UM WalkRound Cross Audit - Bronchoscopy

• Conducted on

  Date

• Prepared by

• Hospital/ Center

  NASA

• Unit

  Bronchoscopy

BRONCHOSCOPY UNIT (2 standards, 1 sub-standard and 3 sub-points)

• IPC.17 The hospital ensures environmental safety when disinfectants are used outside the central sterilization service. (Observation)

  MET

  NOT MET

  N/A

IPC.17.2 For bronchoscopy, the following is applied: (Observation)

• IPC.17.2.1 Bronchoscopy is performed in a room with negative air pressure and at least twelve air changes per hour. Personal protective equipment are available including N-95/N-99 masks

  MET

  NOT MET

  N/A

• IPC.17.2.2 Cleaning of the bronchoscopes begins immediately after the procedure to prevent drying or hardening of organic debris

  MET

  NOT MET

  N/A

• IPC.17.2.3 Bronchoscopes are disinfected as per manufacturer’s recommendation

  MET

  NOT MET

  N/A

• AN.15 Qualified staff perform moderate and deep sedation/analgesia. ESR (Staff Interview)

  MET

  NOT MET

  N/A

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