Audit

Safety & Security

Is clean linen covered and separated from dirty linen?

Are sink cabinets screwed shut?

Is only hospital-approved hand lotion in use?

Are sinks clean and unobstructed? (supplies 6 inches from sink minimum)

Is PPE available (i.e. cabinets/wall hangers stocked, especially isolation rooms)?

Are clean patient items stored off the floor at least 8 inches?

Are alcohol hand sanitizer, soap, (within date) and paper towels available?

Do all wire storage units have a solid bottom shelf (or liner) if in use for clean storage?

Are clean patient items stored in clean bins (i.e. not outside shipping cartons)?

Are temperature logs on med/food refrigerators complete and within acceptable limits (or action noted)?

Are sterile items within expiration dates and/or acceptable package integrity?

Are medication and food refrigerators clean?

Is patient food separated from staff food?

Are no expired medications or food items present (including no open food cartons)?

Are pill crushers clean?

Are trash cans not overfilled?

Are there no staff food or open drink containers in patient care areas?

Are bases of rolling equipment (IV poles, WOWs, carts) clean and dust free?

Is cleaned equipment easily identified as ready for use (e.g. bagged)?

Are surfaces in clinical areas cleanable (vinyl chair covering, sealed surfaces, etc.)?

Are no live potted plants in clinical areas (except for patient rooms)?

Are all staff (including physicians and contractors) wearing ID badges in plain view?

Are storage and equipment rooms free of clutter and unsafe conditions?

Are wet floors clearly marked with signage?

Are general areas clean and free of clutter?

Are mechanical, electrical, janitorial, and communications (data) rooms locked?

Hazardous Materials

Are sharps containers less than 2/3 full?

Are items not being stored on top of sharps containers?

Are all hazardous areas identified with proper signage?

Are eyewash station irrigation bottles sealed and within date (if applicable)?

Are plumbed eyewash stations flushed for 3 min weekly (minimum) and logged?

Are chemicals stored separately from food or other clean items?

Is there a hazardous spill kit available (for appropriate areas)?

Are secondary chemical containers labeled with product name/
hazard label/manufacturer/expiration date?

Are hazard spill and exposure signs posted (for appropriate areas)?

Are medical specimens labeled appropriately and transported in leak-proof
containers/bags?

Are appropriate containers in use for biohazard waste?

Are biohazard rooms secure?

Are red biohazard bags available in the biohazard rooms?

Fire Safety

Is area free from evidence of smoking/tobacco use?

Are Fire Pull stations unobstructed?

Are oxygen cut-off valves clearly marked and unobstructed?

Are electrical panels in the area closed and locked if not in a room?

Are compressed gases (i.e. O2 tanks maximum 12 per storage area) stored properly?

Are all exit doors and stairwells clear?

Are fire doors not propped or held open?

Are fire extinguishers present and in date?

Do all doors close and latch properly?

Are items stored 18” below ceiling/sprinklers?

Are computers on wheels, beds, and equipment stored in alcoves or equipment rooms rather than hallways?

Utilities/Facilities

Are ceiling tiles clean, stain-free, and in good condition?

If patient is in Airborne Isolation, is negative air sufficient (>0.01”), alarm activated, and log up to date (confirm with Plant Ops)?

Are walls in good repair without holes or torn sheetrock?

Are lights in working order?

Is area free of leaks or signs of water damage?

Is area appropriately heated or cooled?

Is the hot and cold water system working well?

Is the flooring free from trip hazards such as loose tile or carpet?

Medical Equipment

Is all equipment (beds, wheelchairs, desk chairs, IV poles, etc.) in good repair?

Are all medical equipment tags current?

Has all electrical equipment been approved by Clinical Engineering (Biomed)?

Are there no 2-prong extension cords in use?

Is equipment free from any exposed wires?

Is critical medical equipment plugged into red outlets?

Are warmers within temperature recommendations (Fluids <110 f Blankets <130 f)?

Medication Safety

Are all drugs secured (in constant direct observation or locked)?

Are tackle boxes locked (and in a locked cabinet or room if in an unmanned area)?

Are all decentralized medication units locked with no keys in them?

Have all medications been checked for expired items?

Are opened medication vials dated and discarded after 28 days?

Are syringes labeled, dated, and secured?

Is medication Pyxis clean on the inside?

Crash Carts

Are crash cart logs complete and readily available with only current month in book?

Have defibrillator pads been checked for expiration?

Have dates on drawers been checked for expiration?

Are cart locks intact?

HIPPA- Patient Information

Is patient information secure and out of public view (i.e. charts closed, clipboards covered, shred bins secure, computer screens signed off when unattended)?

Are discharged patient belongings bagged and labeled with date, stored in soiled equipment room, and awaiting Security pick up less than 24 hours?

Are downtime computers not in routine daily use?

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.