Quality EMS EOC Checklist From Old Sanitation Guide

EOC Checklist, Showers, & Closets

EMS EOC Checklist Page 207 Sanitation Guide

Are all Housekeeping chemicals and solutions clearly identified?
Are areas free of indications of any pest control concerns?
Are dispensers clean and properly stocked with supplies?
Are doors secured on clean and soiled linen rooms? Are carts covered?
Are eyewash stations unobstructed by equipment or other items?
Are floors clean, free of dust and dirt, with a high level of shine?
Are furnishings clean, safe and in good repair? Are walls free of holes, scrapes patched and painted? Is flooring in need of repair or replacement?
Are hand hygiene product dispensers with expiration date and filled?
Are housekeeping closets, carts, and equipment clean and secured? Are products properly labeled?
Are housekeeping closets, equipment, and supply rooms clean, organized and adequately stocked?
Are personnel able to accurately describe the procedure for reporting a chemical spill and location of spill kits?
Are personnel demonstrating proper procedures for handling regulated medical waste?
Are receptacles for linen and trash in compliance not to exceed 32-gallon requirement?
Are regulated medical waste and/or biohazard containers properly labeled, covered, stored, and secured?
Are vents, lights, and ceiling tiles free from dust, water stains, and mold?
Are window treatments, privacy curtains and shower curtains clean, hung and properly maintained?
Do staff have access to SDS sheets for all chemicals used in the department?

CLC Monthly

Equipment used by staff  Micro-fiber mopping system  Personal Protective Equipment (PPE)
Authorized Cleaning Products being used  Cleaning Products Use a Clorox peroxide wipes to clean the high touch surfaces. o Note: If cleaning a C. diff or Norovirus isolation room, use a bleach wipe.  Virex Plus from J-Fil device and Micro-fiber pads  General-purpose cleaner  Glass cleaner/window cleaner  Toilet bowl cleaner
Supplies used in area:  Containment bucket filled with Virex Plus from J-Fil device and micro-fiber pads by using the automated system within the housekeeping closet. Abrasive pads  Antiseptic and body soap  Broom and dustpan  Clear and bio-hazard trash bags (all sizes)  Paper towels  Putty knife or edging tool  Toilet bowl brush  Toilet paper  Wet Floor/Caution signs  Wiping cloths

Procedures being used
a. Remove furniture and equipment from the room.
b. Remove all waste. Clean interior and exterior receptacle and reline.
c. Check cubicle curtains for spots, and change out as needed (for CLC rooms, change out at least quarterly). Indicate on quality check list status of curtain.
d. Clean walls from ceiling to floor, and all high touch objects. Allow manufacturer’s recommended dwell time. (1 minute with Clorox peroxide wipes and 3 minutes with bleach wipes for C-Dificle For example:  Cabinets and closets – inside and out  Nightstand  Dresser – inside and out  Over-the-bed table – inside and out  Bed frame, handrails, and mattress  Nurse call button, telephone, and TV control  Reading and exam lights  Windowsills
e. Take waste receptacles to HAC and apply with a one-step Clorox peroxide wipe.
f. Using Clorox peroxide wipes apply and wipe sink, toilet seat, and tub or shower.
g. Put toilet bowl cleaner in toilet; allow dwell time. Scrub with toilet brush and flush prior to leaving room to prevent chemical burns.
h. Mop and clean restroom and restock all dispensers.
i. Mop floor, beginning from window or from far wall to door. Scrub or strip, if necessary; apply finish and burnish.
Note: Be sure to use Wet Floor / Caution signs. Coordinate cleaning with other services as necessary.
j. Run UVC light unit, if available, as per manufacturer’s instruction.

INNER OFFICE Daily Remove trash and reline waste receptacles
INNER OFFICE Twice/week Clean window and window seal
Restrooms Daily Remove trash and reline waste receptacles Clean sinks Remove dirty linen and replace clean linen hamper liner Wet mop tile floors using approved germicide
Restrooms Weekly Clean/ wipe shower walls using approved germicide
Restrooms Once/month Clean vents