Simulated workplaceCAQA Lakeside Health is a fictional business created by CAQA for training and assessment. It is not a real company and no person, client or record here is real.About this simulation
HLTCAQA LakesideSimulated workplace
Simulated workplace
Scenario · Reception and Practice Administration

Audit infection control and emergency planning for accreditation

You are the Quality and Accreditation Coordinator reporting to the Practice Manager.

Advanced5 to 6 hours8 tasks
Start the tasksAll scenarios
Home/Scenarios/Audit infection control and emergency planning for accreditation
The situation

What has happened

The accreditation survey is confirmed for 3 December and the Practice Manager wants the infection prevention and control evidence and the emergency planning evidence complete, with gaps fixed, by 6 November. Since March the incident register holds a failed steriliser load, a dental assistant sharps injury, a vaccine fridge excursion, a rejected unlabelled specimen and a privacy breach. Steriliser B has been out of service for two weeks. The credential register has staff with resuscitation and hand hygiene training near expiry. The Medical Emergency and Emergency Response Plan was updated this month and the drill is next week. You will present your findings and an action plan to the clinical governance committee on 14 October.

Your brief. Audit the infection control and emergency planning systems against the policies, procedures and the accreditation standards, analyse the incident register for themes, check credential currency, identify gaps with owners and due dates and present the findings and action plan to the clinical governance committee using the minutes template.
Read the work request in your inbox
Tasks

Deliverables

  • Audit checklist and completed audit worksheet
  • Incident register theme analysis
  • Credential currency list with actions
  • Action plan with owners and due dates
  • Draft clinical governance committee minutes

Documents to use

Systems to use

Reprocessing and Steriliser Load Log

Tracks every steriliser load from packaging to release, with cycle parameters, indicator results, the operator and the release decision, so instruments can be traced to patients.

Clinical Incident and Hazard Register

Records clinical incidents, near misses, medication and specimen errors, staff injuries, privacy breaches and hazards with a severity rating, review status and actions.

Pharmacy Stock, Imprest and Cold Chain

Manages pharmaceutical stock levels, imprest supply to the treatment rooms and dental clinic, expiry tracking, scheduled medicine control and fridge monitoring.

Patient Records and Appointments

The appointment book and patient register for all sites, recording bookings, arrivals, clinicians, consultation type and follow-up actions.

For trainers and assessors

Units of competency

Current on training.gov.au for the Health as at 10 September 2026.

HLTINF007Implement and monitor infection prevention and control standards, policies and procedures
HLTSTE008Monitor quality of cleaning, sterilisation and packaging processes
HLTWHS004Manage work health and safety
HLTADM010Facilitate a coordinated approach to client care
HLTAEDR003Develop medical emergency plan

Qualifications

HLT57715Diploma of Practice Management
HLT47015Certificate IV in Sterilisation Services
Assessor notes

What to look for

Evidence guide

The audit must be evidence based, citing register entries and load numbers, and must not rely on assertion. The theme analysis must connect incidents to system causes and check whether actions were closed. The action plan must have realistic owners and dates before the deadline. The minutes must follow the template, refer to incidents by register number only and record decisions. Look for a clear recommendation on steriliser B.

The student's evidence summary lists every record they created or changed in the systems named above, their notes and the tasks they ticked. Verify it against the deliverables and your own assessment tool.