eAuditor Audits & Inspections

Patient Care Checklist

A Patient Care Checklist using eAuditor Audits & Inspections helps ensure that healthcare providers deliver consistent, high-quality care. The checklist can be customized to meet specific needs based on the type of care setting (hospital, clinic, long-term care, etc.) and regulatory standards.

Patient Care Checklist

Here’s a sample Patient Care Checklist that you can use in eAuditor Audits & Inspections:


1. General Information

  • Date of Audit
  • Auditor’s Name
  • Patient’s Name
  • Patient ID Number
  • Room/Bed Number

2. Patient Identification and Safety

  • Is the patient correctly identified using two identifiers (e.g., name and date of birth)?
  • Does provider maintain visible allergy alerts?
  • Is the call bell within reach?
  • Does provider assess and document patient fall risks?
  • Is the patient’s room free of hazards?
  • Are bed rails or restraints used appropriately if needed?

3. Vital Signs Monitoring

  • Does provider check vital signs as per the care plan?
    • Temperature
    • Blood Pressure
    • Pulse Rate
    • Respiratory Rate
    • Oxygen Saturation
  • Does provider report and address any abnormalities in vital signs promptly?
  • Is equipment for vital signs (thermometers, BP cuffs) clean and functional?

4. Medication Administration

  • Is the medication list up-to-date and consistent with the care plan?
  • Are the 5 rights of medication administration followed (Right Patient, Right Drug, Right Dose, Right Route, Right Time)?
  • Does provider store medications securely (e.g., in a locked cabinet)?
  • Does provider maintain clear records of administered medications?
  • Are PRN (as needed) medications documented and administered appropriately?
  • Does provider track and account controlled substances?

5. Personal Hygiene and Skin Care

  • Does provider assess the patient’s skin integrity regularly for pressure ulcers?
  • Is provider keep the patient’s hygiene routine (bathing, oral care, hair care)?
  • Does provider change incontinence products regularly, and is the patient dry and clean?
  • Are pressure-relieving devices (mattresses, cushions) in place?
  • Does provider apply lotion to dry areas to prevent skin breakdown?

6. Nutrition and Hydration

  • Does provider staff document and follow dietary restrictions?
  • Is food intake documented as per care plan (e.g., calorie counts, fluid balance)?
  • Does provider schedule and follow meal times?
  • Is there access to water, and is the patient drinking enough fluids?
  • Does provider provide assistance during meals if the patient requires it?
  • Does provider administer and monitor enteral feeds (if applicable) correctly?

7. Mobility and Comfort

  • Does provider staff assess patient assessed for mobility needs?
  • Are mobility aids (e.g., walkers, wheelchairs) available and in good condition?
  • Does provider provide assistance for moving or repositioning as per the care plan?
  • Is pain assessed and managed effectively (pain scale documented)?
  • Does provider reposition the patient every two hours (if bed-bound) to prevent pressure sores?

Patient Care Checklist

8. Infection Control

  • Does provider follow hand hygiene protocols before and after patient contact?
  • Is the patient in the correct isolation level (if applicable)?
  • Does provider adhere to personal protective equipment (PPE) requirements?
  • Is wound care performed using sterile techniques?
  • Does provider change and document catheters, IVs, and dressings as per policy?
  • Does provider clean and disinfect patient care areas regularly?

9. Patient Communication and Emotional Well-being

  • Does provider staff orient the patient to time, place, and person?
  • Are patient’s concerns and questions addressed promptly?
  • Is there regular communication with the patient about their care plan?
  • Does provider staff involve family members or caregivers in care discussions if appropriate?
  • Does provider offer emotional support to the patient (psychosocial care, mental health services)?
  • Is the patient’s level of anxiety or distress assessed and managed?

