checklist No. 34

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Edit EFS Checklist

No. 34

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AICUBoilerCath lab & CCUChiller– medical gasCSSDERFire pump roomGenerator & Electricity stationGW1GW2GW3GW4GW5ICU burnITKitchen& cafeteriaLab& BB and blood donationlaundryMedical wasteMorgueMRDNICUOPDOPD 2& EndoscopyORPharmacyPICURadiologyWarehouse

Sections

IPC Clinical

Utility Managment

Biomedical Equipment

Patient Safety Goals

Security

Quality

Safety

Hand Hygiene Sum

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PPE Sum

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Aseptic Techniques Sum

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Isolation Measures Sum

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Cleaning & Disinfection Sum

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Housekeeping Sum

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Utility Management

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Utility Management

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Biomedical Equipment Sum

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Biomedical Equipment

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Patient Safety Goals

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Patient Safety Goals

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Security Sum

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Security

Staff lockers / valuables secure دوااليب العاملين مؤمنةStaff wearing ID badge, picture clear and wearing appropriately . الموظفون يرتدون شارة الهوية ، وصورهم واضحة ويرتدون ملابس مناسبةOther persons visitors, physicians, vendors, etc) in area have identification الأشخاص الآخرون الزوار والأطباء والبائعون ، إلخ) في المنطقة لديهم بطاقة تعارفStaff can answer question correctly “What is your role in a Code Black” يمكن للموظفين الإجابة بشكل صحيح على سؤالStaff can answer question correctly “What is your role in a Code grey” ييمكن للموظفين الإجابة بشكل صحيح على سؤالStaff can answer question correctly “What is your role in a Code Pink” يمكن للموظفين الإجابة بشكل صحيح على سؤالStaff can answer correctly “How do you report a workplace violence issue” يمكن للموظفين الإجابة بشكل صحيح u0022كيف تبلغ عن مشكلة عنف في مكان العملu0022Area free from signs of smoking (stairwell, patio…) المنطقة خالية من اي علامات تدل علي وجود تدخين (بئر السلم ، الفناء ...)

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Quality Admin

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How to access policy/ KPIS/Improvement projects/FormsStaff aware of Patient identification Unknown patient identification and in case of disasterOVR reporting and how to access ovr formTypes of inicdentsDepartment KPISRisk Assessment and how to accessHow does our department contribute to the performance improvement and patient safety planStaff aware of PDCA tool used in improvement projectCode silver , who/when is the code activated & RecoveryGeneral precautions to prevent patient fallSpescific precautions to prevent patient fallYour role in case of patient fallOrientation programs received by the employee General/Departmental/Job SpecificHow often is the employee evaluatedJob description and how to accessHospital Mission and VissionPatient rights & responsibilities and how to report violationsCommunication with patients speaking foreign languagesHow would you help a patient to fill a complaintRACE and PASSTypes of fire extinguishers and their useWhat do you know about the daimond sign? what does each color represent?Last time you participated in fire drill (annual)MSDSAvailability and regular checking of Biological Spill KitAvailability and regular checking of Chemical Spill KitCode Orange activation When & How (111)The nearest eye wash station safety showerNearest fire alarm to activate/fire extinguisher/emergency staircaseEvacuation teamStaff awareness of hospital codes: Code RED Code ORANGE Code BROWN Code YELLOW Code GRAY Code SILVER Code PINKCODE BLUE RRTEmergency assembly pointsStaff awareness about sustainability initiatives

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Quality Clinical

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Staff are aware about GSRPatient is identified before any procedureThe staff is aware of verbal and telephone order processCather and tube misconnection labellingFall risk assessment and re assessment is documented completelyHow can you prevent patient fall?pressure ulcer prevention skin assessment is well done and documentedHandover process is documented properly between unit to other ( internal transfer form )Handover process is documented properly between nurses from shift to shift and signedStaff orinted with RRT code/ policyVTE Assesment is properly done and documentedIf you receive panic results (from lab, radiology) what must you do?Medication Storage and Labellingsepatration / labelling According to hospital policyprohibited abbrevation are not usedHow you prevent high alert medication errors?patient if they were asked by phy upon admission about their current medication or notpatient own medication are compared with curent medicationComply with current published and generally accepted hand hygiene guidelinesPatient site identification pre-operation/procedure (where,how & by whom) (Time-out Form).instrument retention prenention(where,how & by whom)Staff are aware OVR poicy ,Process & formStaff knows how to access policies

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Fire Safty

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General Safty

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Hazards Material

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Waste Managment

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Training

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Medical Gas room

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Pump room

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Generators

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