CDC Environmental Checklist for Monitoring Terminal Cleaning

Use the CDC Environmental Checklist for Monitoring Terminal Cleaning to assess the hygiene of high-touch surfaces, equipment, etc. for infection control.

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CDC Environmental Checklist for Monitoring Terminal Cleaning

General Info

Priority Sites For Patient Rooms

Additional Equipment (If Present In Room)

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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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CDC Environmental Checklist for Monitoring Terminal Cleaning

Use the CDC Environmental Checklist for Monitoring Terminal Cleaning to assess the hygiene of high-touch surfaces, equipment, etc. for infection control.

1. What is the unit?

2. What is the room number?

3. Which monitoring method is used? • Direct observation • Fluorescent gel • Swab cultures • ATP system • Agar slide cultures

1. Are bed rails and controls checked for proper function and cleanliness?

2. Is the tray table inspected for cleanliness and proper operation?

3. Is the IV pole (grab area) sanitized and in good condition?

4. Is the call box/button tested to ensure it works properly?

5. Is the telephone cleaned and in working order?

6. Is the bedside table handle checked for cleanliness and ease of use?

7. Is the chair inspected for stability and cleanliness?

8. Is the room sink cleaned and free of obstructions?

9. Is the room light switch functioning correctly and sanitized?

10. Is the room’s inner door knob checked for cleanliness and proper operation?

11. Is the bathroom inner door knob/plate properly sanitized and secure?

12. Is the bathroom light switch operational and clean?

13. Are the bathroom handrails by the toilet securely fastened and sanitized?

14. Is the bathroom sink free of debris and properly cleaned?

15. Is the toilet seat sanitized and free of damage?

16. Is the toilet flush handle cleaned and in working condition?

17. Is the toilet bedpan cleaner checked for functionality and cleanliness?

1. Is the IV pump control panel properly cleaned and functioning?

2. Are the multi-module monitor controls sanitized and working correctly?

3. Is the multi-module monitor touchscreen free of smudges and cleaned properly?

4. Are the multi-module monitor cables inspected for cleanliness and proper connection?

5. Is the ventilator control panel properly cleaned and operational?