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Infection prevention and Control Checklist
Policy
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Updated infection control policy and procedures is available in the department .
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Staff aware about the policy and procedures and it is accessible for them.
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Healthcare Personnel (HCP) receive job-specific training on infection prevention policies and procedures upon hire and at least annually .
Hand Hygiene
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Hand hygiene supply is available .
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HCP demonstrate appropriate techniques for hand washing and hand rubbing .
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Visual alerts are available:<br>- WHO 5 moments<br>- How to Hand Rub (beside alcohol dispensers)<br>- How to Hand Rub (beside alcohol dispensers)
PPE
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Sufficient and appropriate PPE are available and readily accessible to HCP.
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Staff use personal protective equipment appropriately.
Environmental disinfection
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There is a cleaning schedule and is applied
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Environmental surfaces is clean and is free from soil.
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Housekeeping surfaces (e.g., floors, walls, and sinks) cleaned with MOH approved detergent/ disinfectant using double/ or triple bucket technique or scrubbing machines.
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Housekeeping equipment is kept clean and dry after use.
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There is one spill kit, at a minimum in the department.
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Health care personnel demonstrate appropriate technique for management of blood and/or body fluids.
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Appropriate PPE, e.g. gloves, masks, gowns and protective eyewear, worn by housekeepers during their routine activities.
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Nurses are responsible for cleaning of all environmental surfaces in patient areas except floors, walls, ceiling and bathrooms.
Waste Management
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All types of waste containers are available in sufficient number and placed in easily accessible sites and away from traffic.
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Sharp items (e.g., needles, scalpel blades, broken metal instruments, and burs) are placed in an appropriate sharps container (puncture resistant, color-coded, and leak-proof).
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Used needles are not manipulated or recapped and are promptly disposed into sharp containers.
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Staff sticks to the approved policies of proper medical waste segregation ( no dangerous medical waste or sharps are observed outside specified containers)
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Medical waste bags and sharp boxes are 3/4 filled.
Aseptic technique
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The patient’s skin are disinfected with an appropriate antiseptic before injection or cannulation .
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Proper fixation of the peripheral venous cannula with written date of insertion.
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Preparation & dilution of drugs' vials is only done by ready-made sterile water ampoule.
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Needles and syringes including prefilled syringes, vacutainer holders are used for only one patient.
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All patient care supplies are brought to patient area when needed with no excess item in the area.
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If Multi-dose vials must be used , should be dedicated for one patient (as possible as we can) and dated when they are first opened and discarded after 28 days unless the manufacturer specifies a different date for that opened vial.
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The rubber self-sealed cap on a medication vial is disinfected with alcohol prior to piercing .
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IV solution bottles are only accessed through the self-sealed rubber cap.
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Multidose medication vials are accessed with a new needle and a new syringe, even when obtaining additional doses for the same patient.
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No needles are kept inside the self-sealed rubber cap of IV solution bottle or Multidose vials.
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Only sterile fluids used in nebulizers , humidifiers, or any aerosol generator.
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Changing ventilation circuits only when visibly soiled or mechanically malfunctioning.
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Only sterile fluids used in nebulizers or any aerosol generator, dispensing aerosol fluids aseptically.
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Evacuation of urine bag is done in proper way using appropriate P.P.E.
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All items in patient zone used for patient care only and any remaining items after patient discharge are considered contaminated even in their wrapping.
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All used (contaminated ) reusable items sent to Central Processing Department (CPD) in proper way without any interference from the staff.
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Separate clean area is available for preparing medications
Laundry
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Contaminated linen is collected with minimum agitation in special color-coded and waterproof laundry bags .
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Linen carts are covered and not overfilled.
Isolation
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Contact isolation precautions are initiated for patients infected or colonized with multidrug-resistant organisms.
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Patients with larger burns (>25% total body surface area) are placed in a single room, when applicable, as an additional precaution.
Storage area
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Storage area should fulfill the following requirement:-
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Clean and dry (temperature and humidity must be controlled)
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Away from air vents and well ventilated
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Storage shelves are 40 cm from the ceiling, 20 cm from the floor, and 5 cm from the outside wall.
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Storage shelves made from easily cleanable material (not wood or Cardboard)
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Sterile and clean items completely separated from personal items &foods and drinks .
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Rotate supplies on a first-in-first-out basis so as to avoid the use of expired items.
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Items not kept in original cardboard shipping boxes
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Surveyor Signature
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