|
5
|
1
|
Ambient air temperature 65 to 85 F, equipment clean |
No |
No
|
No |
Observed: AC filters collecting dust in several areas throughout facility.Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed: Can beverages stored within 8" of the floor in the Pharmacy closet. The interior of a Pyxis unit collecting dust and debris (bottom) in a 3rd floor Med Room. A IV pole tray collecting dust and debris in CT.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). |
|
33
|
1
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Observed: Soiled linen bags not pulled tight/closed properly in 4th floor and 3rd floor Soiled Linen Rooms. No lid on the soiled linen bin and the soiled linen cart lid left open in Prep/Recovery and PACU. The soiled linen not contained in the bags in the Soiled Linen Chute room. Soiled linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. 15A NCAC 18A .1319 (b). |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
Observed: The interior of the cabinets collecting cracker and coffee residue/debris in the 3rd floor Pantry.Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). |