S02 Attachment Twenty Five 25 Service Specific Environment of Care Rounds.pdf
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- Attached to
- CBOC Services | West Palm Beach VAMC
- Solicitation number
- 36C24821R0092
About this file
This document contains an attachment for a solicitation for CBOC Services at the West Palm Beach VAMC. The attachment provides a template for conducting service-specific environment of care rounds. The template includes sections to record the date of inspection, areas inspected, and items to check such as ensuring corridors are unobstructed, trip hazards are addressed, and required personal protective equipment is available. Inspection items are to be checked as OK or requiring action, with actions and closure dates recorded. This attachment provides guidance on conducting regular safety and standards reviews of medical service areas.
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Attachment Twenty-Five (25) – Service Specific Environment of Care Rounds
36C24821R0092
Service Specific Environment of Care Rounds
Service/Section: _____________________________ Date of Inspection: ____________________ Inspected By: _____________________
Area/Rooms Inspected: ___________________________________________ __________________________________________________
Inspection Items OK Actions Taken/Date of Closure
1 Soiled floors (Call EMS at ext. 6628)
2 Stained ceiling tiles (Call ext. 6286 and report the ceiling tile by room number or enter a workorder)
3 Oxygen tanks are stored upright in racks or secured with chains - full and empty tanks are stored separately (Call Logistics ext. 5504)
4 No food, drink, or coffee pots in patient exam rooms or in any location where there is a potential exposure to blood or other infectious materials (Correct condition and educate staff. Call Infection Control for questions.)
5 Corridors are unobstructed (The ONLY items permitted per Joint Commission are:
equipment and carts in use, crash carts, patient lifting and transport equipment) (Correct conditions and educate staff.)
6 Trip hazards
• Carpet or tile, call ext. 6286
• Computer cords, call OIT Help Desk, ext. 6806
• Medical equipment cords, call 6658.
7 Patient information is properly protected. (Correct deficiencies and educate staff.
Call the Privacy Officer, ext. 7736, for questions.)
8 Free and clear access to fire alarm pull stations, fire extinguishers, medical gas control panels, electrical panels. (Correct condition immediately and educate staff.)
9 Required personal protective (PPE) equipment is readily available, in good condition. (Report this to staff that stock the area or the supervisor.)
10 Only computers or printers are plugged into power strips. Power strips are not connected to each other to create an extension cord. (Correct deficiencies and educate staff. Call 6628if work orders are needed.)
11 Other:
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