Title Page
-
Conducted on
-
Prepared by
-
Location
General safety
-
No staff food in refrigerator
-
No trip or slip hazards observed
-
Refrigerator temperature taken and patients food dated
-
Nothing else other than linen on linen cart
-
All equipment stored on one side of hallway
-
Top of linen cart covered
-
No equipment changing (plugged in)in hallway
-
Nothing parked in hallway longer than 30 minutes
Utility or storage room
-
Door to hallway closed not propped open
-
Top of linen cart covered when not in use
-
Signage posted for Oxygen storage area
-
Oxygen tank stored upright in a holder and sorted by full and empty tanks
Dirty utility holding room /sluice
-
Plumbed eyewash functional and checklist updated
-
No undersink storage
-
Biohazard waste contained
Clean Linen cupboard/room and waste cage
-
Windows to linen room closed and humidity controlled
-
Linen room /cupboard is dry
-
Linen cupboard locked and access controlled
-
Waste protected from access by pest . Access controlled system available
-
Plumbed eyewash provided and functional.checklist updated
-
Waste contained and not stacked on top of each other,and not placed Directly on the floor
Emergency Trolley
-
No expired supplies
-
Access controlled and maintained
-
No clutter on top
-
Daily check completed
Medication
-
No predrawn medication
-
No unsecured medication,sharps or syringes
-
No expired supplies
-
Discharged patients medication managed
-
Temperature logs completed with response to variances
-
Computerized pharmacy Portal logged off when not in use
-
Drawers or cabinet locked when in use
-
Door access controlled
-
Sterile water used for reconstitution
-
Pill crushers cleaned
-
Opened multi dose vials dated
-
No open single use vials
Point of care equipment
-
Lab quality assurance personnel process oversight evident
-
Operators trained and records available
-
Controls, strips and cartridges dated when opened
-
Glucometer cleaned
-
QC performed as per manufacturers instructions
Patient care
-
All low ceiling protrusions marked with mind your head signage
-
Mind your step signage on all staircases
-
Verbal orders records completed
-
Critical value records completed
-
Records for home medication
-
Patient review medication administration with staff
-
Time out for invasive procedures
-
Hand sanitizer is filled
-
PCI education record available and patients interViewed could demonstrate PCI procedure
-
Isolation precautions implemented
-
Confidentiality of medical records observed
-
Alarms are responded to
-
Emergency call lights and bells functional and within patients reach
-
PFE file present at patient care room and tools filled
-
Non ambulatory patients covered to maintain their dignity
-
Signage posted for fall Risk patients
-
Food delivered within the required timelines
-
Fall Risk assessment done and fall Risk patients wearing correct wrist band
-
All patients wearing correct identification band
