CHECKLIST ENFERMAGEM

SETOR: SALA DE VACINA

PLANTO [ ] INCIO [ ] FIM -------------------------------------- DATA ___/___/_____
1) HIGIENIZAO DO SETOR [ ] TIMA [ ] BOA [ ] REGULAR [ ] RUIM
[ ] PSSIMA.
JUSTIFICATIVA_____________________________________________________
__________________________________________________________________
2) ORGANIZAO DO SETOR [ ] TIMA [ ] BOA [ ] REGULAR [ ] RUIM
[ ] PSSIMA.
JUSTIFICATIVA_____________________________________________________
__________________________________________________________________
3) ESTOQUE DE MATERIAIS [ ] ADEQUADO [ ] INADEQUADO [ ] EM
FALTA____________________________________________________________
JUSTIFICATIVA_____________________________________________________
__________________________________________________________________
4) ESTRUTURA E INSTRUMENTAIS [ ] ADEQUADO [ ] INADEQUADO
[ ] EM FALTA______________________________________________________
JUSTIFICATIVA_____________________________________________________
__________________________________________________________________
5) VACINAS
[
[
[
[
[
[
[
[
[
[

] POLIO
] HEPATITE B
] DT
] DTP
] TETRAVALENTE
] MENINGO C
] PNEUMO 10
] ROTAVRUS
] TRIVIRAL
] OUTRAS____________________________________________________________________

OBSERVAES____________________________________________________

_____________________________
ASSINATURA