Title Page
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Prepared by
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Location
Rounds
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Number of Patients on Isolation?
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Any new patients?
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MDRO scoring correctly done for all new cases?
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Visual triage correctly done for all new patients?
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Availability of essential items in the areas (IC related items)
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Any noncompliance of IC practices monitored?
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If yes, mention action taken?
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Any new IC non approved items available in the area?
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If yes, Specify?
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Documentation and isolations orders are placed on time as required
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Bundle of care implemented as documented (check random patients)
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Any new/rare organism with any patients reported or same organism with more than one patient reported
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If yes, specify. follow outbreak management protocol
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Waste management implemented and followed as per policy
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Discussed all concerns with head nurse/charge nurse
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Questions or concerns received from your area Please mention the concern and action taken
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If long term issue, mention the time frame to close and the responsible person
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Other comments?
