Who did you round with?

Name of the Person you Rounded with

Are the WOW's / Admissions (FOS) carts working? If the answer is "NO" Ticket must exist

Ticket number

Issue 1:

Issue 2:

Issue 3:

Issue 4:

Issue 5:

Issue 6:

Issue 7:

Issue 8:

Issue 9:

Issue 10:

Were issues reported at previous rounding?

Were they corrected?

Status if not corrected

Corrective Actions

For BioMed: Call x6572
For EVS: Email Joey Flores at
For Infection Prevention: Email Emma Waymire at
For Safety Officer: Currently vacant. Email Vic Vigil at
For Supply Chain: Email Hayden Byer @ hayden.byer@parallon.
For Unit Manager: Ask unit manager their preference in communication
For Work Orders: Go to P/SL intranet. Select Facility Work Order. Fill out form with the
unit manager as the contact person.

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.