1. SURVEY READINESS FOR HOUSEKEEPING/ENVIRONMENTAL SERVICES Randy Benson, PhD Consultant WHS Healthcare Quality Service

2. Housekeeping/Environmental Services WAC 246-320-405 The Purpose of the Management of the Environment of Care Is To Manage The Environmental Hazards and Risks, Prevent Accidents and Injuries, and Maintain Safe Conditions For Patients, Visitors and Staff CMS 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.

3. Housekeeping/Environemntal Services Team Member

4. Housekeeping/Environmental Services Areas of Surveyor Interest: General Cleanliness of Facility Isolation Policy and Protocol Adherence Proper Use of Cleaners and Disinfectants Staff Competence Safety Job Knowledge Job Skill

5. Housekeeping/Environmental Services Follow the Survey Process

6. Housekeeping/Environmental Services General Cleanliness Start at the Lobby and/or Any Other Public Entrances Look For Dirty or scuffed Floors Look For Spider Webs in Corners or in Light Fixtures Look for High Dust Where Is the Wheelchair Cleaning Station?

7. Housekeeping/Environmental Services Down Hallway to Emergency Department Abandoned Housekeeping Carts Clutter in Hallways Dust Behind Hallway Fire Doors Dirty or Scuffed Floors Dust on HVAC Grillwork

8. Housekeeping/Environmental Services Emergency Department General Cleanliness High Dust Dusty Equipment (Beds, etc.) Overfilled Sharps Containers Overflowing Garbage Containers Spills

9. Housekeeping/Environmental Services Nursing Unit: Dust Behind Hallway Fire Doors High Dust (Picture Frames, Signage, etc.) Dust on HVAC Grillwork Dusty Equipment Abandoned Housekeeping Cart (20+ minutes) Clutter Hazardous Chemicals on Cart (MSDS Forms) Observation of Proper Hand Hygiene

10. Housekeeping/Environmental Services Nursing Unit Waiting Area/Quiet Room Dust Clean Upholstery No Toys That Must Be Washed Proper Lighting

11. Housekeeping/Environmental Services Ancillary/Support Areas Dust Scuffed/Dirty Floors Overflowing Garbage Containers Dirty Upholstery

12. Housekeeping/Environmental Services Infection Prevention Policy Compliance (Isolation Observance and Competence) Response To Posted Isolation Signage Proper Hand Hygiene Proper PPE Use Proper Terminal Cleaning of Isolation Rooms Proper Use of Cleaners and Disinfectants Movement of Contaminated Materials

13. Housekeeping/Environmental Services Isolation (cont.) Explanation of What Posted Isolation Means Discussion With Manager About Terminal Cleaning Training Interaction/Cooperation With Infection Preventionist About Issues Cleaners and Disinfectants: Mixing If Not Premixed (Competence) Proper Use (Especially in Surgical Services)

14. Housekeeping/Environmental Services Competence (Safety, Job Knowledge, Job Skills) Time With Manager To Discuss Training Process and Documentation Completion of Safety Modules; All Staff and All Modules Demonstration of Safety Competency (Fire, Chemical Spills, Codes, etc.), Generic and Department Specific Response to Questions

15. Housekeeping/Environmental Services Safety Competence Job Knowledge; Discussion and Observation (Do Staff Understand Why They Are Doing What They Are Doing?) Proper Cleaning Technique MSDS Forms Who Cleans What? Spill Cleanup Training

16. Housekeeping/Environmental Services Safety Competence Job Skills (Do Staff Use Proper Techniques and Skills to Effectively Do the Things Their Job Description Requires Them To Do?) Annual Assessment of Individual Skill Annual Skills Fair Proper Equipment and Supplies Proper Documentation (If It Is Not Documented, It Didn’t Happen)

17. Housekeeping/Environmental Services Specialized Training/Areas of Assignment Special Skills for: Surgical Services Mother/Baby Kitchen/Nutrition Services Ancillary Clinical Services (Therapies, Radiology, Pharmacy, Laboratory, etc.)

18. Housekeeping/Environmental Services QUESTIONS?

19. Housekeeping/Environmental Services Next Month: Semi-annual Update of DOH Survey Citations January 12, 2016 10:30 a.m.

20. Housekeeping/Environmental Services Randy Benson, PhD WHS Healthcare Quality Service Consultant rbenson117@comcast.net 509 951-4878