BME Rounds

• Document No.

• Department

• Conducted on

  Date

• Biomedical Rounds

• Env Safety Rounds

• Prepared by

Electrical Hazard

• Outlet Strips

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

• Extension Cords

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

• Damaged Cords

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

Mechanical Hazards

• IV Poles

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

• Mounting Solutions

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

• Headwall Accessories

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

Nurse Call & Clinical Alarms

• Lights & Emergency Signals

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

• Staff Response

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

• Wrapped Cords

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

• Clinical Alarm Issues Defective/Covered Speakers

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

Staff Survey

• Who To Call for Medical Equipment Problems

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

• Steps for Patient Even Involving Medical Equipment

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

• If a Device doesn't have a PM sticker how do you know it was tested

  Non Compliant

  Partial Compliant

  Compliant

  N/A Does not apply

• Observation

Equipment Survey

• Tag #

• In Database

  Yes

  No

• Tag #

• In Database

  Yes

  No

• Tag #

• In Database

  Yes

  No

• Tag #

• In Database

  Yes

  No

• Tag #

• In Database

  Yes

  No

• Tag #

• In Database

  Yes

  No

• Tag #

• In Database

  Yes

  No

• Tag #

• In Database

  Yes

  No