Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Linen Management Matrix

Linen Loss Management

  • Soil to clean comparison compliance

  • Enter results for recent period

  • Enter date results reflect

  • Is a process in place to manage EMS access to Linen?

  • Rejected Linen process in place and clearly labeled

  • Scrubs stored in a secure location

  • FIFO (First In First Out) followed

Clean Linen Processes

  • Par level established in linen room?

  • Usage based ordering system in use?

  • Departmental item par levels reviewed and adjusted?

  • Linen distribution documented and entered into data management systems (AngelLink)

  • Enter last review date.

  • Adjusted Patient Days reported monthly.

  • Documented departmental delivery schedule?

  • Linen committee formed and meeting at an established frequency.

  • Business Review Completed

  • Written linen utilization policy / guideline established and documented?

  • Linen charged back to departments.<br>

Linen Room Inventory (Document Excess)

  • Document items in excess and quantites

Additional Comments

Floor Tours

  • Floor Tours

  • Department
  • Unit Name

  • Area / Unit Type

Clean Linen Storage

  • Department linen storage covered and secured?

  • Par levels are followed (Compare current level to posted par levels)

  • Standard bed makeup contain only necessary items?<br>(Pillowcase, fitted sheet, flat sheet, blanket)

  • Is the patient room free of excessive linen items (observation)?

  • Are bedside tables and cabinets free of linen?

Soiled Linen Storage

  • Are medical waste containers free of linen? Inspect soiled utility room)

  • Are trash containers free of linen? (Inspect soiled utility room)

Quality

  • Are white linens bright and of consistent shading?

  • Are folds neat and of the correct width?

Additional Comments

Customer Feedback

  • My level of satisfaction with the service received is

  • Much worse than expected

  • Worse than expected

  • As expected

  • Better than expected

  • Much better than expected

  • Delivery Rating

  • Much worse than expected

  • Worse than expected

  • As expected

  • Better than expected

  • Much better than expected

  • Quantity Rating

  • Much worse than expected

  • Worse than expected

  • As expected

  • Better than expected

  • Much better than expected

  • Quality Rating

  • Overall Service Rating

  • Much worse than expected

  • Worse than expected

  • As expected

  • Better than expected

  • Much better than expected

Customer Comments

  • I have reviewed and understand the contents of this report.

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