquid soap and water?

  Yes

  No

  N/A

Procedure by Podiatrist

• Staff member is naked below the elbow, no wrist or hand jewellery?

  Yes

  No

  N/A

• Hands are decontaminated prior to start with liquid soap and water?

  Yes

  No

  N/A

• Don gloves?

  Yes

  No

  N/A

• Administer LA and dispose of sharps safely at the point of use?

  Yes

  No

  N/A

• Hands decontaminated after glove removal?

  Yes

  No

  N/A

• PPE donned correctly - Don hat, mask, gown and gloves?

  Yes

  No

  N/A

• Gloves are donned touching only the inside wrist end. In a manner that does not contaminate the out surface of the gloves?

  Yes

  No

  N/A

• The foot has been cleaned with Betadine pre-op foot scrub?

  Yes

  No

  N/A

• The procedure is carried out maintaining asepsis throughout?

  Yes

  No

  N/A

• Sharps are disposed of in the sharps container at the end of the procedure?

  Yes

  No

  N/A

• Remove PPE - Gloves ( remove the first glove by holding the cuff and turning it inside out, remove the second glove by inserting fingers inside the wrist of the glove, pull it off whilst turning it inside out). Gown ( inside out, away from you). Face shield. Mask. Cap ( by grabbing the top)?

  Yes

  No

  N/A

• All packaging and waste is disposed of in the appropriate waste stream - tiger / yellow bag?

  Yes

  No

  N/A

• Hands are decontaminated with liquid soap and water?

  Yes

  No

  N/A

• All equipment in the room is decontaminated ready for the next patient?

  Yes

  No

  N/A

• White couch roll is changed on examination couch?

  Yes

  No

  N/A

• Pillow is wiped between patients?

  Yes

  No

  N/A

• Pillow case is changed between patients?

  Yes

  No

  N/A

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