Template

Surgical Services Infection Prevention Audit

by Mary Claire Horkay, from the Community

10+

This surgical services infection prevention audit helps operating room teams verify compliance with hospital policies and best practices. It covers general infection control, proper PPE availability and use, hand hygiene, sink and scrub station supplies, and disinfectant readiness. Cleaning checks include dust control, air grills, equipment condition and stickers, OR turnover, and mattress integrity. Storage standards verify segregation of clean and dirty items, stock organization, temperature logging, and medication security. Sections for anesthesia cart readiness, waste and sharps management, soiled utility room practices, hallway and scrub area hygiene, and staff attire and workflow are included. Environmental controls confirm temperature, humidity, and air exchanges. Staff knowledge is assessed on hand hygiene, instrument care at point of use, and isolation identification.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Infection Prevention Audit for Labor and Delivery and OR
Use this infection prevention audit to evaluate compliance in Labor and Delivery and Operating Room settings. The checklist covers general infection control practices, hand hygiene, personal protective equipment, cleaning and environmental hygiene, storage and sterilization, waste and sharps management, and anesthesia cart checks. It also includes refrigerator and freezer temperature monitoring, medication security, linen and utility room standards, hallway and scrub area requirements, and staff knowledge on isolation and instrument care. Apply it during rounds to identify issues, document corrective actions, and maintain safe, compliant patient care areas.
by Mary Claire Horkay, from the Community
Downloads: 10+
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Template
Operating Room Infection Prevention Rounding Tool
This operating room infection prevention rounding tool helps hospitals monitor compliance with AORN and CDC standards across key perioperative practices. It covers surgical attire, sterile field preparation and maintenance, surgical hand scrub, and Universal Protocol time-out. The checklist includes skin prep steps, traffic control, environmental cleaning between cases, temperature and humidity monitoring, and proper storage of linens, equipment, and sterile supplies. It guides safe medication labeling and storage, sharps handling and disposal, fluid warmer checks, and separation of clean and soiled areas. General infection prevention practices include biohazard waste management, disinfectant use and contact times, blood spill protocol, isolation guidelines, MDRO awareness, and hand hygiene requirements.
by Neelie37 User, from the Community
Downloads: 10+
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Template
Interventional Radiology Infection Prevention Audit
This interventional radiology checklist supports infection prevention and control within hospital IR suites. It covers policies and staff knowledge, correct PPE availability and use, hand hygiene, and scrub practices. Cleaning standards span rooms, equipment, carts, and surfaces, with emphasis on inspection stickers and manufacturer guidance. Storage and sterility checks include utility rooms, shelving, linen handling, and expiration control. Waste and sharps management, soiled utility workflows, and EVS practices are outlined. Medication security, fridge and freezer temperature logging, and anesthesia cart integrity are included. The checklist also addresses sterile attire, workflow, egress safety, and documentation of corrective actions.
by Mary Horkay, from the Community
Downloads: 20+
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Template
OR Infection Prevention Checklist
This operating room infection prevention checklist helps audit compliance with hospital policies, AORN standards, and CDC guidance. It covers surgical attire, sterile field setup and maintenance, hand scrub and skin prep, traffic control, medication labeling, sharps disposal, environmental cleaning, storage practices, and equipment handling. Use it to document findings, take corrective actions, and support safe, compliant perioperative care across the OR.
by Madeline Burroughs, from the Community
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Surgical Services Infection Prevention Audit

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