Environment - General

Environment - General

Are all the surfaces smooth and impervious (for easy cleaning) and with coved edges?

Is the floor visibly clean?

Is the floor covering washable and impervious to moisture?

Is the flooring in a good state of repair?

Are ward or clinic televisions / display screens visibly clean?

Are computer systems visibly clean?

Are all telephones visibly clean?

Are free standing desks fans visibly clean?

Are air vents visibly clean?

Environment - Bed Space

Environment - Bed Space - Patient Care Bed Space 1

Is the environment visibly clean?

Is the environment fee from any visible damage?

Is furniture made of impermeable and washable materials?

Are all furnishings and fittings visibly clean?

Floors including edges and corners are free from dust and grit?

Is the floor covering washable and impervious to moisture?

Is the flooring in a good state of repair?

All high and low surfaces are free from dust and cobwebs?

Curtains and blinds are free from stains, dust and cobwebs?

There is evidence of an effective pre-planned programme for curtain changes?

Fans are clean and free from dust?

Air vents are clean and free from dust?

Patient call bells are clean and free from debris?

Ear phone pads are single use and changed between patients?

Re-usable ear phones are cleaned between patients?

Patient audio visual systems are clean and free from dust and marks?

Work station equipment in clinical areas is visibly clean e.g. phones, computer keyboards etc.?

Is there a designated hand wash basin?

Is the hand wash basin plug free?

Is the hand wash basin overflow free?

Is the waste offset so the water does not flow directly into it?

Are elbow / sensor taps available?

Is the hand wash basin accessible?

Is there alcohol gel at the bedside?

Environment - Bed Space - Patient Care Bed Space 2

Is the environment visibly clean?

Is the environment fee from any visible damage?

Is furniture made of impermeable and washable materials?

Are all furnishings and fittings visibly clean?

Floors including edges and corners are free from dust and grit?

Is the floor covering washable and impervious to moisture?

Is the flooring in a good state of repair?

All high and low surfaces are free from dust and cobwebs?

Curtains and blinds are free from stains, dust and cobwebs?

There is evidence of an effective pre-planned programme for curtain changes?

Fans are clean and free from dust?

Air vents are clean and free from dust?

Patient call bells are clean and free from debris?

Ear phone pads are single use and changed between patients?

Re-usable ear phones are cleaned between patients?

Patient audio visual systems are clean and free from dust and marks?

Work station equipment in clinical areas is visibly clean e.g. phones, computer keyboards etc.?

Is there a designated hand wash basin?

Is the hand wash basin plug free?

Is the hand wash basin overflow free?

Is the waste offset so the water does not flow directly into it?

Are elbow / sensor taps available?

Is the hand wash basin accessible?

Is there alcohol gel at the bedside?

Environment - Bed Space - Patient Care Bed Space 3

Is the environment visibly clean?

Is the environment fee from any visible damage?

Is furniture made of impermeable and washable materials?

Are all furnishings and fittings visibly clean?

Floors including edges and corners are free from dust and grit?

Is the floor covering washable and impervious to moisture?

Is the flooring in a good state of repair?

All high and low surfaces are free from dust and cobwebs?

Curtains and blinds are free from stains, dust and cobwebs?

There is evidence of an effective pre-planned programme for curtain changes?

Fans are clean and free from dust?

Air vents are clean and free from dust?

Patient call bells are clean and free from debris?

Ear phone pads are single use and changed between patients?

Re-usable ear phones are cleaned between patients?

Patient audio visual systems are clean and free from dust and marks?

Work station equipment in clinical areas is visibly clean e.g. phones, computer keyboards etc.?

Is there a designated hand wash basin?

Is the hand wash basin plug free?

Is the hand wash basin overflow free?

Is the waste offset so the water does not flow directly into it?

Are elbow / sensor taps available?

Is the hand wash basin accessible?

Is there alcohol gel at the bedside?

Environment - Bathrooms / Washrooms / Toilets

Environment - Bathrooms / Washrooms / Toilets

Bathrooms / washrooms are clean?

There is no evidence of inappropriate storage of communal items e.g. single use creams, talcum powder etc.?

