Environmental Rounds 2015

Facility

• PRMC

  TCMC

  NKMC

• Environment of Care Rounds

• Conducted on

  Date

Prepared by

• Amanda Jolly

  Gail Beeler

  Stephanie Brooks

This document e-mailed to;

Hand hygiene

• Sinks and appropriate hand washing products are available

  Yes

  No

  N/A

• Staff perform appropriate handwashing

  Yes

  No

  N/A

Personal protective equipment

• PPE is readily available.

  Yes

  No

  N/A

Sharps Containers

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

  Yes

  No

  N/A

• Containers are secured, not overfilled or obstructed.

  Yes

  No

  N/A

Eating/ Drinking

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Refrigerated Supplies

• Temperature is monitored daily and within approperatiate range

  Yes

  No

  N/A

• No combined food, medications, specimens in same refrigerator.

  Yes

  No

  N/A

• Food brought into the facility from outside must be labeled with patient name, date put in refrigerator, discarded in 3 days.

  Yes

  No

  N/A

Clean/Dirty separation

• Designated clean storage separate from dirty

  Yes

  No

  N/A

• Supplies are stored off floor

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Card board boxes are not stored on floor

  Yes

  No

  N/A

• Clean linen cart is covered

  Yes

  No

  N/A

Cleaning/ Disinfection

• Correct process for cleaning equipment ( ask staff)

  Yes

  No

  N/A

• Correct contact time for disinfectant used (ask staff)

  Yes

  No

  N/A

Isolation Precautions

• Isolation precautions are being followed as appropriate

  Yes

  No

  N/A

• Sign on door

  Yes

  No

  N/A

• PPE cart/ cabinet contains appropriate supplies

  Yes

  No

  N/A

• Patient chart labeled

  Yes

  No

  N/A

Waste disposal

• Biohazard waste container is available.

  Yes

  No

  N/A

Patient Supplies

• No expired items noted. (check a minimum of 5 items)

  Yes

  No

  N/A

HAI Measures

• Staff know appropriate measures to use for HAI reduction

  Yes

  No

  N/A

• Staff know HAI rates for their unit

  Yes

  No

  N/A

Injections Safety

• Are SDVs/MDVs used appropriately?

  Yes

  No

  N/A

Notes Section