This audit applies to all clinical areas to ensure that all control measures identified within the Annual Clinic Risk Assessment are being completed adequately in order to reduce risks.
The completed audit form will be reviewed and any areas of concern/ improvement that have been identified must be actioned accordingly
Risks audited by Observation:
The following questions are to be answered by observing the clinic/treatment room(s):
Equipment
3.
Is the nursing trolley neat, tidy clean and free from damage?
4.
Where applicable, is the Laser key stored and locked away from the Laser when not in use?
5.
Is there a yellow 'Laser Warning' sign displayed on each door to the treatment room(s) (external side)? (Laser must not be used until signage is available)
6.
Is Medical equipment (i.e. laser, scanner, peristaltic pump etc), in good working order?
7.
Is the medical couch in working condition and visibly clean (including the frame and underneath)?
8.
Are all cables/leads tied securely not causing a trip hazard? (consider medical couch and medical equipment (i.e. ultrasound scanner)
9.
Are all cables/leads attached to any device intact (i.e. not frayed/broken) Note: Cables should not be wrapped around the device (e.g. foot pedal)
10.
Use the space below to leave any comments or feedback on Equipment, if required
Environment
11.
All locks are working/functioning correctly on treatment room doors?
12.
Is the treatment room sink visibly clean and free from clutter?
13.
Is the sink tap nozzle free from build up of slime/limescale (biofilms/bacteria)?
14.
Is the Hibiscrub dispenser (attached to the wall) in date, clean and free from build up of product/slime?
15.
Are clinical areas free from clutter?
16.
Is overhead ceiling lighting working and sufficient?
17.
Is all stock stored off the floor and located in their designated storage areas?
18.
Is the location of the emergency equipment available and within ease of access to both treatment rooms?
19.
Is the temperature and ventilation of treatment rooms satisfactory?
20.
Are the floors and walls in good condition and visibly clean? (consider all areas, in particular surrounding the clinical sink)
21.
Are appropriate laser safety goggles available for all persons present in the treatment room? (check the parameters written on the lense of the goggles)
22.
Are all fixtures and fittings in good repair and visibly clean? (e.g. stainless steel trolley)
23.
Where applicable, is the privacy curtain in good condition, free from damage, not soiled and not exceeded expiration date (from date last changed).
24.
Use the space below to leave any comments or feedback on Environment, if required
Waste Management
25.
Are clinical waste products disposed of in the orange clinical waste bag and domestic waste into black bags.
26.
Is there a lockable bin for clinical waste disposal and collection, and the lock is being used in the correct manner and functioning.
27.
At the end of each clinic is all waste (clinical & domestic) removed from clinical areas and stored ready for collection in an appropriate area? (i.e. designated bin store external from the clinical room)
28.
Are Biohazard Spill Kits available and not exceeded their expiration date?
29.
Use the space below to leave any comments or feedback on Waste Management, if required
Medicines Management
30.
Are all medicines stored within the appropriate locked drugs cupboard / fridge?
31.
Are all medicines within date? Any expired medicines must be stored away from curernt stock in the Waste Medicine storage box
32.
Check two sets of patient notes - all medication details are completed in full including batch number, time administered, expiry date, volume and prescription is signed
33.
Use the space below to leave any comments or feedback on Medicines Management, if required
PPE
34.
Are adequate amounts of PPE available? Including gloves, masks, visors and aprons?
35.
Are all single use gloves and apron dispensers fully stocked and are sterile gloves within date?
Sharps management
36.
The sharps box is assembled correctly (i.e. lid securely placed, date assembled, marked with staff signature and temporary closure in use)
37.
Is the sharps bin below the fill line, and less than 3 months old from the date of assembly?
38.
Are the sharps bins wall mounted or stored safely to avoid risk of spillage?
39.
Use the space below to leave any comments or feedback on Sharps management, if required
Hand Hygiene
40.
Is there hand gel available and filled at the point of entry/exit to the treatment room?
41.
Are hand hygiene signs on display (laminated) and by hand washing facilities?
42.
The hand wash area is visibly clean and free from clutter. i.e. no tablets of soap or re-usable nailbrushes
43.
Clinical staff are bare below elbow i.e. no long sleeves garments, no wrist jewellery or wrist watches or stoned rings worn during clinical procedures and no nail varnish or acrylic nails worn
44.
Do all clinical staff appropriately perform hand hygiene as per WHO ‘5 moments with appropriate technique undertaken?
45.
Use the space below to leave any comments or feedback on Hand Hygiene, if required *
46.
Are any additional risks or concerns identified which are not documented within this audit? Please comment below
Any actions required on completion of this audit should be reported to the appropriate person(s) immediately to resolve.
If you are unsure of who to send requests to, please note your Key Contacts within the Nurse handbook, or email qualityandcompliance@veincentre.com to request assistance or information
End of Survey