TJC - Tracer - Security

• Department
  Address

• Conducted on

  Date

• Prepared by:

• Location:
  Address

• Personnel

Security

• Are personal items of staff and medical staff properly secured?

  Yes

  No

  N/A

• Are all employees wearing their ID badges in plain view?

  Yes

  No

  N/A

• Confidential information is secure and HIPAA practices are followed

  Yes

  No

  N/A

• Are all sensitive areas properly secured? (i.e. mechanical and electrical rooms locked, etc.) Indicate locations that are deficient.

  Yes

  No

  N/A

• Medications are kept secured

  Yes

  No

  N/A

• Does equipment not have any exposed wires? Check the plug for exposed wires.

  Yes

  No

  N/A

• Are all high-risk medical equipment inspection tags current (e.g. ventilators, defibrillators)? Check all equipment for expiration dates. Leased equipment must also have been initially inspected.

  Yes

  No

  N/A

• Are all non-high-risk medical equipment inspection tags current? Check all equipment for expiration dates. Leased equipment must also have been initially inspected.

  Yes

  No

  N/A

• Is defective equipment tagged and removed from service?

  Yes

  No

  N/A

• Does the equipment's cleanliness, paint, wiring, and covers appear satisfactory?

  Yes

  No

  N/A