Decon Room Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Start of Session:

• Put on PPE

  Yes

  No

• Wipe all surfaces using alcohol-free wipes

  Yes

  No

• Ensure all switches are turned on

  Yes

  No

• Thermometer ready for manual scrubbing

  Yes

  No

• Prepare the following; (tick if applicable):

• Manual scrubbing sink, Cold water disinfection bath, Water distiller, Aprons Solutions

  Yes

  No

• Check stock; ( Take picture if re stock needed)

  Media

• Hand wash dispensers, PPE, Pouches, Disinfectant wipes , Lint free cloths , Solutions

  Yes

  No

• Check stock; ( Take picture if re stock needed)

  Media

• Handpiece oil, Protein tests, Validation equipment (TST strips)

  Yes

  No

• Ensure magnifying inspection lamps are working correctly

  Yes

  No

• Ensure transport boxes are cleaned and correct dirty boxes are available in surgeries

  Yes

  No

Every day the following tasks must be completed:

• Checklist for Manual Cleaning

  Yes

  No

End of session:

• Ensure all instruments are processed

  Yes

  No

• Ensure manual cleaning sink is emptied and cleaned

  Yes

  No

• Drain Autoclave water chamber

  Yes

  No

• Clean and disinfect all work surfaces and sinks

  Yes

  No

• Ensure all validation has been completed and checklist complete

  Yes

  No

• Ensure room is left clean and clutter free

  Yes

  No

• Report any maintenance issues to Practice Manager

  Yes

  No

• Change Reservoir Water

  Yes

  No

• Dispose of all clinical waste

  Yes

  No

Autoclave:

• Serial Number

• Steriliser Type: Type N (Non-Vacuum) Type N (Non-Vacuum) Type S (Vacuum)

  Yes

  No

• Daily Test Record

  Yes

  No

• Automatic Control Test

  Yes

  No

• Cycle Number

• During the sterilisation part of the cycle, what was the:

• Maximum Temp

• Minimum Temp

• Pressure Reading

• Sterilisation time

  Date

• Outcome

  Compliant

  Non-Compliant

• didi you notify the manager/lead nurse

  Yes

  No

• Steam Penetration Test

  Media

• Date

  Date

• Cycle Number

• TST

• Name

  Sign

• Weekly Maintenance tasks;

  Yes

  No

• Wipe door seal with non-linting cloth

  Yes

  No

• Wipe chamber with non- linting cloth

  Yes

  No

• Clean all external services

  Yes

  No

• Person carrying out tasks

• Cycle Number:

• Evidance:

  Media

• Signature:

  Sign