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AHS Rounds

EOC, Exits & Egress; Medication Room

  • All Staff must wear name badges with photo ID visible above waist, with CURRENT COVID SCREENING STICKER

  • Ceiling tiles are free of water stains and/or needing repair.

  • Walls are free of penetrations/integrity intact (holes/dents, paint chipping/peeling)

  • Egress is clear. Exit doors are not blocked and clear of clutter

  • Hallways clear with all equipment parked on one side or in alcoves

  • Fire rated doors must latch & close properly

  • No flammable items on fire rated doors

  • Nothing in front of medical gas valves, fire extinguishers or pull stations

  • Nothing stored under sinks throughout unit

  • No doorstops used or doors propped open

  • No overfilled sharps containers throughout the unit (replace when ¾ full)

  • Patient Health Information protected from public view. I.e., Pt information (white board, WOWs & Chart) secured to ensure privacy

  • No food or beverages in patient care areas, nurses' stations, and staff work areas.

  • All Pt. equipment labeled with clinical engineering sticker & current PMs

  • Overall cleanliness of unit (floors, walls, clutter, dust)

  • No unattended meds on Pyxis, WOWs, or throughout the unit

  • All insulin or multi-use vials are dated w/discard date in 28 days

  • Med Room: Med Room locked with access for authorized personnel only

  • Med Room: Med Prep areas are clean, uncluttered and separated from other areas

  • Individual pill cutters are clean and free of medication residue, plastic sleeves are available

  • Multi-use pill cutters are clean and free of medication residue, plastic sleeves are available

  • Multi-dose Insulin and Tuberculin vials are: dated when opened with last date they can be used (28 days); no expired vials in use; no vials stored on counter

  • All tubed meds put away in a secure place; not accessible to unauthorized persons

  • Medication refrigerator and freezer temperatures logged and documented daily

  • Med Room checked for expired medications and supplies

Waived Testing and Infection Control Practices:

  • All employees wearing universal COVID mask, covering mouth and nose

  • All employees have been screened according to COVID employee screening guidelines

  • Infection Prevention: Contact Precaution sign posted and isolation cart placed outside of room

  • Airborne isolation room doors closed

  • Waived Testing: Glucometer cleaned. Controls and Strips dated w/date opened/expiration date: Toss after 90 calendar days

  • Hand sanitizer or alternative readily available for staff

  • No open Sani-Cloth containers

  • Hand hygiene performed when staff entering & exiting patient rooms

  • No gloves and booties or PPE that have been used in patient care in hallways or public areas

Nutrition Rooms

  • Nutrition Room: Patient food must be labeled with Pt. name and date.

  • Nutrition Room: No staff food to be stored in patient refrigerator

  • Nutrition Room: Refrigerator temp checked daily & documented daily by dietary services

Soiled (Dirty) Utility Room

  • S: Doors closed

  • S: No clean supplies or clean equipment stored in the soiled utility room

  • S: No storage of patient personal belongings

  • S: Floors are clutter free, allowing access to sink, hopper, and door

  • S: Counters are soil/cutter free

  • S: Approved enzymatic gel/ instrument cleaning supplies in room (if applicable)

  • S: Instruments are wet (sprayed) and in open position (if applicable)

  • S: Garbage cans with lids

  • S: Hazardous waste containers are closed/covered and labeled with biohazard sticker on lid and 3 sides of container

  • S: Equipment requiring cleaning or services must be clearly marked

  • S: Sharps containers below the fill line (replace when 3/4 full)

  • S: All storage no higher than 18 inches from sprinkler heads

Clean Utility Room

  • Doors are locked at all times (authorized personnel only)

  • No dirty items in room

  • Clean transport containers with biohazard label in room (stainless steel, cardboard or red - if applicable)

  • No storage of staff or patient person belongings

  • C: Linen carts must be covered and have solid bottoms throughout the unit

  • C: No bags, boxes, or supplies stored on the floor. Must be on pallets or wire shelving with solid bottom

  • C: No corrugated shipping boxes. Remove immediately

  • C: Check for expired medications and or supplies throughout the unit

  • C: No supplies stored within 18 inches from the bottom of the sprinkler head

  • C: O2 tanks are stored upright in the holder. Full >2000 PSI and empty O2 tanks are segregated between FULL AND EMPTY with signage

Perioperative and Procedure Rooms

  • Timeouts are performed for all required invasive procedures; total team participation with active pause

  • Required PPE is worn by all staff in procedure rooms / ORs

  • Medications are labeled when removed from the original manufacturer container

  • All PPE except head coverings (e.g. bonnets, skull caps) removed when going outside procedural areas - no booties in hall, gloves are removed upon exit

  • General cleanliness; no extra linen / supplies out in the open. Linen is covered.

  • All syringes/medications/specimens must be secured and attended by authorized individuals

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.