Professional Documents
Culture Documents
ICU Check List NABH
ICU Check List NABH
Checklist: I.C.U ..
Date: - Time in:…….. Time out: …………
S No Checks Y/N/NA Remarks
Check awareness on Mission/vision/Quality Policy
1 and Values of the Hospital
Checklist: I.C.U ..
Date: - Time in:…….. Time out: …………
S No Checks Y/N/NA Remarks
Fire fighting equipment are free from obstruction.
22
Checklist: I.C.U ..
Date: - Time in:…….. Time out: …………
S No Checks Y/N/NA Remarks
All the equipment are calibrated on time periodically
42 and calibration records are maintained properly
Checklist: I.C.U ..
Date: - Time in:…….. Time out: …………
S No Checks Y/N/NA Remarks
Check for awareness of colour codes of medical
61 gases.
The infection control nurse takes rounds and
62 educates the staff /patient for infection control.
Checklist: I.C.U ..
Date: - Time in:…….. Time out: …………
AUDITEE NAME: AUDITOR NAME:
S No Checks Y/N/NA Remarks
S No Checks Y/N/NA Remarks
Check awareness on
1 Mission/vision/Quality Policy and
Values of the Hospital
Check For the Quality Indicators
2
If the sample/specimen is
collected at bedside, the
container is labelled properly
41
after the sample is collected and
before moving to the next
patient.
All the equipment are calibrated
on time periodically and
42
calibration records are
maintained properly
Patients are explained about the
risks, complications involved in
their treatment (blood
43
transfusion/surgery/other clinical
intervention etc.)
Awareness on hospital
71
disinfectant policy
Awareness of all hospital forms
72
73 check the fumigation records
Ask for the Procedure for
74 Feeding for Criticall Ill
Patients
Check whether device is dated
75 (central line, urinary catheter,
ET tube)
Check whether suction
apparatus is disinfected when
76
not in use and dated when in
use
Check whether device care
77 bundle is filled in consonance
with patient condition
Awarness
37 Manual Awareness
44 The visitors are allowed only when they have a valid pass
53 Awareness on BLS/ACLS
Check awareness on
Mission/vision/Quality Policy and
Values of the Hospital
5
Check awareness on No. of beds
(Department &
Hospital)
6 Check awareness on scope of services
7
Check awareness on services which are
not
available
8 Check for duty rosters of the employees
9 Check for handing over and takingover register
10
11
12
15
16
17
19
21
22
24
25
26
28
29
30
31
32
check for use of PPE
33
34
35
36
38
39
40
41
44
64
65
66
77
94
95
Check for the awareness of Cleaning
Policy
in the ICU