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  • Checklist Fasilitas Fisik: HOSPITAL: Date Unit Room Time

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    gustami
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    This checklist documents the cleaning and disinfection of a hospital room. It includes instructions to clean high touch surfaces like door handles, beds, and medical equipment using disinfectants. Specific areas that must be disinfected include bathrooms, toilets, and showers. Dusting empty beds, TVs, mini fridges, and dispensers is also listed. The checklist confirms the room is clean and ready for use when signed off by environmental services staff.

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    checlist

    Original Title

    Checklist

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    This checklist documents the cleaning and disinfection of a hospital room. It includes instructions to clean high touch surfaces like door handles, beds, and medical equipment using disinfectants. Specific areas that must be disinfected include bathrooms, toilets, and showers. Dusting empty beds, TVs, mini fridges, and dispensers is also listed. The checklist confirms the room is clean and ready for use when signed off by environmental services staff.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    15 views4 pages

    Checklist Fasilitas Fisik: HOSPITAL: Date Unit Room Time

    Uploaded by

    gustami
    This checklist documents the cleaning and disinfection of a hospital room. It includes instructions to clean high touch surfaces like door handles, beds, and medical equipment using disinfectants. Specific areas that must be disinfected include bathrooms, toilets, and showers. Dusting empty beds, TVs, mini fridges, and dispensers is also listed. The checklist confirms the room is clean and ready for use when signed off by environmental services staff.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    CHECKLIST FASILITAS FISIK

    HOSPITAL : ………………………………
    DATE : ………………………………
    UNIT : .………………………………
    ROOM : ……………………………….
    TIME : ……………………………….

    NO. INSTRUKSI KOMPONENT YA TIDAK

    1 Melakukan cuci tangan (dengan SoftaMan)

    2 Disinfect high Door handles


    Bed
    Phone
    Overbed table
    Furniture
    Patient chair
    window
    Bidside
    Medical equipment
    Spot clean walls with disinfectant cloth

    3 Disinfect Bathroom - including


    Bathroom door knop
    Toilet
    shower
    Kaca

    4 Membersihkan debu Tempat tidur kosong


    TV
    Lemari Es
    Dispenser

    5 Membersihkan lantai

    6 Remove,before exit

    7 Perform hand hygiene

    Any significant areas not mentioned above ( please describe ) : ……..

    This room looks clean and ready for use : ……


    Sign-off by environmental service employee cleaning the room : ……
    oke
    PARAF
    *IPSRS*

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