Bathrooms are not used for equipment storage?

Wall tiles and wall fixtures (including soap dispensers and towel holders) are clean and free from mould?

Are all surfaces smooth and impervious (for easy cleaning) and with coved edges?

Shower curtains and bath mats are free from mould, clean and dry?

There is evidence that baths, showers and sinks taken out of use have planned provision for running the water weekly?

Is there a designated hand wash basin?

Is the hand wash basin accessible?

Is the hand wash basin in a good state of repair?

Is the hand wash basin visibly clean?

Are hand wash basins free from extraneous items?

The toilet, hand wash sink, hand rails and surrounding area are clean and free from extraneous items?

Is there a promotional hand hygiene poster displayed?

Hand washing facilities are available including soap and paper towels?

Are staff aware of where cleaning materials for the bath / shower are available between patients?

There is a facility for sanitary waste disposal?

Waste bins are foot operated and in good working order?

Are high rise seats stored off the floor and clean?

Environment - Clean Utility

Environment - Clean Utility

Is the environment visibly clean?

Is the environment free from any visible damage?

Is furniture made of impermeable and washable materials?

Are all furnishings and fittings visibly clean?

Are all furnishings and fittings in a good state of repair?

Are all surfaces smooth and impervious (for easy cleaning) and with coved edging?

Is the floor visibly clean?

Is the floor covering washable and impervious to moisture?

Is the flooring in a good state of repair?

Is there a designated hand wash basin?

Is the hand wash basin compliant?

Are elbow / sensor taps available?

If no elbow / sensor taps, are staff aware how to turn taps off with paper towels?

Are mixer taps or the thermostatically controlled water available?

Is the hand wash basin accessible?

Is the hand wash basin in a good state of repair?

Is the hand wash basin visibly clean?

Are hand wash basins free from extraneous items?

Is the liquid soap dispenser wall mounted?

Is the soap dispenser visibly clean?

Are paper towels available from an enclosed dispenser?

Is the paper towel dispenser visibly clean?

Is the a promotional hand hygiene poster displayed?

Is there a hands-free domestic waste bin in good working order, clean and in good condition?

Is there a designated work surface / trolley for clinical procedures? e.g. dressings?

Are dressings trolleys / trays structurally sound and in a good state of repair / cleanliness?

Environment - Dirty Utility

Environment - Dirty Utility

Is the environment visibly clean?

Is the environment free from any visible damage?

Is furniture made of impermeable and washable materials?

Are all furnishings and fittings visibly clean?

Are all furnishings and fittings in a good state of repair?

Is the floor visibly clean?

Is the floor covering washable and impervious to moisture?

Is the floor in a good state of repair?

Are all work surfaces smooth and impervious (for easy cleaning) and with coved edges?

Are all work surfaces visibly clean?

Is the dirty utility room free from clutter and inappropriate items?

Is there a designated hand wash basin?

Are mixer taps or thermostatically controlled water available?

Is the hand wash basin accessible?

Is the hand wash basin in a good state of repair?

Is the hand wash basin visibly clean?

Are hand wash basins free from extraneous items?

Are paper towels available from an enclosed dispenser?

Is there a promotional hand hygiene poster displayed?

Is there a hands-free domestic waste bin available for the disposal if paper towels?

Is the foot pedal of the domestic waste bin in good working order?

Is the domestic waste bin visibly clean, including lid and pedal?

Is the domestic waste bin in good condition?

Is there a dedicated deep sink for washing used equipment?

Is there a disposal unit for the disposal of bodily fluids?

Are cleaning / disinfectant products available for decontamination of equipment and environment?

Can staff describe which products should be used for routine cleaning and the correct dilution?

Are spillage kits or alternative available for use on body fluid spillages?

Are staff aware of the procedures to be used when removing body fluid spillages?

Is personal protective equipment available?

Is the macerator or bedpan washer in good working order?

Are bedpans and urinals stored correctly to minimise contamination?

Are commodes in a good state of repair?

Are the commodes visibly clean and ready for use, and cleaning record up-to-date?

Is there a system in place to check commodes are clean and ready for use?

