The form addresses devices/items in the following locations:
- Admission/pre-op
- Operating room
- PACU/recovery
- Waiting room
- Restrooms
- Medication room
- Scrub sinks
Download the GOJO sample environmental cleaning schedule (doc) for adaptation and use in your facility.
Note: View our database providing 150 reports that link to free, downloadable and adaptable tools for use in surgery centers, hospitals and other organizations by clicking here.
Related Articles on Environmental Cleaning:
Patient Safety Tool: Environmental Cleaning Evaluation Worksheet From CDC
14 Solutions to Address Documented Surgery Center Infection Control Deficiencies
Patient Safety Tool: Environmental Cleaning Evaluation Worksheet From CDC
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