Patient Room Terminal Cleaning Verification

Post-discharge inspection to verify terminal cleaning of a patient room, including high-touch surfaces, UV-C disinfection, mattress condition, and curtain replacement.

Inspection Details

• Room identifier and discharge turnover verified
  Record the patient room number, unit, and discharge/turnover reference.
• Inspection completed after discharge and before next patient placement
  Confirm the room was inspected after discharge and prior to re-occupancy.
• Applicable terminal cleaning SOP followed
  Confirm the inspection was performed against the facility terminal cleaning procedure and room turnover checklist.
• Inspector name and role
  Enter the inspector's name and title/role.

High-Touch Surface Cleaning

• Bed rails, bed controls, and call button disinfected
  Check for complete cleaning of bed rails, controls, and patient call device.
• Overbed table, bedside table, and chair arms disinfected
  Verify all patient-contact surfaces are clean and free of visible residue.
• Door handles, light switches, and wall-mounted controls disinfected
  Confirm all frequently touched room-entry and room-control surfaces were cleaned.
• Monitor surfaces, remote controls, and other shared devices disinfected
  Verify any in-room shared equipment or device surfaces were cleaned per protocol.
• No visible soil, dust, spills, or residue on high-touch surfaces
  Inspect all accessible high-touch points for remaining contamination or cleaning residue.
• Cleaning/disinfection product contact time followed
  Confirm the disinfectant was applied according to the label contact time and facility procedure.

Bed and Mattress Verification

• Mattress surface clean and free of tears, cracks, or exposed foam
  Inspect the mattress for visible damage, staining, or compromised integrity.
• Mattress cover or encasement intact and properly sealed
  Verify the mattress cover is intact, clean, and fully functional.
• Bed frame, wheels, and under-bed area cleaned
  Check the bed frame, casters, and accessible underside for cleanliness.
• Pillow, linens, and disposable items removed or replaced as required
  Confirm all used linens and disposable items were removed and clean linens are in place if room is ready for occupancy.

Curtains and Soft Surfaces

• Privacy curtains replaced or laundered per protocol
  Confirm curtains were changed out, laundered, or otherwise processed according to facility policy.
• Curtain hooks, tracks, and touch points cleaned
  Inspect curtain hardware and adjacent touch points for cleanliness.
• Upholstery and fabric surfaces visibly clean
  Verify any upholstered chair or fabric surface in the room is free of visible soil and stains.

UV-C Disinfection

• UV-C cycle completed for required duration
  Confirm the UV-C device completed the full cycle per facility protocol.
• UV-C device positioned and used according to manufacturer instructions
  Verify placement, room setup, and operation followed the device IFU and facility procedure.
• Room was unoccupied and access controlled during UV-C operation
  Confirm no patients, visitors, or staff were exposed during the UV-C cycle.
• UV-C cycle log or device record available
  Verify documentation is available for the completed UV-C cycle, if required by protocol.

Final Room Readiness

• Waste removed and sharps container not overfilled
  Check that waste was removed and any sharps container is secure and within fill limits.
• Room free of odors, spills, and visible contamination
  Verify the room is clean, dry, and acceptable for patient occupancy.
• Deficiencies documented and corrective actions assigned
  Record any non-conformance and assign follow-up actions for re-cleaning or repair.
• Inspector signature
  Sign to confirm the inspection findings and room readiness determination.