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  • Environmental Cleaning Checklist10 28 2010

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    aynie
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    This document is a checklist in Indonesian used to evaluate cleanliness and disinfection of high-touch surfaces in patient rooms. It contains a list of room surfaces and equipment to inspect such as beds, tables, call buttons, sinks, door handles, toilets, medical equipment, and evaluates if they are clean, dirty or not present. The checklist is to be completed for each patient room with the inspection method used.

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    This document is a checklist in Indonesian used to evaluate cleanliness and disinfection of high-touch surfaces in patient rooms. It contains a list of room surfaces and equipment to inspect such as beds, tables, call buttons, sinks, door handles, toilets, medical equipment, and evaluates if they are clean, dirty or not present. The checklist is to be completed for each patient room with the inspection method used.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    40 views1 page

    Environmental Cleaning Checklist10 28 2010

    Uploaded by

    aynie
    This document is a checklist in Indonesian used to evaluate cleanliness and disinfection of high-touch surfaces in patient rooms. It contains a list of room surfaces and equipment to inspect such as beds, tables, call buttons, sinks, door handles, toilets, medical equipment, and evaluates if they are clean, dirty or not present. The checklist is to be completed for each patient room with the inspection method used.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    JL.

    Surabaya – Malang KM 50, Suwayuwo-Sukorejo-Pasuruan Tlp/Fax(0343) 639625


    Email:rs_sahabat@rssahabat.com, Website : www.rssahabat.com, Kodepos:6716

    Cek list kebersihan ruangan & alat alat medis ( CDC )

    Tgl :
    Unit:
    Ruangan nomor :
    Staff:

    Evaluate the following priority sites for each patient room:


    High-touch Room Surfaces3 Cleaned Not Cleaned Not Present in Room
    Bed pasien
    Meja pasien
    Tiang infus
    Tombol panggilan
    Telephone
    Pegangan meja
    kursi
    Wastafel ruangan
    Tombol lampu
    Knob dalam pintu ruangan
    Knop pintu kamar mandi
    Tombol lampu kamar mandi
    Pegangan tangan kamar mandi
    Wastafel kamar mandi
    Tempat duduk toilet
    Handel flush toilet
    pispot

    Evaluate the following additional sites if these equipment are present in the room:
    High-touch Room Surfaces3 Cleaned Not Cleaned Not Present in Room
    Syring pump/infuse pump
    Multi-module monitor controls
    Multi-module monitor touch screen
    Multi-module monitor cables

    Metode pemeriksaan yang digunakan :


    Melihat secara langsung Fluorescent gel
    Kultur swab ATP system kultur agar slide

    Sukorejo, ……………….

    IPCN

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