1.1 Has the last audit been reviewed?
1.2 Are there any outstanding concerns?
A1. Warning signs or barricades are placed when work creates a hazard?
A2. Medication cart is locked, neat and tidy, without expired medicines/products?
A3. Clean linen is covered with nothing on top of cart?
A4. All furniture and equipment is in sound condition?
A5. This area is free from sharp objects?
A6. All wall-mounted devices are secure and not loose?
A7. Cleaning chemicals are properly labeled and are not accessible by patients and visitors?
A8. Logs for Refrigerators/Freezers, and warmers are complete and corrective actions documented?
A9. Boxes of patient care item are not stored directly on the floor? (must be elevated 6")
A10. Items are not stored under sink(s)?
B1. Items are not stored within 30” of an electrical panel?
B2. Electrical cords, plugs, plates and switches are in good repair?
B3. Extension cords only used temporarily?
B4. All areas are free of electrical “wire nests” ?
B5. Electrical panel estate locked?
C1. Medications/medical supplies - have not passed expiration dates?
C2. All syringes, basins, containing medication or solutions are labeled properly?
C3. Med Carts/Med Rooms are secured at all times?
D1. Staff food is not stored in patient refrigerators?
D2. Refrigerators/Freezers are clean and labeled for type of storage?
D3. Refrigerators/Freezers contain thermometers and the refrigerator graphs are up-to date
D4. No open or expired patient nourishment containers in refrigerator?
D5. Ice machines are clean, no signs of deposits?
D6. Anti-microbial soap and paper towels are available for hand washing?
D7. Containers used infectious waste are covered, leak proof, and clearly labeled as a biohazard?
D8. Disposed sharps are in an approved container?
D9. Sharps containers are secured in their holders and not overfill?
D12. Staff (including contracting physicians) perform hand hygiene ?
E1. Floors free of dirt, dust and litter?
E2. Ledges, walls and air vents free of dust?
E3. Toilets and sinks secure and clean?
E4. Privacy curtains clean and unsoiled?
F1. ** How can you access Material Safety Data Sheets (MSDS)?
F2. ** Do you know where your PPE is located?
G1. ** Can you explain when you would implement R.A.C.E. and what does it stand for?
G2. ** Can you explain P.A.S.S. and what does it stand for?
G3. ** Where are the fire extinguishers and pull stations located?
G4. Two exit signs visible from each corridor?
G5. Halls/Corridors uncluttered and accessible?
G6. Wheeled items are stored in corridor less then 30 minutes at a time?
G7. Are ceiling tiles in place, not stained and not broken?
G8. Are the sprinkler heads free of dust?
G9. Fire extinguisher (s) recently serviced? (monthly)
G10. Automatic fire doors free from obstacles and positively latch when activated? (Doorways should not be blocked or wedged.)
G11. Eighteen-inch clearance from sprinkler head ensuring no obstruction?
G12. Are compressed gases stored in designated areas only?
G13. Are full and empty cylinders stored separately according to sign/labels?
G14. All lights are working properly?
G15. Flammable and hazardous materials properly stored and labeled?
G16. Fire extinguishers and pull stations clear of obstructions?
G17. Placement of Hand Sanitizer is not within 6" to a potential ignition source?
G18. Exits clear of obstructions?
H1. ** Can you tell me the number you would dial to initiate an emergency response?
H2. ** Where are your Computer Downtime Forms?
I1. ** How do you notify Security in a non-emergency?
I2. All staff wearing ID badges @ eye level?
I3. Are valuables properly stored in department?
J1. ** What are the procedures if a device/equipment does not work properly?
J2. All medical equipment/devices has a current Bio-Medical sticker?
K1. ** Where are your emergency backup procedures located for a loss of utility services?
K2. ** In case of a fire on the unit, who is authorized to shut off medical gases?