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    Nabh Cleaning

    Uploaded by

    Archana Gaonkar
    This document contains cleaning checklists for general areas, frequent touch surfaces, and patient care equipment in the ICU of a hospital location. It lists various processes that need to be cleaned on a monthly basis and provides a table to record the dates each cleaning was performed by staff. Signatures of staff, the housekeeping supervisor, and ward incharge are required to verify completion.

    Copyright:

    © All Rights Reserved
    Download as ODS, PDF, TXT or read online from Scribd

    Nabh Cleaning

    Uploaded by

    Archana Gaonkar
    383 views6 pages
    This document contains cleaning checklists for general areas, frequent touch surfaces, and patient care equipment in the ICU of a hospital location. It lists various processes that need to be cleaned on a monthly basis and provides a table to record the dates each cleaning was performed by staff. Signatures of staff, the housekeeping supervisor, and ward incharge are required to verify completion.

    Original Title

    nabh_cleaning (1)

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    This document contains cleaning checklists for general areas, frequent touch surfaces, and patient care equipment in the ICU of a hospital location. It lists various processes that need to be cleaned on a monthly basis and provides a table to record the dates each cleaning was performed by staff. Signatures of staff, the housekeeping supervisor, and ward incharge are required to verify completion.

    Copyright:

    © All Rights Reserved
    Download as ODS, PDF, TXT or read online from Scribd
    Download as ods, pdf, or txt
    383 views6 pages

    Nabh Cleaning

    Uploaded by

    Archana Gaonkar
    This document contains cleaning checklists for general areas, frequent touch surfaces, and patient care equipment in the ICU of a hospital location. It lists various processes that need to be cleaned on a monthly basis and provides a table to record the dates each cleaning was performed by staff. Signatures of staff, the housekeeping supervisor, and ward incharge are required to verify completion.

    Copyright:

    © All Rights Reserved
    Download as ODS, PDF, TXT or read online from Scribd
    Download as ods, pdf, or txt
    You are on page 1of 6

    GENERAL AREA CLEANING CHECK LIST

    Sl. Month: Locatio


    No Process Dates performed
    1 2 3 4 5 6 7 8 9 10 11 12 13
    1 Sweep the floor
    2 Mop the floor
    3 Cleaning cobwebs
    4 Walls
    5 Door
    6 Windows
    7 Lights & Fan
    8 Ceiling
    9 Ventilation
    Name and Signature of
    staff
    Name and Signature of
    House Keeping Sup

    ICN / Ward incharge

    17 18 19 20 21 22 23 24 25 26 27 28 29
    1 Sweep the floor
    2 Mop the floor
    3 Cleaning cobwebs
    4 Walls
    5 Door
    6 Windows
    7 Lights & Fan
    8 Ceiling
    9 Ventilation
    Name and Signature of
    staff
    Name and Signature of
    House Keeping
    Supervisor
    ICN / Ward incharge
    Location:

    13 14 15 16

    29 30 31
    P FREQUENT TOUCH SURFACES CLEANING CHECK LIST
    Month: Location:
    Dates performed
    Sl. No Process 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

    1 Phone
    2 Computer
    3 Counter top
    4 Chair
    5 Table
    6 Cupboards
    7 Door Knobes
    8 Fan Regulators
    9 Switch Board
    Name
    Name and
    and Signature
    Signature of
    of staff

    HK
    ICN / Ward incharge
    Supervisor
    ECK LIST

    23 24 25 26 27 28 29 30 31
    PATIENT CARE EQUIPMENT CHECK LIST (ICU)

    Month: Location:
    Sl. No Process Dates performed
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
    1 Stethescope
    2 BP Apparatus with cuff
    3 Cardiac Monitor
    4 Cardiac Table
    5 Defibrillator
    6 Crash cart
    7 Syringe pump
    8 Infusion pump
    9 Ventilator
    10 Oxygen Flow meter
    11 Bed Rails
    12 ECG machine with Cable
    13 Probes
    14 Patient Trolley
    15 Dressing Trolley
    16 Suction Apparatus
    17 IV Stand
    18 Glucometer
    19 Wheel Chair

    Staff name/ sign

    Ward incharge name/sign

    ICN name/sign
    T (ICU)

    23 24 25 26 27 28 29 30 31

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