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Audit Score Sheet

CHRISP STERILISING SERVICES AUDIT
SCORING SHEET
District:                       Facility:                  Date:
OPERATIONAL
CLEANING REUSABLE MEDICAL DEVICES
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 19/27)
r
INADEQUATE
(<70%)
r
PACKAGING & WRAPPING
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 13/19)
r
INADEQUATE
(<70%)
r
STERILISING EQUIPMENT
ADEQUATE (100%)
r
REQUIRES IMPROVEMENT
(>70% = 7/10)
r
INADEQUATE
(<70%)
r
LOADING A STERILISER
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 10/14)
r
INADEQUATE
(<70%)
r
UNLOADING OF STERILISERS
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 4/6)
r
INADEQUATE
(<70%)
r
STORAGE AND HANDLING OF PROCESSED ITEMS
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 3/4)
r
INADEQUATE
(<70%)
r
OVERALL COMMENTS FOR THIS SECTION:















QUALITY ASSURANCE
CLEANING PROCESS & EQUIPMENT
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 4/6)
r
INADEQUATE
(<70%)
r
MINIMUM STANDARDS FOR MONITORING OF MECHANICAL CLEANING EQUIPMENT
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 3/4)
r
INADEQUATE
(<70%)
r
PACKAGING & WRAPPING
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 4/6)
r
INADEQUATE
(<70%)
r
STERILISING EQUIPMENT
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 3/4)
r
INADEQUATE (<70%)
r
STERILISER MONITORING & RECORDS
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 6/8)
r
INADEQUATE
(<70%)
r
STERILISER COMMISSIONING & VALIDATION
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 7/9)
r
INADEQUATE
(<70%)
r
STORAGE STERILE STOCK
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 4/5)
r
INADEQUATE
(<70%)
r
OVERALL COMMENTS FOR THIS SECTION:









EDUCATION
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70%= 4/5)
r
INADEQUATE
(<70%)
r
OVERALL COMMENTS FOR THIS SECTION:






MANAGEMENT
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 10/14)
r
INADEQUATE
(<70%)
r
OVERALL COMMENTS FOR THIS SECTION:







CONSULTATION
ADEQUATE
(100%)
r
REQUIRES IMPROVEMENT
(>70% = 5/7)
r
INADEQUATE
(<70%)
r
OVERALL COMMENTS FOR THIS SECTION:







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