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AHS Rounds

EOC Exits & Egress; Medication Room

  • All Staff must wear name badges with photo ID visible above waist

  • 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

  • Medical gas shutoff valves, fire extinguishers, and alarm pull stations are not blocked.

  • Nothing stored under sink throughout unit

  • No doorstops used or doors propped open

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

  • Patient Health Information (PHI) protected from public view

  • No food or beverages in patient care areas or nurse’s stations

  • 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

  • Pill cutters are individual use only. Must be labeled with patient name

  • Medication refrigerator and freezer temperatures logged and documented daily

  • Med Room check 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 (wearing current date's sticker)

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

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

  • Hand gel stocked in all dispensers

  • No gloves, booties, hanging face masks while in hallway or public areas

  • No open Sani-Cloth containers

  • Hand hygiene performed when staff entering & exiting patient rooms

EVS, Clean and Soiled Utility Rooms ( C and S)

  • EVS/Housekeeping closet, clean and soiled utility doors are closed and secured (not propped open)

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

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

  • C: No corrugated shipping boxes. Remove immediately

  • C: O2 tanks are stored upright in the holder. Full (>2000PSI) and empty O2 tanks are separated with signage

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

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

  • S: No clean supplies or clean equipment to be 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: Approved enzymatic gel/ instrument cleaning supplies in room (if applicable)

  • S: Instruments in red biohazard bins are wet (sprayed) and in open position

  • 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

Procedure Room and Areas

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

  • Medications are labeled when removed from the original manufacturer container

  • Patient Consent, completed H&P on file in the medical record prior to start of procedure

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

  • 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

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

  • Pre Anesthesia documentation complete include ASA level and/or appropriate assessment

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