HGH ACT

EVS cleaning solution on approved list. Near eyewash station is required?

Are oxygen tanks secured?

Are oxygen tanks stored in correct full/empty designated location?

Are negative and positive pressure rooms correct?

Are ceiling tiles clean and intact?

Are eyewash stations unobstructed? Able to use hands-free?

Are electrical panels & pull stations are unobstructed?

Are paths of egress unobstructed?

Are patient care areas clean, free of debris?

Are patient care equipment free of tape residue?

Are PM's current?

Are supplies current? (Not outdated?

Are crash cart logs current and complete? (Issues are addressed?)

Are crash cart components clean and ready for use?

Are IV medications are discarded correctly?

Do IV bags have revised expiration dates written on bag?

Are defibrillator pads in packaging and ready for patient use? (i.e. they're secure in packaging)

No other areas of non-compliance.

Staff Interviewed:

Honorable Mentions

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.