Terminal Cleaning of Isolation Rooms Checklist

Use the Terminal Cleaning of Isolation Rooms Checklist to ensure thorough hygiene by following systematic procedures from PPE usage to cleaning protocols.

Terminal Cleaning of Isolation Rooms Checklist



Preparation And Setup

1. Is the equipment prepared and is the High Security Cleaning Cart loaded with everything needed for the task?


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2. Are Clorox germicidal wipes with bleach prepared?


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3. Is hospital disinfectant mixed (2 oz per gallon of water)?


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4. Are disposable microfiber cloths available?


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5. Is a disposable microfiber mop ready?


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6. Is a disposable microfiber duster sleeve included?


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7. Is a disposable microfiber dust mop available?


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8. Is the extension pole included?


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9. Are gloves available?


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10. Is anti-microbial soap stocked?


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11. Is hand sanitizer ready?


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12. Is the HEPA vacuum included?


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13. Is the appropriate attire and Personal Protective Equipment (PPE) being worn?


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14. Is eye protection (safety glasses, goggles, or face shield) being used?


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15. Are disposable gloves on?


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16. Is a disposable gown, liquid-splash protective suit, or disposable suit being worn?


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17. Is an N95 respirator being used?


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Special Isolation Procedures

1. Has hand hygiene been performed and gloves donned before entering the room, with gown cuffs pulled into gloves?


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2. Has the door sign for the isolation condition been reviewed?


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3. Are there special instructions included for the isolation procedure?


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4. Is the room confirmed to be in isolation mode with a reading of -0.019 negative pressure?


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5. Has the cleaning cart been left in the hall and a restricted access sign set up?


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Cross-Contamination Preventative Measures

1. Are clean mop heads and cleaning cloths used for each space to prevent cross-contamination?


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2. Is the mop water and mop heads changed after leaving every space?


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3. Are used mop heads and rags placed in a containment bag and submitted to laundry service at the end of the shift?


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4. Are soiled gloves removed, hands sanitized or washed, eye protection cleaned and sanitized, and face masks assessed for safe functionality?


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Isolation Room Cleaning Procedures

1. Has the room been surveyed, furnishings straightened, and loose debris picked up?


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2. Have tissue boxes been checked and replaced if needed?


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3. Have disposable cups been discarded?


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4. Have all objects on the floor been removed?


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5. Have waste containers been emptied and lined?


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6. Has the waste bag been handled from the top?


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7. Has the waste basket been cleaned?


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8. Has infectious waste been removed and discarded in the designated biohazard area?


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9. Have all soiled linens been removed, placed inside the biohazard bag, and requested for laundering?


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10. Has high dusting been performed using the microfiber flexible dusting wand?


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11. Have vents (supply & return) been dusted?


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12. Have light fixtures been dusted?


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13. Have sprinkler heads been dusted?


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14. Have high ledges been dusted?


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15. Has terminal cleaning been performed on all vertical surfaces, including walls and wall-mounted objects?


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16. Has an extension pole and flat surface mop been used to clean/disinfect from ceiling-to-wall and wall-to-floor areas?


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17. Have baseboards been cleaned?


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18. Have light switches been cleaned?


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19. Has the thermostat been cleaned?


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20. Have the blinds been cleaned?


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21. Have doors, door frames, and handles been cleaned?


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22. Have vital machines been disinfected?


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23. Have computers, mice, and keyboards been disinfected?


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24. Have dispensers been cleaned?


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25. Has the glove rack been disinfected?


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26. Have cabinets and handles been disinfected?


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27. Has terminal cleaning been performed on all horizontal surfaces?


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28. Has the exam bed (drawers/base) been cleaned?


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29. Have cabinets and handles been disinfected?


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30. Have countertops been wiped down?


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31. Have all hard surfaces been cleaned?


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32. Have windows been cleaned?


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33. Have ledges been wiped?


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34. Has the thermostat been wiped down?


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35. Have the blinds been cleaned?


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36. Have chairs (non-porous surfaces) been wiped down?


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37. Has vacuuming been performed on porous surfaces, followed by spraying with an EPA-approved disinfectant?


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38. Has the mattress been disinfected?


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39. Have the bed frame and rails been cleaned?


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40. Has the disinfectant been allowed to dwell according to the manufacturer's instructions?


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41. Has the disinfecting process been completed on all cleaned surfaces?


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42. Have all areas been sprayed and wiped down with disinfectant spray cleaner?


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Floor Cleaning And Disinfection

1. Have safety signs been put out to indicate a floor hazard?


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2. Has the floor been dust mopped, beginning in the far corner away from the exit?


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3. Has the floor been damp mopped?


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4. Have used clothes and mops been disposed of in a facility-approved container?


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5. Has Personal Protective Equipment (PPE) been removed according to facility policies?


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Isolation Room Bathroom Cleaning

1. Has the mirror been cleaned using a disposable microfiber cloth?


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2. Has the sink area, including the counter, faucet, handles, and basin, been cleaned with a clean disposable microfiber cloth?


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3. Have other surfaces in the bathroom been cleaned with a clean disposable microfiber cloth?


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4. Has the toilet been disinfected?


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5. Have all consumable supplies been restocked?


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6. Have waste containers been emptied and relined?


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Final Inspection

1. Has the room been inspected and has the quality checklist been completed?


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2. Has PPE been removed before leaving the room?


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3. Has hand hygiene been performed and new gloves put on?


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4. Have all tools and equipment been cleaned and returned to the cart?


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5. Have gloves been removed and hand hygiene performed again?


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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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