Audit

Patient Room

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Is the room occupied?

Ceiling tiles free from staining

ABHR available/working

Soap, water and paper towels available

Sharps container is less than 3/4 full

No supplies stored under sink

Soiled linen in bag; not overfilled,mhamper covered

Medication storage area clean

Refrigerator labeled to identify the approved use

Items within refrigerator according to label

Isolation Room

Unit
Standard precautions
clean Utility
Soiled Utility
EVS Closet/Cart

Clean in appearance

Free from safety concerns

Container labeled

Appropriate PPE available

Cart organized

Public Use Restroom

All surfaces appear clean

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Hand-washing supplies available

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Free from trash/debris

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ICRA

ICRA posted

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ICRA within date range

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ICRA being followed

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Waiting Area/Entry

If appropriate, supplies for respiratory hygiene available and posted instructions in place

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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.