Infection Control Audit Report
DRAFT
16/12/2013
Location:
Mill Hill Demo Clinic 1-6 Station Road Mill Hill Broadway London NW7 2JU
Client name:
Mill Hill Demo Clinic
Auditor:
Jennifer Day.
Accompanied by:
Kevin Malambo
Additional info:
There are two Consultants and one Physiologist in the clinic. Present for the audit:
Section
AM PL E
Date audited:
% Compliance
Governance and Documentary Evidence
27 %
Staff Records
0%
50 %
Clinical Practice
60 %
Clinical Equipment
50 %
Hand Hygiene
25 %
Sharps Management
79 %
Waste Management
62 %
Decontamination of Environment
23 %
Minor Surgery
N/A
ADL Patient Assessment Area (bedroom/bathroom)
N/A
EX
Clinical Environment
Total
46 %
Corrective actions:
Governance and Documentary Evidence An Infection Control Manual containing the appropriate Infection Control Policies & Protocols must be available in compliance with the Hygiene Code of Practice. Local sharps policy must include contact details of GP/A&E/Occupational health provider to ensure that staff have prompt access to risk assessment following a sharps injury. Local policy on prevention of occupational exposure to blood borne viruses must include guidance on which staff groups are defined as at risk of exposure to blood & body fluids and the means by which they can seek immunisation and advice. Staff should be aware of how to contact the local ICN for advice. There should be written schedules for cleaning clinical equipment.
Copyright Š Infection Control Solutions Ltd Template: Out Patient Clinic
ICAT Audit Tool Vrs 2.0 Date Approved:
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