Run ICU Daily Environmental Round — Free

Unit Entry and Environmental Readiness

Patient care areas are free of visible clutter and trip hazards critical (required)

Walkways, bedside access, and work areas are unobstructed; no loose cords, spills, or stored items blocking movement.

Yes No N/A

Hand hygiene stations are accessible and stocked critical (required)

Alcohol-based hand rub dispensers and/or sinks are reachable at point of care and not empty.

Yes No N/A

Environmental surfaces are visibly clean

High-touch surfaces such as counters, bed rails, monitors, and work surfaces show no visible soil, dust, or residue.

Isolation signage is posted when required critical (required)

Transmission-based precautions signage is present, legible, and matches the patient isolation status.

Yes No N/A

Waste and linen receptacles are present, labeled, and not overfilled critical (required)

Regular waste, regulated medical waste, and linen containers are available where needed and not overflowing.

Yes No N/A

Infection Control Supplies

PPE supply levels are adequate for current census and precautions critical (required)

Gloves, gowns, masks, eye protection, and face shields are available in sufficient quantity for expected use.

PPE is stored clean, dry, and protected from contamination critical (required)

Open cartons, dispensers, and storage bins are intact and not exposed to splash, dust, or floor contact.

Yes No N/A

Disinfectant wipes and EPA-registered surface disinfectants are available critical (required)

Approved cleaning/disinfection products are present and match the unit's approved list for ICU equipment and surfaces.

Yes No N/A

Sharps containers are mounted securely and not overfill level critical (required)

Containers are accessible, upright, and closed before reaching the fill line.

Yes No N/A

Alcohol-based hand rub dispensers are functional critical (required)

Dispensers operate properly, are not leaking, and provide product when activated.

Yes No N/A

Equipment Cleanliness and Readiness

Monitors, pumps, and bedside devices are visibly clean critical (required)

External surfaces are free of dust, residue, and body-fluid contamination.

Reusable equipment has completed cleaning/disinfection documentation critical (required)

Shared devices such as thermometers, BP cuffs, stethoscopes, and portable monitors show required cleaning status or log completion.

Yes No N/A

Cables, cords, and tubing are intact and organized critical (required)

No frayed cords, cracked insulation, damaged tubing, or unsafe tangling is observed.

Yes No N/A

Critical care equipment is available and functional critical (required)

Ventilator-related accessories, suction setup, infusion support equipment, and emergency devices required for the unit are present and ready.

Yes No N/A

Biomedical maintenance tags are current for inspected equipment critical (required)

Equipment requiring preventive maintenance has current service status and no overdue maintenance indicators.

Yes No N/A

Waste, Linen, and Exposure Control

Regulated medical waste is segregated correctly critical (required)

Biohazard waste is placed only in approved containers and not mixed with regular trash.

Yes No N/A

Soiled linen is contained and transported properly

Used linen is bagged or contained per policy and not left open in patient care areas.

Yes No N/A

Spill kits and exposure response supplies are available critical (required)

Blood/body fluid spill response materials are present, accessible, and stocked.

Yes No N/A

Puncture-resistant sharps disposal practices are followed critical (required)

Needles and sharps are not found on counters, bedsides, or in non-approved containers.

Yes No N/A

Fire-Life-Safety and Documentation

Exit routes and emergency access are unobstructed critical (required)

Corridors, exits, and access to emergency equipment are clear of stored items and carts.

Yes No N/A

Fire extinguishers are present, accessible, and within inspection date critical (required)

Extinguishers are mounted or located per policy, unobstructed, and show current inspection status.

Yes No N/A

Inspector name and shift are recorded

Document the person completing the round and the shift or time of inspection.

Corrective actions and escalation are documented for deficiencies

List any deficiencies, immediate actions taken, and who was notified for follow-up.

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Run: ICU Daily Environmental Round

Unit Entry and Environmental Readiness

Infection Control Supplies

Equipment Cleanliness and Readiness

Waste, Linen, and Exposure Control

Fire-Life-Safety and Documentation

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