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Survey Readiness for Housekeeping_Environmental Services

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Survey Readiness for Housekeeping/Environmental Services
Randy Benson, PhDConsultantWHS Healthcare Quality Service
Housekeeping/Environmental Services
WAC 246-320-405The Purposeof the Management ofthe Environment of Care Is To Manage The Environmental Hazards and Risks, Prevent Accidents and Injuries, and Maintain Safe Conditions For Patients, Visitors and StaffCMS Standard 485.623(b)(4) The Premises are Clean and Orderly“Clean and Orderly” means an uncluttered physical environment where patients and staff function safely. Equipment and supplies are stored in proper spaces, not in corridors. Spills are not left unattended. There are no floor obstructions. The area is neat and well kept.
Housekeeping/EnvironemntalServices
Team Member
Housekeeping/Environmental Services
Areas of Surveyor Interest:General Cleanliness of FacilityIsolation Policy and Protocol AdherenceProper Use of Cleaners and DisinfectantsStaff CompetenceSafetyJob KnowledgeJob Skill
Housekeeping/Environmental Services
Follow the Survey Process
Housekeeping/Environmental Services
General CleanlinessStart at the Lobby and/or Any Other Public EntrancesLook For Dirty or scuffed FloorsLook For Spider Webs in Corners or in Light FixturesLook for High DustWhere Is the Wheelchair Cleaning Station?
Housekeeping/Environmental Services
Down Hallway to Emergency DepartmentAbandoned Housekeeping CartsClutter in HallwaysDustBehind Hallway Fire DoorsDirty or Scuffed FloorsDust on HVAC Grillwork
Housekeeping/Environmental Services
Emergency DepartmentGeneral CleanlinessHigh DustDusty Equipment (Beds, etc.)Overfilled Sharps ContainersOverflowing Garbage ContainersSpills
Housekeeping/Environmental Services
Nursing Unit:Dust Behind Hallway Fire DoorsHigh Dust (Picture Frames, Signage, etc.)Dust on HVAC GrillworkDusty EquipmentAbandoned Housekeeping Cart (20+ minutes)ClutterHazardous Chemicals on Cart (MSDS Forms)Observation of Proper Hand Hygiene
Housekeeping/Environmental Services
Nursing Unit Waiting Area/Quiet RoomDustClean UpholsteryNo Toys That Must Be WashedProper Lighting
Housekeeping/Environmental Services
Ancillary/Support AreasDustScuffed/Dirty FloorsOverflowing Garbage ContainersDirty Upholstery
Housekeeping/Environmental Services
Infection Prevention Policy Compliance (Isolation Observance and Competence)Response To Posted Isolation SignageProper Hand HygieneProper PPE UseProper Terminal Cleaning of Isolation RoomsProper Use of Cleaners and DisinfectantsMovement of Contaminated Materials
Housekeeping/Environmental Services
Isolation (cont.)Explanation of What Posted Isolation MeansDiscussion With Manager About Terminal Cleaning TrainingInteraction/Cooperation With Infection Preventionist About IssuesCleaners and Disinfectants:Mixing If Not Premixed (Competence)Proper Use (Especially in Surgical Services)
Housekeeping/Environmental Services
Competence (Safety, Job Knowledge, Job Skills)Time With Manager To Discuss Training Process and DocumentationCompletion of Safety Modules; All Staff and All ModulesDemonstration of Safety Competency (Fire, Chemical Spills, Codes, etc.), Generic and Department SpecificResponse to Questions
Housekeeping/Environmental Services
Safety CompetenceJob Knowledge; Discussion and Observation (Do Staff Understand Why They Are Doing What They Are Doing?)Proper Cleaning TechniqueMSDS FormsWho Cleans What?Spill Cleanup Training
Housekeeping/Environmental Services
Safety CompetenceJob Skills (Do Staff Use Proper Techniques and Skills to Effectively Do the Things Their Job Description Requires Them To Do?)Annual Assessment of Individual SkillAnnual Skills FairProper Equipment and SuppliesProper Documentation (If It Is Not Documented, ItDidn’t Happen)
Housekeeping/Environmental Services
Specialized Training/Areas of AssignmentSpecial Skills for:Surgical ServicesMother/BabyKitchen/Nutrition ServicesAncillary Clinical Services (Therapies, Radiology, Pharmacy, Laboratory, etc.)
Housekeeping/Environmental Services
QUESTIONS?
Housekeeping/Environmental Services
Next Month:Semi-annual Update ofDOH Survey CitationsJanuary 12, 201610:30 a.m.
Housekeeping/Environmental Services
Randy Benson, PhDWHS Healthcare Quality ServiceConsultantrbenson117@comcast.net509 951-4878

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Survey Readiness for Housekeeping_Environmental Services