Terminal Room Cleaning Checklist - FREE PDF
Document terminal cleaning completion for patient discharge rooms.
- Industry: Healthcare
- Frequency: Each discharge
- Estimated Time: 30-45 minutes cleaning
- Role: EVS Staff / Supervisor
- Total Items: 30
- Compliance: CDC Guidelines, APIC, Joint Commission
Documentation Review
Review required documentation and policies.
- Policies and procedures current?
- Staff training documented?
- Required records complete?
Practice Observation
Observe clinical practices for compliance with CDC Guidelines.
- Staff practices comply with standards?
- Required equipment/supplies available?
- Care environment appropriate?
Patient/Resident Safety
Evaluate safety measures and outcomes.
- Safety interventions in place?
- Quality outcomes monitored?
- Quality improvement actions taken?
Regulatory Compliance
Verify compliance with CDC Guidelines, APIC, Joint Commission.
- Regulatory requirements met?
- Any deficiencies identified?
- Deficiency Description
Corrective Actions
Document required corrective actions.
- Immediate Actions Needed
- Follow-up Actions Required
- Follow-up Audit Date
- Auditor Signature
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
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