Facility Checklist
Facilities/Advanced Patient Care (continued)
Date: ____________ Location: _______________________ Team member: __________________________
Intensive Care Unit
Description of Structural Components
Floors: |
|
Ceilings: |
|
Windows: |
|
Doors: |
|
Missing or damaged structural components (note location): |
|
Pests/Mold
Description and location: |
|
Communications
Nurse call system? |
|
Other? |
|
Telemetry system? |
|
Lighting
HVAC and Air Flow (ducts, vents, and radiators)
Air Flow:
Y |
N |
Sinks? |
Y |
N |
Floor drains? |
Fire Suppression:
Y |
N |
Sprinkler heads? |
Y |
N |
Extinguishers? |
Waste Management and Hazardous Materials:
Y |
N |
Containment and storage capability? |
Y |
N |
On-site treatment/management set-ups? |
Hazardous Materials Management (storage, use):
Y |
N |
Segregated hazardous wastes storage? |
Y |
N |
Shielded radioactives storage? |
Y |
N |
Eye washes, drench showers? |
Y |
N |
Flammables cabinets? |
Y |
N |
Compressed gases chains? |
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