Are wash bowls disposable or named single patient use?

Is the room free from communal items?

Are re-usable catheter stands of an easily cleanable design?

Are catheter stands visibly clean?

Are measuring jugs either disposable or processed through a washer disinfector?

Is the a hands-free waste bin available for the disposal of infectious / healthcare risk waste?

Environment - Store Room

Environment - Store Room

Is the environment visibly clean?

Is the environment free from any visible damage?

Are all furnishings and fittings visibly clean?

Are all furnishings and fittings in a good state of repair?

Is the floor visibly clean?

Is the floor covering washable and impervious to moisture?

Is the flooring in a good state of repair?

Are all items of equipment or supplies stored off the floor?

Is the environment tidy and cluttered?

Are items stored appropriately?

Environment - Domestic Cleaning

Environment - Domestic Cleaning

Is there a dedicated room for the storage of cleaning equipment?

Is the environment visibly clean?

Is the environment free from any visible damage?

Are all furnishings and fittings visibly clean?

Are all furnishings and fittings in a good state of repair?

Are all surfaces smooth and impervious (for easy cleaning) and with coved edges?

Is the flooring in a good state of repair?

Floors including edges and corners are free from dust and grit?

Equipment used by the domestic staff is clean, well maintained and stored in a locked area?

Machines used for cleaning are clean and dry?

No inappropriate materials or equipment are stored in the domestic rooms?

Products used for cleaning and disinfection comply with policy and are used at the correct dilution?

Diluted products are discarded after 24 hours?

Personal protective clothing is available and appropriately used?

Information on the colour coding system in use is available in the domestic room?

Hand hygiene facilities are available for domestic use?

Environment - Water Coolers

Environment - Water Coolers / Water Dispensers

Are water coolers / ice machines on a portable supply e.g. mains or treated water supply?

Is the water cooler / ice making machine cleaned at least once a week according to the manufacturers instructions?

Is the water cooler / ice machine on a planned maintenance programme?

If used for consumption, does the ice making machine dispense ice from a nozzle directly into a receptacle on demand?

Environment - Linen Management

Environment - Linen Management

Is there a designated clean storage area for clean linen?

Is the environment visibly clean?

Is the flooring in a good state of repair?

Is all linen stored off the floor?

Is the area / room used to store clean linen free from inappropriate items?

Is used linen placed directly into appropriately colour coded bags / containers at the point of use?

Are water soluble bags used for soiled and / or infected linen?

Are used linen bags / containers less than 2/3rds full?

Are rigid linen skips visibly clean?

Is used linen stored in a designated area until collections, e.g. sluice room, dirty utility room?

Environment - Kitchen

Environment - Ward / Department Kitchen

The floor is free from dust, grit, littler, marks, water or other liquids?

Inaccessible areas (edges, corners and around furniture) are free from dust, grit, lint and spots?

There are no inappropriate items or equipment in the kitchen?

There is no evidence of infestation or animals in the kitchen?

Fly screens are in place where required?

There is a policy regarding patient and visitor access to the kitchen?

Cleaning materials used in the kitchen are identifiable (e.g. colour coded) and are stored separately to other ward cleaning equipment and away from food?

Hand wash sink, liquid soap and disposable paper towels are available?

Hands are decontaminated and a clean plastic apron is worn to serve patient meals and food and drink?

Fixtures and fittings are in a good state of repair?

Fixtures, surfaces and appliances are free of grease, dirt, dust, deposits, marks, stains and cobwebs?

Shelves, cupboards and drawers are clean inside and out and free from damage, dust, litter or stains, and in a good state of repair?

Kitchen trolleys are clean and in a good state of repair?

Refrigerators / freezers are clean and free from ice build up?

There is a thermometer in the fridge and freezer?

The is evidence that daily temperatures are recorded and appropriate action is taken if standards are not met ( refrigerators temperature must not be less than 8 degrees or a local policy freezer temperature -18 degrees)?

Patient and staff food in the fridge is labelled with name and date?

There are no drugs / blood for transfusion or pathology specimens in the fridge?

Microwaves are visibly clean?

