James Rose

Patient Room Audit/Visitations

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Use this Template

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Title Page

Division
Conducted on
Prepared by

Patient Room

Room #
Have you seen your housekeeper today?
How would you rate the overall cleanliness of your Room/Bathroom?
What else can we do to meet your expectations? (Patient/Family Comments)
Room Condition: Clutter

Patient Room

Room #
Have you seen your housekeeper today?
How would you rate the overall cleanliness of your Room/Bathroom?
What else can we do to meet your expectations? (Patient/Family Comments)
Room Condition: Clutter

Patient Room

Room #
Have you seen your housekeeper today?
How would you rate the overall cleanliness of your Room/Bathroom?
What else can we do to meet your expectations? (Patient/Family Comments)
Room Condition: Clutter

James Rose

Patient Room Audit/Visitations

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.