Run Patient Care Equipment Cleaning Audit — Free

Audit Setup and Scope

Audit location and unit identified

Equipment type verified

Note (optional)

Device is intended for shared or reusable patient use critical (required)

Yes No N/A

Pre-Cleaning Condition

Equipment is free of visible soil, blood, or body fluid residue critical (required)

Yes No N/A

High-touch surfaces are included in the cleaning process critical (required)

Yes No N/A

Cleaning is performed after each patient use or per policy critical (required)

Yes No N/A

Any missed cleaning opportunity identified

Disinfection Process

Approved disinfectant used for device type critical (required)

Yes No N/A

Manufacturer instructions and facility policy followed critical (required)

Yes No N/A

Required wet contact time observed critical (required)

Yes No N/A

Cleaning/disinfection method appropriate for device surfaces

Note (optional)

Single-use items are not being reused critical (required)

Yes No N/A

Any disinfection deviation documented

Shared Device Reprocessing and Storage

Device is dry before storage or reuse critical (required)

Yes No N/A

Clean and dirty equipment are segregated critical (required)

Yes No N/A

Reprocessed device stored in designated clean area critical (required)

Yes No N/A

Device labeling or status indicator is clear

Yes No N/A

Reprocessing log or tracking completed when required

Yes No N/A

Documentation and Compliance

Cleaning documentation completed when required critical (required)

Yes No N/A

Staff can describe the correct cleaning process

Note (optional)

Any noncompliance requires corrective action critical (required)

Yes No N/A

Follow-up action or retraining needed

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Run: Patient Care Equipment Cleaning Audit

Audit Setup and Scope

Pre-Cleaning Condition

Disinfection Process

Shared Device Reprocessing and Storage

Documentation and Compliance

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