Vidant Medical Center Clinical Safety Audit

• Audit Title

• Conducted on

  Date

• Prepared by

• Contact Person

General Safety

• Are computers logged appropriately?

  Yes

  No

  N/A

• Are patient refrigerators monitored appropriately?

  Yes

  No

  N/A

• Is the building in good repair and free of damage?

  Yes

  No

  N/A

• Is cleanliness and general housekeeping adequate?

  Yes

  No

  N/A

• Are medicine Cabinets and drug carts properly locked when not attended?

  Yes

  No

  N/A

• Is confidential information stored properly?

  Yes

  No

  N/A

• Is lighting appropriate for the type of work being done in the area?

  Yes

  No

  N/A

• Are paper cutters,etc. stored properly?

  Yes

  No

  N/A

• Is equipment other than medical equipment, in good repair (no frayed cords,etc)?

  Yes

  No

  N/A

Security

• Are all employees and patients properly identified?

  Yes

  No

  N/A

• Are access controls uncircumvented and working properly?

  Yes

  No

  N/A

Hazardous Materials/Waste

• Are sharp containers filled less than 3/4 full?

  Yes

  No

  N/A

• Where needed, are eyewash stations available and operational?

  Yes

  No

  N/A

• Is hazardous pharmaceutical waste handled appropriately?

  Yes

  No

  N/A

• Is regulated medical waste distinctly separated from other waste?

  Yes

  No

  N/A

• Are all containers properly labeled?

  Yes

  No

  N/A

• Is there appropriate PPE available?

  Yes

  No

  N/A

Fire/Life Safety

• Are fire extinguishers free from obstruction?

  Yes

  No

  N/A

• Have fire extinguishers been checked at least monthly?

  Yes

  No

  N/A

• Are fire and smoke doors free from obstructions?

  Yes

  No

  N/A

• Are all exit signs illuminated?

  Yes

  No

  N/A

• Are corridors and stairwells unobstructed?

  Yes

  No

  N/A

• Are compressed gas cylinders stored properly?

  Yes

  No

  N/A

• Is there adequate clearance to sprinklers/ceilings?

  Yes

  No

  N/A

• Are electrical panels visible and unobstructed?

  Yes

  No

  N/A

• Are multi-outlet strips used properly?

  Yes

  No

  N/A

• Are ABHR dispensers installed appropriately?

  Yes

  No

  N/A

Medical Equipment

• Has medical equipment (new and used) been ID tagged and safety checked?

  Yes

  No

  N/A

• Is all defective equipment properly tagged?

  Yes

  No

  N/A

• Is equipment in good repair (no frayed cords, etc.)?

  Yes

  No

  N/A

• Is Defib/Crash Cart log book current?

  Yes

  No

  N/A

• Is there an AED available?

  Yes

  No

  N/A

• Are call bells unobstructed and within reach?

  Yes

  No

  N/A

Utility Systems

• Are medical gas valves unobstructed and properly labeled?

  Yes

  No

  N/A

• Are all electrical receptacles and switches in good repair?

  Yes

  No

  N/A

• Is electrical equipment in proper working condition?

  Yes

  No

  N/A

• Are working flashlights available?

  Yes

  No

  N/A

Employee Knowledge

• Explain the immediate response to a fire. (RACE)

  Yes

  No

  N/A

• Demonstrate where to find a SDS (online, MSDS online).

  Yes

  No

  N/A

• Describe what the red outlets are for and when to use the.

  Yes

  No

  N/A

• How do you determine what goes in the Black Pharmaceutical Box?

  Yes

  No

  N/A

Other Safety Concerns Found

• Add media

  Media