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  • Environmental of Care Round Hmc3: April 25, 2018 at 9030

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    The environmental rounds report summarized the following: 1) Attendance at the meeting and areas reviewed included pharmacy, quality, housekeeping, nursing, and hazmat. 2) Observations were reported from different areas including expired medications, unsafe door openings, unused rooms, and dirty areas. 3) Recommendations were provided to address the observations like proper medication disposal, slowing door speed, utilizing unused rooms, and increased cleaning. 4) Responsible individuals and deadlines were assigned to take action on the recommendations.

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    Copy of EOC Round Done on DSU 25-4-2018

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    The environmental rounds report summarized the following: 1) Attendance at the meeting and areas reviewed included pharmacy, quality, housekeeping, nursing, and hazmat. 2) Observations were reported from different areas including expired medications, unsafe door openings, unused rooms, and dirty areas. 3) Recommendations were provided to address the observations like proper medication disposal, slowing door speed, utilizing unused rooms, and increased cleaning. 4) Responsible individuals and deadlines were assigned to take action on the recommendations.

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    9 views5 pages

    Environmental of Care Round Hmc3: April 25, 2018 at 9030

    Uploaded by

    saad
    The environmental rounds report summarized the following: 1) Attendance at the meeting and areas reviewed included pharmacy, quality, housekeeping, nursing, and hazmat. 2) Observations were reported from different areas including expired medications, unsafe door openings, unused rooms, and dirty areas. 3) Recommendations were provided to address the observations like proper medication disposal, slowing door speed, utilizing unused rooms, and increased cleaning. 4) Responsible individuals and deadlines were assigned to take action on the recommendations.

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    of 5

    ENVIRONMENTAL OF CARE ROUND

    HMC3
    April 25, 2018 @ 9030

    ATTENDANCE
    POSITION NAME
    ATTENDED APOLOGY NO SHOW
    Acting FMS Manager Engr. Khalid Namnam √
    Hazmat Officer Ms. Muneerah Al Otaibi √
    Quality Officer Mr. Mouad Hourani √
    Housekeeping Supervisor Mr. Manual Habla √
    Infection Control Ms.Sukunah AlSoukhni √
    Biomedical Engineer Engr. Shamel Hussein √
    Security Supervisor Mr. Salman Mousa √
    Pharmacy Dr. Tasneem Shaweesh √

    HMG/QID/4408
    Page 2 Deram& IVF

    ENVIRONMENTAL OF CARE ROUND


    HMC3
    April 25 2018 @ 9030

    Report of Pharmacy
    Area Observations Recommendations Responsible Person Action Taken Deadline

    No record in the crash cart daily checklist on


    Endocscopy Unit - DSU Fridays Head Nurse

    No medication should be used beyond its


    expiry date .. must be discarded - Multi dose
    SSW -DSU Expired Insulin vial kept in floor stock Head nurse informed Discarded
    medications should be used only for single
    patient, and to be discraded upon discharge

    Report of Quality
    Area Observations Recommendations Responsible Person Action Taken Deadline

    needs to be discussed in the utilization


    One room emptied and not utilized. committee. Medical Admin
    DSU-OR
    Main door is opening fast that may hit someone to make the opening speed of the door less
    or being unsafe. fast. FMS

    the top horizontal edges are not clean aswall to assure cleaning such places all the times Housekeeping
    paints frames, doors..etc

    refrigirator in satellite pharmacy is not to discuss this issue with pharmacy and Pharmacy
    connected yet with centralized system biomedical and then in the P&T committee. biomed
    short stay unit

    to fix the door for not to open from both sides


    the backdoor of OR-DSU is open and used with (only from inside) and get the ground yellow Nursing, FMS, Infection
    no proper restriction. This is for emergency exit and red lines (infection control) activated control
    use. properly along with PPEs availability.

    Report of Nursing

    Page 2 Reports
    Page 3 Deram& IVF

    Area Observations Recommendations Responsible Person Action Taken Deadline

    Narcotic Logbook showed that Midazolam with The Narcotic officer should make a note in the
    approved stock of 10 ampoules reduced to 5 Informed Ms. Swapna to discuss the
    DSU/ SSW ampoules without official note from the Narcotic logbook that he acknowledge the reduction of Dr. Abeer and SSW HN matter to the Narcotic officer
    officer the stock and the reason

    Anaphylactic kit - issued medications were


    labeled Light Sensitive but were issued in a clear All Light sensitive medications must be issued Dr.Tasneem was informed and she said
    DSU/ SSW plastic bag and daily checking causes exposure to with dark container (protection) Dr. Abeer she will discuss it with pharmacy staff
    light.

    All Monitoring sheets must have the expiry


    Anaphylactic kit monitoring sheet without Expiry date of the items/ medications and staff will Informed Ms. Swapna - it was corrected
    DSU/ SSW date in all medications listed double check and update accordingly during SSW HN immediately
    daily checking

    Report of Housekeeping
    Area Observations Recommendations Responsible Person Action Taken Deadline

    DSU 2nd floor Ward hallway Wall Picture Frame are dusty Need daily routine check and cleaning cleaner / HK T'L. /Sup. advice the cleaner to double check and Immediate
    clean the area as per standard

    DSU In-Patient Medicine Cabinet on top are dusty Need daily routine check and cleaning Cleaner / HK T'L. /Sup. advice the cleaner to double check and Immediate
    Pharmacy clean the area as per standard

    advice the t.L. and cleaner to do


    Dirty Utility No updated checklist Need to check and immediate log after cleaning Cleaner / HK T'L Immediate
    checklist on a daily basis

    Report of HazMat
    Area Observations Recommendations Responsible Person Action Taken Deadline

    No date in all HazMat inventory and they use old Need to use the updated form Safet link 5/1/2018
    Endocscopy Unit - DSU form.

    ***END OF REPORT***

    Page 3 Reports
    Page 4 Deram& IVF

    Status

    Open

    Closed

    Status

    Open

    Open

    Done

    Open

    Open

    Page 4 Reports
    Page 5 Deram& IVF

    Status

    ongoing

    ongoing

    Closed

    Status

    Closed

    Closed

    Closed

    Status

    Open

    Page 5 Reports

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