• Environment of Care Rounds

  • Conducted on

Prepared by

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Infection Control Physical Inspection

Hand hygiene

  • Sinks and appropriate hand washing products are available

  • Staff perform appropriate handwashing

Personal protective equipment

  • PPE is readily available (check 2 PPE boxes)

Eating/ Drinking

  • Area has a designated place for eating /drinking away from work area or any area where blood or body fluids are located

  • No food or drinks on desks, computers or housekeeping carts

Sharps Containers

  • Sharps are disposed of in puncture-resistant, leakproof, biohazard-labeled ( or red ) containers

  • Containers are secured, not overfilled or obstructed (check 2 boxes)

Refrigerated supplies

  • No combined food/ medication / patient specimens in refrigerators

  • Temperature is monitored and recorded daily, actions are documented if out of range

  • Food brought in from outside the facility must be labeled and dated

Clean/Dirty separation

  • Designated clean storage separate from dirty

  • Supplies are stored off floor

  • Supply area is free of dust, dirt, etc.

  • Card board boxes are not stored on floor

  • Clean linen cart is covered

  • Paper towels and toilet paper are not located in soiled utility room

Cleaning/ Disinfection

  • Correct process for cleaning equipment ( ask staff)

  • Correct contact time for disinfectant used (ask staff)

Isolation Precautions

  • Isolation precautions are being followed as appropriate

  • Sign on door

  • PPE cart/ cabinet contains appropriate supplies

  • Patient chart labeled

Waste disposal

  • Biohazard waste is red bagged

  • Biohazardous waste is segregated appropriately as evidenced by contents of waste receptacles

Patient Supplies

  • Monitoring of expired supplies (check 5 items for expiration)

Injection Safety

  • Are SDVs/ MDVs used appropriately?

HAI Measures

  • Staff know HAI rates for their unit

  • Staff know appropriate measures to use for HAI reduction

Notes Section

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.