Primaryaudit report

Page 1

Infection Control Audit Report 26/02/2014

Location:

Mill Hill Broadway Surgery 1-6 Station Road Mill Hill London NW7 2JU

Client name:

Demo Surgery

Auditor:

Jennifer Day

Accompanied by:

Kevin Malambo

Additional info:

BUILDING TYPE : Purpose Built

E

Date audited:

AM PL

NUMBER OF : Treatment Rooms : 2 and 1 HCA Room Consulting Rooms : 9 Minor Surgery Room : 0 Dirty Utility / Sluice Room : 1

NUMBER OF : Doctors : 7 Nurses : 4 HCA's : 2 Other Clinical Staff : HV, Clinical Pshycologict and dietician CLINICS : Chronic Disease Management, Zolodex, Testosterone and Depo Injections, Dressings, Spirometry, Child, Adult and Travel Immunisations, Yellow Fever Centre, Ear Syringing, Leg Ulcer, ECG, Phlebotomy, Ante and Post Natal, Six week baby checks, Family Planning.

Section

% Compliance

Governance and Documentary Evidence Staff Records

100 %

EX

Expertise

55 % 86 %

Clinical Environment

81 %

Clinical Practice

85 %

Clinical Equipment

75 %

Hand Hygiene

79 %

Sharps Management

93 %

Waste Management

92 %

Decontamination of Environment

58 %

Vaccine Management including Transport and Storage

85 %

Total

78 %

Corrective actions: Copyright IPC Management (Holdings) Ltd © 2005–2014 Template: Primary Care with Minor Surgery (AT017)

Date Approved:

ICAT Audit Tool Vrs 2.0 27/03/2014

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