Where local policy allows a microwave to be used to heat patient food a temperature probe is used to ensure correct temperature has been reached?

Toasters are visibly clean?

Milk coolers are visibly clean?

Bread is stored in a clean bread bin?

All food products are within their expiry date?

All opened food is covered or stored in containers?

Milk is stored under refrigerator conditions?

Water cooler and ice machines for patient use are mains supplied?

Water coolers are visibly clean and on a pre-planned maintenance programme?

Ice machines are visibly clean and on a pre-planned maintenance programme?

Scoop used for ice is stored outside of the machine in a lidded container?

There is a satisfactory system for cleaning crockery and cutlery such as a central wash-up or dishwasher, achieving disinfection temperatures evidenced by a maintenance programme?

Disposable paper roll is available for drying equipment and / or surfaces?

Waste bins are foot operated and in good working order?

Waste bins are clean and labelled '"for general waste"?

Patient Equipment - Management

Patient Equipment - Management of Equipment

Is all equipment detailed on a cleaning schedule?

Are schedules completed, signed and up-to-date with frequencies and responsibilities identified?

Are items sent for service, inspection or repair, appropriately cleaned and / or disinfected, and a label or contamination status attached?

Is loaned equipment decontaminated prior to use unless received from an accredited sterile services department / unit?

Are sterile products stored above floor level?

Are sterile packs sealed and undamaged?

Are all sterile items in date?

Can staff describe the symbol used to indicate single use items?

Are all re-usable instruments returned to a sterile services provider for decontamination?

Are cleaning products available for routine cleaning of equipment?

Patient Equipment - Mobile Equipment

Patient Equipment - Mobile Equipment

Is mobile equipment such as drug trolleys, notes trolleys, mobile x-Rays and ultrasound equipment is visibly clean?

Is there a system to routinely clean mobile equipment and is this monitored?

Patient Equipment - Monitoring and Physiological Equipment

Patient Equipment - Monitoring and Physiological Equipment

Is all equipment in a good state of repair?

Is blood pressure monitoring equipment visibly clean?

Are all stethoscopes visibly clean?

Is blood glucose monitoring equipment visibly clean?

Is all re-usable equipment routinely cleaned between every patient with general purpose detergent or as local policy / manufacturers instructions where this differs?

Are IV stands / pumps / visibly clean?

Are monitoring leads / straps decontaminated between patients?

Are tourniquets single use or decontaminated between uses?

Patient Equipment - Resuscitation Equipment

Patient Resuscitation - Resuscitation Equipment

Are items on the resuscitation trolley visibly clean?

Is resuscitation equipment either single use or reprocessed through a sterile services provider?

Is the suction machine visibly clean and dry?

Are nebulisers stored clean and dry between uses?

Are disposable suction liners used and changed between patients?

Patient Equipment - Manual Handling

Patient Equipment - Manual Handling

Is manual handling equipment stored appropriately?

Are manual handling slings / sheets single use or laundered after use?

Are hoists visibly clean and in a good state of repair?

Are PAT (Patient Assisted Transfer) slides stored off the floor?

Patient Equipment - Misc

Patient Equipment - Miscellaneous Equipment

Are aids such as walking sticks, Zimmer frames and helping hands visibly clean and stored in a suitable area?

Are wheelchairs visibly clean and in a good state of repair?

In paediatric areas toys are visibly clean?

Are toys made of cleanable materials?

Is stored patient equipment, e.g. IV stands, pumps, mattresses and bariatric equipment visibly clean, ready for use and identified as such?

Personal Protective Equipment - PPE

Personal Protective Equipment - PPE

Are single use plastic aprons available?

Are single use plastic aprons stored appropriately away from the risk of contamination?

Are single use aprons worn as single use items and changed between every patient?

Is there a range of sizes of sterile and non-sterile powder free gloves available?

Are gloves stored appropriately?

Are gloves worn when in contact or anticipated contact with contaminated items?

Are gloves removed after care activity and hand hygiene performed?

Is eye and face protection worn by staff when anticipating contact with blood and body fluids with a high risk of splashing in the face and eyes?

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.