.1312 (b); Several of the staff bathrooms did not have handwashing signage posted...A sign shall be posted in each toilet room for institution employees directing them to wash their hands after each visit to the toilet room and before returning to work.
0.5
44.
General Comment: One fridge in the B Bay of ED had an ambient temperature reading of 44F and was holding deli sandwiches. The door of the fridge doesn`t fully close unless pushed shut. Monitor this unit to ensure it can hold food at 41F and discard these sandwiches after lunch if the unit does not cool.
.1312 (b) Hand sink in radiology department restroom was loose. Toilet fixtures and furnishings shall be kept clean and in good repair. Adjust hand sink.
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13.
.1312 (e) Hot water at hand sinks in women`s and men`s bathroom in 3rd floor was 86-94F. Water heating facilities shall provide hot water within the temperature range of 100-116F at all lavatories and bathing facilities. Adjust water temperature at those sinks.
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19.
.1314 (b) Slight brown residue on edge of dispensing portion of ice machines in nurses station on third floor. Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. Clean machines more frequently.
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General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting. Rooms visited: OBED4, OBED3, 3N20, storages closets, electrical closets, Radiology Dept, clean utility rooms and soiled holding rooms. *Inspector Info: Patricia Sabby/Patricia.Sabby@wakegov.com/919-796-8053*
.1309 (a) Broken floor tile in radiology room 1 and at the door to the first floor janitors closet by the lobby bathrooms. Hole in floor tile by radiology waiting room on first floor. All floors in intensive care units, bathrooms, showers, hydrotherapy areas, operating rooms, soiled utility rooms and laundry areas shall be of smooth, non-absorbent materials and so constructed as to be easy to clean. Floors shall
be free of obstacles to cleaning, and shall be kept clean and in good repair. Carpeting shall be maintained clean,
odor free, dry and in good repair. Replace tiles.
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2.
.1309 (a) Drips spots on floor in radiology department. Trash on floor in OR storage room near the medical records office. All floors in intensive care units, bathrooms, showers, hydrotherapy areas, operating rooms, soiled utility rooms
and laundry areas shall be of smooth, non-absorbent materials and so constructed as to be easy to clean. Floors shall
be free of obstacles to cleaning, and shall be kept clean and in good repair. Carpeting shall be maintained clean,
odor free, dry and in good repair. Clean floors.
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3.
.1310 Brown spot/water mark on ceiling tiles in pathology lab, 3rd floor nursery, and soiled linen storage by loading dock. Two small indentions on the wall near the basement womens bathroom. Dusty bathroom vent in a room on second floor and in OR storage room near the medical records office. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. All walls shall be easily
cleanable and shall have washable surfaces to the highest level reached by splash or spray in rooms or areas where
such occur. Replace tiles, fix leak if necessary and repair walls.
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13.
.1312 (e) Hand sinks in womens and mens bathroom on basement floor less than 80 degrees F. Mens room 1N202 89-99 degrees F. Mens room 2N202 84F. Womens room 3N200 at 82F and Mens room 3N202 84F. Water heating facilities shall provide hot water within the temperature range of 100 degrees F to 116 degrees F
at all lavatories and bathing facilities. Adjust water temperature at the sinks.
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19.
.1314 (b) Slight brown residue on edge of dispensing portion of ice machines in nurses station on third floor. Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. Ice machines, buckets, other containers and scoops shall be maintained in good repair and shall be protected from the elements, splash, drip, dust, vermin, other contamination, and from use by unauthorized personnel. Ice machines and storage chests which are accessible to
patients or the public shall provide ice through automatic ice dispensing equipment which prevents the contamination of stored ice. Clean machines more frequently.
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26.
.1317 Small amount of trash on ground around compactor and soda machine on loading dock. Premises shall be maintained clean and avoid harborage areas. Remove items in a timely manner.
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30.
.1318 (c) Stethoscope and clean equipment in a bag stored on the handle of medicine carts next to sharps container throughout facility. Patient contact items shall be protected and clean items shall be separate from dirty items. Medication carts shall be cleaned when visibly soiled. Food and utensils used on medication carts shall be
handled in a sanitary manner. Unused medication cups shall be kept covered or inverted. Sharps containers on
medication carts shall be affixed or secured to prevent spillage.Store clean items on opposite side of the cart from sharps container.
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32.
.1319 (a) Cabinet handle not secured properly. Small tear in chair cushion in triage waiting room. Hot water knob missing on most mop sinks. Light hanging down in janitors closet on basement floor. Torn fridge gasket in 1N140. Second floor nurses station medicine transporter lacking door, and door to apparatus in ED not latching/locking. All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other
furnishings in institutions shall be kept clean and in good repair. Repair/replace items.
.1312 (a) Room 4N01 and 3W009 sink draining slowly. All institutions shall be provided with toilet, handwashing, and bathing facilities that are conveniently located and readily accessible to residents and staff. These facilities, and laundry facilities when provided, shall be kept clean and in good repair. Repair sinks.
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19.
.1314 (b) Brown residue in dispensing portion of ice machines in nurses stations (one on third floor and and two on second floor). Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. Ice machines, buckets, other containers and scoops shall be maintained in good repair and shall be protected from the elements, splash, drip, dust, vermin, other contamination, and from use by unauthorized personnel. Ice machines and storage chests which are accessible to
patients or the public shall provide ice through automatic ice dispensing equipment which prevents the contamination of stored ice. Clean machines more frequently.
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32.
.1319 (a) One crib mattress edges torn, located in a room on third floor used as storage. All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. Mattresses shall be kept clean, dry and odor free. Replace mattress.
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General Comments
Pink plastic wash bins labelled ice near hand sinks. Ensure that these bins are not being reused to transport/store ice. Designed for single use and discard. Do not want to co-mingle items and view hand sink as a soiled/dirty area. Chemicals/soap stored above paper towels in 2E102. Store chemicals below or separate from paper goods to avoid contamination.
LAVATORIES/SHOWERS ON 2ND AND 3RD FLOOR HOT WATER TEMPERATURE 126°-128°F, MAINTAIN HOT WATER TEMP AT THESE AREAS BETWEEN 100° - 116°F. LAUNDRY TAKEN OFF SITE (BED LINENS, TOWELS, SCRUBS, ETC.) MAINTENANCE WORKING TO REDUCE HOT WATER TEMPERATURE. CALL AND FOLLOW UP WITH TEMPERATURE ADJUSTMENT.
