INFECTION CONTROL - ENVIRONMENTAL AUDIT

• Conducted on

  Date

• Prepared by

Hand Hygiene

• There is an adequate number of soaps and sanitiser dispensers are available in the unit

  Yes

  No

  N/A

• Hand hygiene demonstration posters are available where ever required

  Yes

  No

  N/A

• Staff are performed hand hygiene when required as per the 5 moments

  Yes

  No

  N/A

• Hand washing sinks and taps are clean and without an overflow hole

  Yes

  No

  N/A

• There is no storage noted under the sink

  Yes

  No

  N/A

Waste Management

• All waste bins are clean and pedal operated

  Yes

  No

  N/A

• No waste bins are overfilled

  Yes

  No

  N/A

• Proper waste segregation is observed in the unit

  Yes

  No

  N/A

Linen Management

• Proper linen management observed in the unit

  Yes

  No

  N/A

• Linens hampers are not overfilled

  Yes

  No

  N/A

• All linens are free of stains

  Yes

  No

  N/A

• All soiled linens hampers are kept covered and placed in the dirty utility room

  Yes

  No

  N/A

• Alginate liners were placed in red hamper bags

  Yes

  No

  N/A

Sharp safety

• Sharp containers were placed where ever required

  Yes

  No

  N/A

• No sharp containers overfilled more than 3/4 of the volume

  Yes

  No

  N/A

• All sharp containers are labelled

  Yes

  No

  N/A

• Sharp containers were placed at an adequate height

  Yes

  No

  N/A

• No used or contaminated sharps discarded anywhere other than the sharp container

  Yes

  No

  N/A

Patient Care items

• All patient care supplies are clean and dust-free

  Yes

  No

  N/A

• sterile supplies are stored separately

  Yes

  No

  N/A

• All equipment is clean and free of stain and dust

  Yes

  No

  N/A

• Clean tag is present on where ever required

  Yes

  No

  N/A

• No expired supplies were noted in the unit

  Yes

  No

  N/A

• All multiuse supplies were labelled as per the facility policy

  Yes

  No

  N/A

Storage of Supplies

• No items were stored on the floor

  Yes

  No

  N/A

• No shipping cartons were stored in th unit

  Yes

  No

  N/A

• Recommended distance from the floor, wall and ceiling observed while storing the supplies

  Yes

  No

  N/A

• FIFO is practised in the unit

  Yes

  No

  N/A

Maintaining the Logs

• Temperature /Humidity log was maintained daily

  Yes

  No

  N/A

• Differential air pressure log was maintained

  Yes

  No

  N/A

• Fridge /Freezer log is maintained

  Yes

  No

  N/A

• Adequate number of hygrometers are available and working in order

  Yes

  No

  N/A

• other related checklists were maintained if any specify ......................

  Yes

  No

  N/A

Environmental Cleaning /Maintenance

• The unit is clean, free of dust and clutter

  Yes

  No

  N/A

• wall, floor and ceiling, A/C vents are clean free of satins

  Yes

  No

  N/A

• All countertops, cabinets are dust-free

  Yes

  No

  N/A

• patient room and restrooms are well maintained

  Yes

  No

  N/A

• staff pantries are clean, maintained well

  Yes

  No

  N/A

• Curtains are free of satin laundered atleast monthly

  Yes

  No

  N/A

• Pneumatic stations are free of dust and canisters are clean

  Yes

  No

  N/A

• No food has seen in the clinical area

  Yes

  No

  N/A

• Disinfecting wipes are available where ever required

  Yes

  No

  N/A

• Recommended water /Air quality studies were conducted

  Yes

  No

  N/A

• The unit is free of pests

  Yes

  No

  N/A

• All equipment has periodic maintenance records

  Yes

  No

  N/A

Clean /Dirty utilities

• Biohazard spill kit is available in the unit

  Yes

  No

  N/A

• The unit has designated clean and dirty utility rooms

  Yes

  No

  N/A

• clean supplies are only stored in clean utility

  Yes

  No

  N/A

• DU only contains waste, soiled linen, contaminated CSSD instruments

  Yes

  No

  N/A

• Pre - foam is available in the DU room

  Yes

  No

  N/A

• Transporation boxes contain biohazard sticker

  Yes

  No

  N/A

• Colour coded mopes/towels are available

  Yes

  No

  N/A

• Automated chemical mixing available

  Yes

  No

  N/A

• All housekeeping chemicals are labelled

  Yes

  No

  N/A

• Eyewash station is available

  Yes

  No

  N/A

Fridge /Freezers /ovens

• The log is maintained for fridge and freezers

  Yes

  No

  N/A

• No food or other items were stored in a medication fridge

  Yes

  No

  N/A

• No medications stored in the food fridge

  Yes

  No

  N/A

• fridges are cleaned weekly / Defrosted periodically

  Yes

  No

  N/A

• Ovens are clean and stain-free

  Yes

  No

  N/A

Isolation Precautions

• precaution signage was placed in an isolation room

  Yes

  No

  N/A

• Negative air pressure within the reference range

  Yes

  No

  N/A

• Designated isolation cart is available

  Yes

  No

  N/A

• staffs observed with recommend PPE

  Yes

  No

  N/A

• No shortage for PPE in the unit

  Yes

  No

  N/A

• Designated equipment/supplies are available for the patient

  Yes

  No

  N/A

• Communicable disease was notified to DOH

  Yes

  No

  N/A

Staff Awareness

• Staff know 5 moments of hand hygiene and proper hand hygiene technique

  Yes

  No

  N/A

• Staff Know how to manage exposure to blood and body fluids and spill management

  Yes

  No

  N/A

• Satffs knows about HAI reporting and HAI prevention bundles

  Yes

  No

  N/A

• Staff know about Donning and Doffing of PPE

  Yes

  No

  N/A

• Staff knows about communicable disease notification to DOH

  Yes

  No

  N/A

• Staff able to locate the IC policies and forms

  Yes

  No

  N/A

Covid -19

• Unit observed the recommended covid - 19 Precautions

  Yes

  No

  N/A

• Daily staffs monitoring records available

  Yes

  No

  N/A

• Staffs are aware of the current updated Covid -19 guidelines

  Yes

  No

  N/A

Training

• All staffs completed the infection control training at least annually

  Yes

  No

  N/A

• Staff offered Respiratory protection program

  Yes

  No

  N/A

Additional Findings

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A