Audit Iad, Isk, Ido, Vap Bundle Checklist

AUDIT IAD BUNDLE CHECKLIST Ruangan: Ta n ng gg al al

No

N am am a Pasien/ No Bed

  hand hygiene

Bulan & Tahun:

Menggunakan

Pembersihan

Lokasi

APD

kulit dengan

 pemasangan

chlorhexidine

sesuai

Slang infuse diganti Sesuai

Swab alcohol Setiap injeksi

Spuit yang

Penutup

Perawatan

Menggunakan

digunakan

insersi

lokasi insersi

stopper

disposable

dengan

setiap 4 hari

needles

transparan

dan jika kotor 

standar 

dressing

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TTAL Ke!e"angan: # $a # !ida%  Penghi!ungan:

Ʃ $a

 '(() Ʃ$a

& !ida%  AUDIT ISK BUNDLE CHECKLIST Ruangan: Bulan & Tahun:

Tanggal

No

Nama Pasien

Pemasangan APD sesuai  tepat indikasi

Pemasangan menggunakan alat steril

and ygiene

Segera

Pengisian

dilepas

 balon sesuai

 jika tidak

! "# ml$

%iksasi kateter  dengan  plester 

&rine bag menggantung

indikasi 

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TTAL Ke!e"angan: # $a # !ida%  Penghi!ungan:

Ʃ $a

 '(() Ʃ$a

& !ida%  AUDIT ID BUNDLE CHECKLIST Ruangan: Bulan & Tahun:

Tanggal

No

Nama Pasien

'ukur  Dengan e( clipper 

)aktu cukur  ! * + jam$ sebelum operasi

Mandi cholrhexidine

Antibiotic , jam sebelum insisi

Pasien tidak  sedang infeksi

-ula darah .erkontrol

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TTAL Ke!e"angan: # $a # !ida%  Penghi!ungan:

Ʃ $a

 '(() Ʃ$a

& !ida%  AUDIT *ENTILATR BUNDLE CHECKLIST /uangan0 1ulan2 .ahun0

Tanggal

No

Nama Pasien/ No Bed

HB +,((-.(

Peng%a0ian se!ia1 ha"i !e"hada1 sedasi dan e!u2asi

Hand h$giene

"al H$giene . 3 4 0am

Pen$i%a!an gigi se!ia1  '5 0am

Su6!ion / mana0emen se%"esi

P"o7ila%sis 1e1!i6 ul6e"

D*T P"o7ila%sis

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TTAL Ke!e"angan: # $a # !ida%  Penghi!ungan:

Ʃ $a

 '(()

Ʃ$a

& !ida%