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

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.