Title Page
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Site conducted
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Conducted on
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Location
Operational Checkpoints
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Have you check the corridors and stairwells? (filled, working & clean hand sanitizer dispenser/trays, pull trash, clean/dust free floors, dust free vents, pictures, behind fire doors, wet floor signs removed)
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Have you checked the nurses’ station? (hand soap, hand sanitizer, paper towel, clean sink, trash pull)
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Have you checked the soiled utility closet? (odor free, no trash/linen/Bio on the floor, clean sink & hopper, no housekeeping supplies, clean floor, soap & paper towels)
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Have you checked the clean equipment & supply closet? (dust free warmers, Pyxis, floors, covered & stocked linen, clean sink, soap, paper towels, medical & pharmaceutical waste)
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Have you check the housekeeping closet? (locked jfill, eyewear, no supplies, labeled chemicals)
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Have you checked the nourishment area? (clean sink, external ice machine/trays, external fridge, microwave, coffee maker, counter tops, floors, sink, soap & paper towels available, empty trash & clean floors)
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Have you checked the public restrooms & public area? (elevator & tracks, vacuum carpet, vending area, sink, available supplies, toilet, floors & odor free)
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Have you checked in with the customer, patients & empty rooms (perform QAs on empty rooms, nurse leaders & patients compliance checks with housekeepers, verify terminal cleaning logs-if applicable)
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Have you check ControlTex & supply pars in housekeeping closet?
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Have you checked the loading dock & bio area (secured, clean & tidy)
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Have you checked Scrubex Machine? (Empty soiled & fill)
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Have you checked the house census? (update EVS flight tracker, connect with Charge Nurses & House Supervisor)