Scribd Logo
Upload

Welcome to Scribd!

  • 100 views

    ICU Audit Checklist NABH&JCI

    Uploaded by

    nseducation.mahg
    The document contains an audit checklist for an ICU with 52 observation parameters related to ICU documentation, equipment, staffing, protocols, and policies around admission, discharge, equipment maintenance, infection control, safety, and training.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    ICU Audit Checklist NABH&JCI

    Uploaded by

    nseducation.mahg
    100 views30 pages
    The document contains an audit checklist for an ICU with 52 observation parameters related to ICU documentation, equipment, staffing, protocols, and policies around admission, discharge, equipment maintenance, infection control, safety, and training.

    Original Description:

    Audit Checklist NABH&JCI

    Original Title

    ICU audit checklist NABH&JCI

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document contains an audit checklist for an ICU with 52 observation parameters related to ICU documentation, equipment, staffing, protocols, and policies around admission, discharge, equipment maintenance, infection control, safety, and training.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    100 views30 pages

    ICU Audit Checklist NABH&JCI

    Uploaded by

    nseducation.mahg
    The document contains an audit checklist for an ICU with 52 observation parameters related to ICU documentation, equipment, staffing, protocols, and policies around admission, discharge, equipment maintenance, infection control, safety, and training.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    You are on page 1of 30

    Audit Checklist - ICU:AIMS

    S.No Observation parameter Observation

    Availability of ICU - NABH Documents:

    - NABH Policies
    1 -AIMS/COP/P/008:Admission & Discharge criteria for
    ICU
    -AIMS/COP/P/021:End of Life care

    - Manual/ SOP
    - Organogram
    - Scope
    - Job descriptions
    2 ICU Quality Assurance programme

    3
    ICU Equipments - Calibration and maintenance status

    Patient Nurse ratio:


    4 - Ventilator patients
    -Non ventilator patients

    5 Electrical equipment (e.g defibrillator) charging


    status
    6 Any defined criterias for admission and discharge for
    ICU

    7 Knowledge of ICU Staff of Admission and discharge


    criterias/training records
    8 Policy on Bed shortage in ICU
    9 Infection rate monitoring in ICU

    10
    Intrahospital transportation of ICU patients protocol?
    11 Knowledge about Central line care policy
    12 Knowledge of " End of Life Care" policy
    13 Bed ,monitor cleaning protocol in ICU

    14 Protocols for changing suction tube,PMO lines,ventilator


    filters
    15 Floor moping protocol in ICU
    16 Crash cart: Complete as per checklist
    17 Crash cart medicines expiry check
    18 Jump kit medicines inventory and expiry check
    19 Fridge medicine inventory check
    20 ICU medicine ,general store inventory check
    21 Calibration status of fridge temperature monitoring
    device

    Nursing privileging for ICU -


    22 - Clearly defined
    - Known to others
    23 Hand over of dead body protocol - Register, Sign
    24 How the blood is verified prior to transfusion
    25 Knowledge of procedures requiring consent
    26 Consent for blood transfusion
    27 Warming of blood protocol?
    28 Monitoring of blood transfusion
    29 ICU Equipments Downtime monitoring
    30 Complaint Register (full compliance)
    31 Labelling on all bottles + Date of opening/expiry

    Proper Labelling on prepared drugs (name,


    32 strength, date and time of preparation) and labels
    on cidex tray. Cidex OPA strip validation Register.

    33 Knowledge of hospital safety codes


    34 BMW segregation

    35
    O2 cylinder gauge calibration according to schedule
    36 Knowledge about fire exit routes
    37 Knowledge of fire extinguishers
    38 Storage of high risk medications protocol
    39 Storage of narcotics -under double lock and key?
    40 Emergency drug replacement policy
    41 Annual health check up status of employees
    42 knowledge about hospital committees

    43 Knowledge about grievience ,anti sexual harassment


    policies
    44 Knowledge about verbal order policy
    45 Spill management protocols
    46 Hand hygiene protocols

    47 Availability of hand washing posters at hand washing


    areas

    48 Documented proof of daily patient/family counselling


    available in patient file
    49 Training records of staff regarding restraint policy
    Applicable forms, REGISTERS and their document
    50
    control & retention period
    Departmental training register & post training
    51 evaluation

    52 Assisgnment of patients to staff based on acuity?

    You might also like