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Compliance em Unidades de Saúde 12 itens

Dialysis Water Quality Audit (AAMI)

Este checklist está em inglês.

Audit of dialysis water treatment system monitoring, microbial and chemical testing, and endotoxin control under the AAMI water quality standards.

ANSI/AAMI/ISO 23500CMS 42 CFR 494.40AAMI RD52 legacy

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Water Treatment System

  • Is the water treatment system (softener, carbon tanks, reverse osmosis) monitored and documented per policy? *
  • Is total chlorine/chloramine tested before each patient shift (or per policy) with results within limits? *
  • Is reverse osmosis performance (rejection/conductivity) checked and logged each treatment day? *

Chemical & Microbial Testing

  • Is chemical contaminant analysis of product water performed at least annually? *
  • Is microbial (total viable count) testing of water and dialysate performed at required intervals with action levels defined? *
  • Is endotoxin testing performed with the action level (0.25 EU/mL) applied? *

Disinfection & Records

  • Is the water distribution loop and machines disinfected on a documented schedule? *
  • Is residual disinfectant testing performed after disinfection before returning to patient use? *
  • Are all water quality records retained and reviewed by the medical director/water quality committee? *

Action Levels & Competency

  • Are corrective actions taken and documented when results reach action levels or exceed maximum limits? *
  • Are staff performing water testing and system maintenance trained and competency-assessed? *
  • Are testing meters and instruments calibrated and maintained per manufacturer requirements? *

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