INFECTION CONTROL INSPECTION CHECKLIST

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					Form #173 Org: 04/09; Rev: 06/09

                               Satilla Community Services
                       St. Illa Infection Control Inspection Checklist

DATE: _____________


Cleanliness/Infection Control                                   Exception   Description

Antibacterial soap in nursing station and med room
Hand Sanitizer available at Work Stations w/ no sink
Rooms are clean with no visible dust on surfaces
Room doors close securely/tightly
Nothing should be stored on floors or w/in 18” of ceiling
Vents are clean with no visible dust
Floors are clean and free of debris
Toilets are clean and flush
Soap dispensers are filled and cleaned, and paper towels
at each sink
Waste bins are available in all rooms
Refrigerators clean/items dated
Refrigerator Temperature and Cleaning charts up-to-date
Sharps containers are not overfilled and are ready for use
Red hazardous waste bins are available on the unit
Soiled linen is stored securely and disposed of properly
No food items or drink items in patient rooms
Showers have been activated and the shower head is in
place with no visible mold
Spill Kits easily accessible

ISSUES IDENTIFIED:




FOLLOW-UP CORRECTIVE ACTION:




Name: ________________________________________

				
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Description: INFECTION CONTROL INSPECTION CHECKLIST