Audit tool
Infection prevention and control audit
An audit of hand hygiene, protective equipment, environmental cleanliness and waste handling in a clinical area.
Fill it in online - free, no account needed. 21 questions.
What it is for
Audit one clinical area in a single visit and see where practice falls short.
- Observe hand hygiene and use of protective equipment
- Check the cleanliness of the environment
- Check waste and sharps handling
The full question list
1. Hand Hygiene
- Hand sanitiser dispensers are available at point of care *
- Staff observed performing hand hygiene before patient contact *
- Staff observed performing hand hygiene after patient contact *
- Hand hygiene technique is correct (WHO 5 moments observed) *
- Nails are short, clean, and free of nail polish/extensions *
- Bare below the elbow policy is being followed *
2. Personal Protective Equipment (PPE)
- Appropriate PPE is available and accessible *
- Staff are using correct PPE for the task *
- PPE is being donned and doffed correctly *
- Single-use items are disposed of after use *
- PPE stock levels are adequate *
3. Environmental Cleanliness
- Clinical areas are visibly clean and free from clutter *
- High-touch surfaces have been cleaned (evidence of cleaning schedule) *
- Cleaning products are appropriate and in date *
- Spills are dealt with promptly *
- Floors are clean and dry *
4. Waste Management
- Clinical waste is segregated correctly (colour coding) *
- Sharps bins are assembled correctly and not overfilled *
- Waste bins are not overflowing *
- Pharmaceutical waste is disposed of in correct containers *
- Additional observations
References
- Supports evidence for: The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, reg. 12(2)(h)
the things which a registered person must do to comply with that paragraph include ... assessing the risk of, and preventing, detecting and controlling the spread of, infections, including those that are health care associated
Read the source - Supports evidence for: The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, reg. 15(2)
The registered person must, in relation to such premises and equipment, maintain standards of hygiene appropriate for the purposes for which they are being used.
Read the source - Supports evidence for: Joint Commission International Accreditation Standards for Hospitals, including Standards for Academic Medical Center Hospitals, PCI.04.00 (8th Edition)
AccrediMe is not affiliated with or endorsed by Joint Commission International (JCI). Standard identifiers are cited from JCI's published list; the standards themselves are JCI's and are not reproduced.
Read the source - Supports evidence for: The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, reg. 15(1)
All premises and equipment used by the service provider must be— (a) clean, (b) secure, (c) suitable for the purpose for which they are being used, (d) properly used (e) properly maintained, and (f) appropriately located for the purpose for which they are being used.
Read the source - Supports evidence for: Joint Commission International Accreditation Standards for Hospitals, including Standards for Academic Medical Center Hospitals, PCI.05.00 (8th Edition)
AccrediMe is not affiliated with or endorsed by Joint Commission International (JCI). Standard identifiers are cited from JCI's published list; the standards themselves are JCI's and are not reproduced.
Read the source - Supports evidence for: Joint Commission International Accreditation Standards for Hospitals, including Standards for Academic Medical Center Hospitals, PCI.05.00 (8th Edition)
AccrediMe is not affiliated with or endorsed by Joint Commission International (JCI). Standard identifiers are cited from JCI's published list; the standards themselves are JCI's and are not reproduced.
Read the source - Supports evidence for: Joint Commission International Accreditation Standards for Hospitals, including Standards for Academic Medical Center Hospitals, IPSG.05.00 (8th Edition)
AccrediMe is not affiliated with or endorsed by Joint Commission International (JCI). Standard identifiers are cited from JCI's published list; the standards themselves are JCI's and are not reproduced.
Read the source
How the score works
The score is the share of scored questions that pass. N/A is left out of the score; text, dates and signatures are recorded but not scored. A completed template is a record of what you checked; it is not an inspection by a regulator or an accreditation body.