Nursing Peer Review Checklist

Comprehensive nursing peer review process for quality improvement including documentation review, care quality assessment, and professional standards evaluation.

  • Industry: Healthcare
  • Frequency: Per event/Periodic
  • Estimated Time: 30-45 minutes
  • Role: Peer Review Committee
  • Total Items: 32
  • Compliance: State Nurse Practice Act, Joint Commission, ANA Standards

Assessment/Documentation

Documentation quality

  • Assessment documentation complete?
  • Documentation timely?
  • Documentation accurate?
  • Objective language used?

Clinical Judgment

Decision-making assessment

  • Appropriate patient assessment?
  • Timely interventions?
  • Appropriate escalation to physician?
  • Evidence of critical thinking?

Standards of Care

Standard adherence

  • Hospital policies followed?
  • Evidence-based practice applied?
  • Patient safety maintained?

Communication

Interprofessional communication

  • Complete handoff communication?
  • Effective team communication?
  • Appropriate patient/family communication?

Pre-Assessment Information

Initial assessment documentation and patient/facility identification

  • Assessor Name / Credentials
  • Assessment Date
  • Department / Unit
  • Assessment Type (Routine/Annual/Complaint)
  • Previous assessment findings reviewed?

Infection Prevention & Control

Verify infection control practices per CDC and Joint Commission standards

  • Hand hygiene compliance observed?
  • Appropriate PPE available and properly used?
  • Isolation precautions properly implemented?
  • Sharps containers available and not overfilled?
  • High-touch surfaces properly disinfected?

Patient Safety & Identification

Verify patient safety protocols and identification procedures

  • Two patient identifiers used before procedures?
  • Fall risk assessment completed?
  • Call light within patient reach?
  • Bed in lowest position with brakes locked?

Medication Safety & Management

Verify medication handling and administration practices

  • Medications stored securely and at proper temperature?
  • Controlled substances properly secured and counted?
  • No expired medications in stock?
  • High-alert medications properly labeled?

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