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Opening and closing

Daily Treatment Room Checklist

Who checks
Treatment room nurse; spot checks by the head nurse
When
Daily before the room opens
Time
~20 min · 27 items
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The treatment room is where a lapse in housekeeping turns into a risk for the patient: an opened pack with no date, a vial without an opening mark, an overfilled sharps container or an incomplete emergency kit. A daily check before the first patient takes 15–20 minutes and closes these gaps before work begins.

Check in the same order every time: cleaning and logs, hand hygiene and PPE, sterile supplies, medicines, waste, emergency readiness. Decontamination settings, shelf life of sterile items and emergency kit contents follow the clinic's internal procedures and the manufacturers' instructions; the checklist verifies they are followed. Remove anything expired or unlabeled from use immediately.

Room cleanliness and readiness

  1. 1
    The room was cleaned before work started and the clean is logged The room's cleaning log has an entry for today: type of clean, time, signature.
    ☐ Yes☐ No
  2. 2
    Procedure and instrument trolleys are clean and free of unrelated items Only what's needed for work is on the surfaces; no pens, phones, paperwork or leftovers from the previous day. Photo
    ☐ Yes☐ No
  3. 3
    The exam table or procedure chair works and the upholstery is intact Adjustment mechanisms work; no cracks or cuts in the upholstery; a clean disposable sheet is on top.
    ☐ Yes☐ No
  4. 4
    Operation of the UV disinfection unit is recorded in its log Today's entry shows switch-on and switch-off times; the cycle follows the manufacturer's instructions and clinic procedure.
    ☐ Yes☐ No
  5. 5
    UV lamp operating hours are within the manufacturer's rated lamp life Compare total hours in the log or on the hour meter with the rated life in the unit's manual; the date of the last lamp replacement is recorded.
    ☐ Yes☐ No

Hand hygiene and PPE

  1. 6
    Liquid soap and hand sanitizer dispensers at the sink are full Both dispensers work; the bottles show the product name. Photo
    ☐ Yes☐ No
  2. 7
    The towel dispenser has disposable towels The dispenser is full and spare stock for the shift is in a closed cabinet.
    ☐ Yes☐ No
  3. 8
    Gloves in all required sizes are stocked for the shift Open boxes are in a holder or cabinet, not on the windowsill; sizes for every nurse on shift are available.
    ☐ Yes☐ No
  4. 9
    Masks, safety glasses or face shields, and aprons are available PPE is within easy reach, and quantities meet the clinic's minimum stock level.
    ☐ Yes☐ No
  5. 10
    The nurse is wearing clean scrubs and dedicated work shoes Gown or scrubs without stains, work shoes, hair tied back.
    ☐ Yes☐ No
  6. 11
    The nurse is not wearing rings, bracelets or a watch Hands and wrists are bare for hand hygiene; nail length and coatings follow the clinic's hand hygiene policy (usually short nails, no artificial nails).
    ☐ Yes☐ No

Sterile items and consumables

  1. 12
    Sterile packs are intact and dry Check every pouch and sterilization container at the workstation: no tears, open seals, moisture or stains. Critical Photo
    ☐ Yes☐ No
  2. 13
    Every sterile pack is labeled with the sterilization date and is within its shelf life Shelf life follows the sterile processing department's rules and packaging type; expired packs are removed immediately. Critical
    ☐ Yes☐ No
  3. 14
    The sterilization indicator on the pack has changed color to match the reference Compare the indicator with the indicator manufacturer's reference color; items with a failed indicator are not used. Critical
    ☐ Yes☐ No
  4. 15
    Opened sterile supplies are labeled with the date and time of opening The container or pack of dressings is labeled; the in-use period after opening follows internal procedure.
    ☐ Yes☐ No
  5. 16
    Disposable syringes, IV sets and catheters are within their expiry dates Open the drawers and check 5 random packs of different types: not expired, packaging intact.
    ☐ Yes☐ No
  6. 17
    Consumables are stored in closed cabinets, not on the floor or under the sink No boxes on the floor; no sterile or single-use items in the cabinet under the sink. Photo
    ☐ Yes☐ No

Medicines in the room

  1. 18
    Treatment room fridge temperature, °C Record the current thermometer reading and enter it in the fridge log; the target for temperature-sensitive medicines is 2–8 °C (36–46 °F). Photograph the thermometer. Photo Record a value
  2. 19
    Opened multi-dose vials are labeled with the date and time of opening Every opened vial is marked; the in-use period after opening follows the drug manufacturer's instructions. Critical
    ☐ Yes☐ No
  3. 20
    No expired medicines in the room's cabinet or fridge Check 5–10 packs in different places, including the back rows. Critical
    ☐ Yes☐ No
  4. 21
    Medicines in the cabinet are grouped and shelves are labeled Groups and labels follow the clinic's storage layout; products for external use are kept separately.
    ☐ Yes☐ No

Waste and sharps

  1. 22
    The sharps container is filled no more than 3/4 full The fill line is visible; the container is within arm's reach of where procedures are done and is labeled with the room and start date. Photo
    ☐ Yes☐ No
  2. 23
    Containers for different waste categories are separate, and bag colors match the clinic plan Categories follow your country's classification; containers are labeled, bags are secured and lids close.
    ☐ Yes☐ No

Emergency readiness

  1. 24
    The emergency kit is in its place and stocked per the approved list The kit is in a place everyone knows and is not blocked; an inventory list is attached and the contents match it. Critical Photo
    ☐ Yes☐ No
  2. 25
    The kit inventory shows the date of the last check and the earliest expiry date The earliest expiry date has not passed; checks are done at the interval set by clinic procedure.
    ☐ Yes☐ No
  3. 26
    The blood exposure kit is fully stocked Contents follow the clinic's internal list; the exposure procedure is posted next to it.
    ☐ Yes☐ No
  4. 27
    The room has a working way to call for help The phone or panic button works; the list of internal emergency numbers is posted in a visible place.
    ☐ Yes☐ No

This template is a starting point. Check the limits and wording against your local regulations, your company standards and the equipment manufacturers' instructions.

Common violations

  • An opened multi-dose vial has no opening mark — there's no way to tell whether it can still be used, so it's either thrown away or used against the instructions.
  • Sterile packs are stored in the cabinet under the sink — moisture damages the packaging and sterility can no longer be guaranteed.
  • The emergency kit is checked "from memory" without an inventory list: in a real emergency something is missing or expired.
  • The sharps container is overfilled and needles are pushed in by hand — the most common cause of sharps injuries among nurses.
  • The treatment room fridge is packed to the door and the log says "same as yesterday" — temperature-sensitive medicines may be overheated or frozen.

Frequently asked questions

The treatment room nurse on shift, before the first patient. The head nurse runs the same checklist herself on a spot-check basis — that shows whether the ticks match reality.

From the clinic's internal procedures, the sterile processing department's documentation and the packaging and equipment manufacturers' instructions. The checklist deliberately leaves out these numbers: they differ by product and country.

Remove it from the work area immediately, place it in a labeled "Do not use" area and inform the head nurse. Then dispose of it according to clinic procedure and find out why it wasn't noticed earlier.

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Move the checklist into jeCheck: photos on every item, tasks for each issue with an owner and a deadline, and location comparison by results.

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