10. Discharge Planning (if applicable)

  • Is there a discharge plan in place and communicated to the patient?
  • Does provider arrange follow-up appointments, and organize transportation?
  • Does provider provide medication instructions clearly for after discharge?
  • Is equipment or home care arranged if necessary?
  • Does provider provide discharge instructions to the patient and/or family members?

11. Documentation and Care Plan

  • Is the patient’s care plan up-to-date and accessible to the care team?
  • Does provider staff record progress notes regularly?
  • Are changes in condition documented and communicated to the healthcare team?
  • Does provider staff document informed consent for treatments and procedures?
  • Does provider staff store patient records securely?

12. Emergency Preparedness

  • Is the patient aware of emergency procedures?
  • Are emergency contact details up-to-date?
  • Are crash carts checked and nearby for patients at risk?
  • Is there a clear pathway for rapid response if the patient’s condition deteriorates?

13. Overall Patient Satisfaction

  • Is the patient satisfied with the care they are receiving?
  • Are there any complaints from the patient that need to be addressed?
  • Does provider document and act upon evidence of patient feedback?
  • Does provider staff prioritize the patient’s comfort and overall well-being?

14. Summary of Findings

  • Overall Status of Care: (Satisfactory, Needs Improvement, Non-compliant)
  • Follow-up Actions Required:
    • (List specific actions and responsible person/department)
  • Deadline for Corrective Actions:
  • Signature of Auditor:
  • Signature of Care Provider:

Patient Care Checklist

Patient Care Checklist is customizable based on the patient’s specific needs, care setting (hospital, long-term care, home care), or any regulatory and accreditation requirements. eAuditor Audits & Inspections can help track these audits, ensure compliance, assign follow-ups, and generate reports for continuous improvement in patient care quality.

eAuditor Audits & Inspections is a popular mobile inspection and auditing tool. It helps organizations streamline their audit processes, including those related to patient care, by allowing users to create Patient Care Checklist, conduct inspections, and generate reports on mobile devices. Here’s how you can use eAuditor Audits & Inspections for a Patient Care Audit:

Steps for Conducting a Patient Care Audit with eAuditor Audits & Inspections:

  1. Create or Select a Patient Care Checklist Template
    • You can either create a custom Patient Care Checklist audit template or select a pre-built Patient Care Checklist template from the eAuditor Audits & Inspections template library. Templates can include:
      • Patient hygiene checks
      • Medication administration protocols
      • Infection control measures
      • Patient safety checks
      • Care plan adherence
      • Medical equipment audits
  2. Customize the Template
    Customize the audit template to align with the specific patient care protocols or regulatory requirements your healthcare facility follows. Add questions, multiple-choice options, and signature requirements where necessary.
  3. Assign Audits to Staff
    Assign specific audits to healthcare providers or auditors in charge. You can schedule recurring audits or allow staff to conduct audits in real-time during patient rounds.
  4. Conduct the Audit
    Use the mobile or desktop version of eAuditor Audits & Inspections to conduct the audit. Staff can:

    • Record responses directly into the app
    • Take photos to document any issues
    • Leave notes or comments about specific patient care concerns
    • Flag critical issues in real time
  5. Generate Reports
    Once the audit is completed, eAuditor Audits & Inspections will automatically generate detailed reports. These reports can:

    • Highlight areas of non-compliance
    • Include a summary of actions taken or required follow-ups
    • Track trends over time to identify patterns in patient care issues
  6. Analyze Data
    eAuditor Audits & Inspections’s analytics dashboard helps you visualize data over time. You can:

    • Track performance across departments or units
    • Measure adherence to patient care protocols
    • Identify areas that need improvement
  7. Follow-Up and Implement Corrective Actions
    Based on the findings, follow up with the necessary actions. You can set reminders for follow-ups directly in eAuditor Audits & Inspections to ensure that issues are addressed in a timely manner.
  8. Continuous Improvement
    Use the insights from eAuditor Audits & Inspections to continuously refine patient care practices, improve compliance, and ensure high standards of patient safety and well-being.

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