Corridors, Nurses Station etc.

Corridors, Nurses Station etc.

The environment, furniture, floors, fixtures and fittings are visibly clean?

All high / low surfaces are dust and cobweb free?

Computers / display screens / telephones are visibly clean?

Fans are clean and free from dust?

Air vents are clean and free from dust?

The hands free bin is visibly clean?

The hand wash basin and surrounding area is clean?

There is a hand hygiene poster displayed at every hand wash basin on the ward?

Patient Bays

Patient Bays

The environment, furniture, floor, fixtures and fittings are visibly clean?

All high / low surfaces are dust and cobweb free?

Curtains / blinds are stain, dust and cobweb free?

Fans are clean and free from dust?

Air vents are clean and free from dust?

Patient call bells are visibly clean?

Patient audio-visual systems are visibly clean?

Work station is visibly clean e.g. phones, keyboards etc.?

Hands free bin is visibly clean?

The hand wash basin and surrounding area is clean?

Check 2 mattresses for strike-through.

There are 5 moments of hand hygiene posters displayed in each bay / side room?

Clean Utility

Clean Utility

The environment, floor, fixtures and fittings are visibly clean?

The hands free bin is visibly clean?

The dressing trolley / trays are visibly clean?

The hand wash basin is clean and free from clutter?

Patient Side Rooms

Patient Side Rooms

The environment, furniture, floor, fixtures and fittings are visibly clean?

All high / low surfaces are dust and cobweb free?

Curtains / blinds are stain, dust and cobweb free?

Fans are clean and free from dust?

Air vents are clean and free from dust?

Patient call bells are visibly clean?

Patient audio visual systems are visibly clean?

The hands free bin is visibly clean?

The hand wash basin and surrounding area is clean?

Patient Side Rooms Ensuite

The toilet, shower, hand wash basin, handrails and surrounding area is clean?

Wall tiles / fixtures are clean and free from mould?

Shower curtains are clean, dry and mould free?

The hands free bin is visibly clean?

Shower Rooms / Toilets

Shower Rooms / Toilets

Shower rooms / washrooms are visibly clean?

There is no evidence of inappropriate storage of communal items, e.g. single use creams, shampoo, shower gel etc.?

Shower rooms are not used for equipment storage?

Wall tiles / fixtures are clean and free from mould?

Shower curtains are clean, dry and mould free?

The toilet, hand wash basin, handrails and surrounding area is clean and free from extraneous items?

The hands free bin is visibly clean?

Dirty Utility

Dirty Utility

The environment, floor, fixtures and fittings are visibly clean?

The dirty utility room is free from clutter and inappropriate or communal items?

The hands free bin is visibly clean?

The commodes are visibly clean, ready for use and cleaning record up-to-date?

The hand wash basin and surrounding area is visibly clean?

Ward / Department Kitchen

Ward / Department Kitchen

The environment, floor, fixtures and fittings are visibly clean?

There are no inappropriate items or equipment in the kitchen?

The hands free basin is visibly clean?

Kitchen trolleys are clean?

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

Toasters are visibly clean?

Microwaves are visibly clean?

The hand wash basin and surrounding area is clean?

Management of Patient Equipment

Management of Patient Equipment

Mobile equipoment such as drug trolleys, mobile x-rays and ultrasound etc. are visibly clean?

Aids such as walking sticks, Zimmer frames and wheelchairs etc. are visibly clean?

In paediatric areas toys are visibly clean?

Patient equipment e.g. IV stands, pumps, mattresses and bariatric equipment is visibly clean?

Blood pressure monitoring equipment is visibly clean?

Blood glucose monitoring equipment is visibly clean?

CQC Questions

CQC Questions

Is emergency equipment clean, in date and easily accessible, with a daily signed checking schedule, that is up-to-date? (Daily if not sealed)

Has equipment been signed off as clean, and is it actually clean? e.g. Hoists, bedside lockers, commodes, side tables, beds etc.

Are gloves and aprons used at appropriate times, and removed between clinical sessions?

Is hand hygiene education material clearly visible?

Ask 3 staff are they familiar with the 5 moments of hand hygiene?

Do staff use gel dispensers or wash their hands appropriately between each patient / task?

Sign-Off

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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.