Emergency Kit Log Completed ALL Medications and Sharps are Secured or Under Constant Surveillance PASS: PULL, AIM, SQUEEZE, SWEEP Ceiling Tiles are Clean and in Good Condition RACE: REMOVE, ACTIVATE ALARM, CALL 911, EXTINGUISH EVACUATE ALL 28-day Items are Labeled with Correct Expiration Date ALL Areas are Dust Free (drawers,picture frames, windowsills, workstations, etc.) Respiratory Stations are Stocked and Clean Do your SMART CARD TODAY! CLEAR Separation of Oral Medications, Topical Medications and Injectable Medications ALL Sharps Containers are 2/3 or Less Full and Secured The Smart Program is EASY! Ensure NO Porous or Patient Care Items Under the Sinks NO Bugs in the Lights Hallways are Free of Clutter SLFH 10 Mile is the Best! NO PHI Visible (patient labels, patient documents, computers locked, etc.) All Surfaces are Clean Food or Uncovered Drinks in Patient Care Areas I love SMART CARDS! SMART CARD ASSIGNMENTS ARE MANDATORY Six Rights of Medication Administration? Right Medication Right Dose Right Route Right Time Right Patient Right Documentation Hand Sanitizers are Full/Not Empty CLEAR Separation of SALAD Medications (Sound Alike Look Alike Drugs) Do you know where to find our emergency binder? NO Outside Shipping Boxes Found in Patient Care Areas Waiting Room is Clean and Free of Clutter Fire Extinguishers, Fire Pull Stations, Electrical Panels,and Exits are Unobstructed Ensure Sinks and Ice Machines are Clean and Free of Calcium Build-up Emergency Kit Log Completed ALL Medications and Sharps are Secured or Under Constant Surveillance PASS: PULL, AIM, SQUEEZE, SWEEP Ceiling Tiles are Clean and in Good Condition RACE: REMOVE, ACTIVATE ALARM, CALL 911, EXTINGUISH EVACUATE ALL 28-day Items are Labeled with Correct Expiration Date ALL Areas are Dust Free (drawers,picture frames, windowsills, workstations, etc.) Respiratory Stations are Stocked and Clean Do your SMART CARD TODAY! CLEAR Separation of Oral Medications, Topical Medications and Injectable Medications ALL Sharps Containers are 2/3 or Less Full and Secured The Smart Program is EASY! Ensure NO Porous or Patient Care Items Under the Sinks NO Bugs in the Lights Hallways are Free of Clutter SLFH 10 Mile is the Best! NO PHI Visible (patient labels, patient documents, computers locked, etc.) All Surfaces are Clean Food or Uncovered Drinks in Patient Care Areas I love SMART CARDS! SMART CARD ASSIGNMENTS ARE MANDATORY Six Rights of Medication Administration? Right Medication Right Dose Right Route Right Time Right Patient Right Documentation Hand Sanitizers are Full/Not Empty CLEAR Separation of SALAD Medications (Sound Alike Look Alike Drugs) Do you know where to find our emergency binder? NO Outside Shipping Boxes Found in Patient Care Areas Waiting Room is Clean and Free of Clutter Fire Extinguishers, Fire Pull Stations, Electrical Panels,and Exits are Unobstructed Ensure Sinks and Ice Machines are Clean and Free of Calcium Build-up
(Print)
Emergency Kit Log Completed
ALL Medications and Sharps are Secured or Under Constant Surveillance
PASS: PULL, AIM, SQUEEZE, SWEEP
Ceiling Tiles are Clean and in Good Condition
RACE: REMOVE, ACTIVATE ALARM, CALL 911, EXTINGUISH
EVACUATE
ALL 28-day Items are Labeled with Correct Expiration Date
ALL Areas are Dust Free (drawers,picture frames, windowsills, workstations, etc.)
Respiratory Stations are Stocked and Clean
Do your SMART CARD TODAY!
CLEAR Separation of
Oral Medications,
Topical Medications and Injectable Medications
ALL Sharps Containers are 2/3 or Less Full and Secured
The Smart Program is EASY!
Ensure NO
Porous or
Patient Care Items Under the Sinks
NO Bugs in the Lights
Hallways are Free of Clutter
SLFH
10 Mile is the Best!
NO PHI Visible (patient labels, patient documents, computers locked, etc.)
All
Surfaces are Clean
Food or Uncovered Drinks in Patient Care Areas
I love SMART CARDS!
SMART CARD ASSIGNMENTS ARE MANDATORY
Six Rights of Medication Administration?
Right Medication
Right Dose
Right Route
Right Time
Right Patient
Right Documentation
Hand Sanitizers are Full/Not Empty
CLEAR Separation
of SALAD Medications (Sound Alike Look Alike Drugs)
Do you know where to find our emergency binder?
NO Outside Shipping Boxes Found in Patient Care Areas
Waiting Room is Clean and Free of Clutter
Fire Extinguishers,
Fire Pull Stations, Electrical Panels,and Exits are Unobstructed
Ensure Sinks
and Ice Machines
are Clean and
Free of Calcium Build-up
