Information
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Radiology / Imaging Department Audit
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Conducted on
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Prepared by
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Personnel in Attendance:
1.0 General Area: Hand Hygiene
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1.1. Hand sanitizer is available and accessible for the patients and visitors in all waiting areas?
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1.2. Available liquid soap within all treatment rooms?
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1.3. Wall mounted paper towels available near each sink?
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1.4. Clinical staff able to demonstrate good handwashing techniques?
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1.5. Staff able to apply 5 moments of hand hygiene?
2.0 Patient Exam Rooms
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2.1. Floor and walls clean?
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2.2. Cubicle curtains unsoiled and free of tears?
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2.3. Exam table/bed is clean free of dust, rust, tapes and tape residues.
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2.4. Sink is clean and no supplies found within 3 feet of the sink in the absence of a splash guard.
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2.5. Liquid soap and paper towel dispenser are stocked and working?
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2.6. Alcohol hand sanitizers are available?
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2.7. Gloves, PPE available?
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2.8. No food or drink in patient care areas?
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2.9. Vent grill is dirt free?
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2.10. Wedges for positioning cleaned and disinfected after every patient use?<br>
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2.11. Drawers well organized and clean?
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2.12. Working surfaces are clean?
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2.13. Equipment decontamination done?
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(Ultrasound) Pelvic Probe cleaned and disinfected per protocol
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Ultrasound Tech can articulate cleaning and disinfection; transport and storage processes for pelvic probe.
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2.14. Mattress pad is without tears or puncture holes?
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2.15. Plants not present in clinical areas?
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2.16. (MRI) Cleaning equipment not containing any ferrous or ferromagnetic material?
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2.17. All surfaces on the MRI table (inside the magnet bore, magnet gantry and MRI coils is clean?
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2.18. Cleaning schedule is followed and updated?
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2.19. Is equipment properly cleaned per protocol/ manufacturer's recommendation?
3.0 Waste Management
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3.1. Waste containers clean, operational and in good condition?
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3.2 Waste containers covered and with labels?
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3.3. Contaminated instruments or disposables placed on designated area not mixed with clean items?
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3.4. Regulated medical waste discarded appropriately?
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3.5. Waste clearly segregated?
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3.6. Sharp containers secured and labeled appropriately?
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3.7. Sharp bins not mixed with any general/biomedical waste?
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3.8. Sharp containers are no more than 2/3 full?
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3.9. Staffs are aware not to bend, recap ore remove contaminated needle or sharps unless it is absolutely necessary?
4.0 Medications/ Items
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4.1. No outdated IV solutions, items and medicines?
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4.2. Open vials dated and times as per policy?
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4.3. Safe injection practices followed as per policy?
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4.4. Out of date sterile supplies are not present?
5.0. Utility and Storage Room
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5.1. Floors and walls clean?
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5.2. Horizontal and vertical surfaces are clean?
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5.3. Adequate separation of clean and soiled?
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5.4. Bottom shelf is solid?
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5.5. No supplies stored 10" from the floor?
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5.6. No supplies stored touching the 18" from the ceiling?
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5.7. No supplies stored in the dirty utility room?
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5.8 Soiled linen is bagged accordingly?
6.0. Chemical Safety
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6.1. Material Safety Data Sheets available for all chemicals?
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6.2. Risk assessments completed for hazardous substance?
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6.3. All containers labelled correctly?
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6.4. Unused substances disposed of?
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6.5. Do special storage conditions apply?
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6.6. Workers trained in the use of hazardous substance?
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6.7. If required is PPE available?
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6.8. Are eye washes and showers easily accessed?
7.0. Corridors/ Hallways/ Environment
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7.1. Furniture is clean and in a good state?
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7.2. The wall is clean and dust free?
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7.3. Free of obstruction and equipment?
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7.4. Reception area is clean and work surface clean and free from clutter?
Staff Knowledge on Infection Prevention
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Staff able to articulate the hand hygiene the 5 moments of hand hygiene<br>
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Staff able to articulate the care for instruments at point of care prior to transport to SPD
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Staff able to articulate how an isolation patient is identified
Additional Comments
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