Daily Unit Rounding Checklist

Additional
Elaborate if there is any requirements of Service Recovery?
Please share any Staff Recognition:
Clean Utility area
Was there solid bottoms on Linen and supply carts?
Were the supplies stored on pallets or wire shelving?
Were corrugated shipping boxes removed immediately?
Did you notice other non-compliant findings?
Crash Cart Area
Is Defibrillator plugged in?
Is the Crash Cart well maintained?
Is Crash cart logs and Defibrillator checked regularly?
Are Patches for leads sealed with original packages?
Did you notice other non-compliant findings?
EOC Exits & Egress Check
Were the Exit doors and egress clear and free from obstacle?
Did you notice other non-compliant findings?
Was the Hallways clear and obstacle free?
Did you notice any blockage near the medical gas valves, fire extinguishers or pull stations?
Can the doors open freely?
At patient care areas or nurse’s stations did you find any foods or beverages?
Was clinical engineering sticker & current PMs label stuck on all Pt. equipment ?
Were there unattended meds on Pyxis, WOWs, or throughout the unit?
Did O2 tanks upright in holder, full and empty tanks have separate stickers?
Did you notice other non-compliant findings?
Infection precaution check
Can the staff explain/ provide demo on proper donning and doffing of PPE?
Did you notice Contact Precaution sign and isolation cart placed outside the room?
Was proper cleaning done at all units?
Did you notice any sinks throughout the unit?
Did the staff sanitize their hands while entry/exit the patient room?
Was the dispensers well stocked with hand gel?
Did you notice any open Sani-Cloth containers?
Did you notice gloves, booties, hanging face masks near hallway or public areas?
Did you notice other non-compliant findings?
Med Area
Was Med Prep areas clean?
Was Med rooms have access for authorized personnel only?
Was there separate Pill cutters for each patients?
Are regular checking done for Med refrigerator and freezer temp logs?
Is checking done for expired meds & supplies?
Did you notice other non-compliant findings?
Patient Pantry/Kitchen area check
Was proper Pt. name and date labelling done on patient food?
Was there any stored food in patient's refrigerator?
Was dietary services used to check the Refrigerator temp ?
Did you notice other non-compliant findings?
Soiled Utility section
Were marking done for the equipment which needs cleaning?
Were labelling and covering a lid done on all biohazard containers?
Did the soiled utility rooms have clean supplies?
Did you notice other non-compliant findings?
Staff Knowledge
Did the staff well dressed with ID card and badges at chest level?
Were the staff knowledgeable about fire alarm pull station?
Was the staff aware of the nearest fire extinguisher location?
Was the staff knowledgeable about fire extinguisher (P.A.S.S.)?
Can the staff explain what to do in case of fire (R.A.C.E.)?
Were 2 patient identifiers in compliance with hospital policy used by the staff?
Did you notice other non-compliant findings?
Waived Check
Is there any expired supplies?
Are Glucometers, Controls and Strips dated w/date opened/expiration date; toss after 90 days?
Did you notice other non-compliant findings?

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