Information
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Name of audit and date
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Location of Audit
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Conducted on
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Person Performing Audit
ALL ROOMS
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Anesthesia cart locked.
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Computer on wheels locked.
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No unsupervised meds on counter, etc.
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No non-approved cleaning /disinfecting supplies in room.
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OR doors remain closed when not moving pts/equip/supplies
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Computer logged off when not in use.
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Locked cabinets within rooms are closed and locked.
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PRNs not left in empty room.
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No outside bags/cases or shipping containers allowed in surgery restricted areas.
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Sterile clean supplies kept separate from dirty/soiled.
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No stacked Kimguard.
MIDROOMS
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No sterile items in midroom.
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Fluids in warmer dated.
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Area under sinks dry, empty, clean.
OH AREA
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OH Med Room door remains locked.
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Blood Refrigerator checked daily.
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OH Pump Room med cabinet locked with no unsupervised meds.
ANESTHESIA AREA
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Anesthesia supply room door remains closed.
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Carts within supply room locked.
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All equipment on one side of the hallway.
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Equipment / supplies not blocking fire extinguishers or fired doors.
ALL AREAS
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Equipment/Supplies not blocking electric panels or gas shut off valves.
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Crash cart by Room #2 checked daily.
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All portable carts have covers.
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Eye wash stations (OH and Room #7) are clear of equipment and checked weekly.
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Nothing higher than 18" from the ceiling.
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No items stored lower than 8" from floor.
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Eye protection and gloves worn when docking and undocking the Neptune.
