TR-04activeICU

Patient MG-4466, 75M — acute ischaemic stroke within thrombolysis window

11 of 18 points observed

Individual patient tracer — acute medical admission · Dr. Miriam Haddad

Point 12 of 18Care unit, Surgical Intensive Care UnitNot observed

Line care and hand hygiene

PCIPCI.5

What to observe

Look at the central line dressing — check it is dated, intact and dry, and within the change interval. Then ask for this unit's hand hygiene audit and see whether the staff on the floor can quote it. Record both.

What good looks like

A dated, intact, dry dressing changed at the policy interval, hand hygiene performed at the observed moments, and unit-level audit data that the staff on the floor can actually quote.

What did you find

Attach what you were shown

Captures are synthetic demonstration records drawn from a seeded hospital library. Extracted values are editable for survey training and are not read from an external image.

What you have recorded

11 of 18 points

Arrival
Access and acceptance
Compliant
Staff demonstrated the step without prompting and produced the record on request.
Emergency·9 of 10 records compliant·demonstrated·
ACC
·1 evidence artifact
sterilisation_log_v3.csv
Arrival
Two-identifier verification
Compliant
Practice at the bedside matched the written process; the record was complete and timed.
Emergency·10 of 10 records compliant·demonstrated·
IPSG
·1 evidence artifact
Triage
Acuity assignment and reassessment
Compliant
Asked two members of staff independently; both described the same process and located the evidence.
Emergency·5 of 10 records compliant·demonstrated·
AOPACC
·1 evidence artifact
sterilisation_log_v1.msg
Triage
Falls risk screening
Compliant
Staff demonstrated the step without prompting and produced the record on request.
Emergency·5 of 10 records compliant·demonstrated·
IPSG
·1 evidence artifact
Initial assessment
Timeliness and qualification
Compliant
Practice at the bedside matched the written process; the record was complete and timed.
Emergency·5 of 10 records compliant·demonstrated·
AOPSQE
·1 evidence artifact
sterilisation_log_v1.msg
Initial assessment
Consent and privacy
Partial
Two of the sample met the standard in full; the remainder were missing a timed signature.
Emergency·8 of 10 records compliant·demonstrated·
PFR
·1 evidence artifact
egress_inspection_v3.docx
Diagnostics
Critical result communication
Partial
Process is understood and mostly followed, but the record is incomplete for part of the period reviewed.
Radiology·7 of 10 records compliant·demonstrated·
IPSG
·1 evidence artifact
egress_inspection_scan.tiff
Diagnostics
Imaging equipment status
Non-compliant
Staff described the correct process but could not demonstrate it, and no record exists for the period.
Radiology·10 of 10 records compliant·demonstrated·
FMS
·2 evidence artifacts
Finding #F-0258 Raised
Intervention
Time-out and site verification
Not applicable
No patients meeting the criterion were present during the trace.
Operating Theatres·
IPSGASC
·1 evidence artifact
Intervention
Anaesthesia assessment and monitoring
Compliant
Staff demonstrated the step without prompting and produced the record on request.
Operating Theatres·8 of 10 records compliant·described·
ASC
·1 evidence artifact
sterilisation_log_v3.docx
Care unit
High-alert medication storage
Compliant
Practice at the bedside matched the written process; the record was complete and timed.
ICU·6 of 10 records compliant·demonstrated·
IPSGMMU
·3 evidence artifacts

Line care and hand hygiene

What you have recorded

Access and acceptance

Two-identifier verification

Acuity assignment and reassessment

Falls risk screening

Timeliness and qualification

Consent and privacy

Critical result communication

Imaging equipment status

Time-out and site verification

Anaesthesia assessment and monitoring

High-alert medication storage