ISPT CHECKLIST FOR EREID WARD ( Dr. Agana )

• Conducted on

  Date

• Prepared by

• Location
  Address

A. STANDARD PRECAUTIONS AND CONTROL OF TRANSMISSION

Parameters

• PROPER DONNING AND DOFFING PROCEDURES

  Yes

  No

  N/A

• HAND HYGIENE BEFORE AND AFTER CONTACT WITH PATIENT

  Yes

  No

  N/A

LIMIT TIME INSIDE THE PATIENT’S ROOM, IF POSSIBLE

• DOCTORS MUST ORGANIZE THEIR ORDERS TO REDUCE EXPOSURE TIME OF THE RESPONSIBLE PERSON

  Yes

  No

  N/A

• NURSES MUST PLAN ACTIVITIES BEFORE ENTERING THE WARD

  Yes

  No

  N/A

• SCHEDULE LABORATORY AND XRAY PROCEDURES IF POSSIBLE

  Yes

  No

  N/A

• SAFE USE AND DISPOSAL OF SHARPS

  Yes

  No

  N/A

• USE OF SKIN DISINFECTANTS FOR ALL INVASIVE PROCEDURES

  Yes

  No

  N/A

• PROPER HANDLING AND CARE OF BLOOD AND OTHER BODY FLUIDS/SUBSTANCES

  Yes

  No

  N/A

• ROUTINE ENVIRONMENTAL CLEANING BEFORE, DURING AND AFTER DISCHARGE OF PATIENT

  Yes

  No

  N/A

• RESPIRATORY ETIQUETTE

  Yes

  No

  N/A

• WASTE MANAGEMENT

  Yes

  No

  N/A

• APPROPRIATE HANDLING OF LINEN

  Yes

  No

  N/A

B. STRUCTURAL/ENVIRONMENTAL/MATERIALS

AVAILABILITY AND ACCESS TO THE FOLLOWING :

• SIGNAGES

  Yes

  No

  N/A

• PPE

  Yes

  No

  N/A

• CHEMICALS FOR STERILZATION

  Yes

  No

  N/A

• EQUIPMENTS

  Yes

  No

  N/A

• NEGATIVE PRESSURE ROOMS

  Yes

  No

  N/A

• DONNING AND DOFFING ROOMS

  Yes

  No

  N/A

• CCTV

  Yes

  No

  N/A

• INTERCOM

  Yes

  No

  N/A

• WASTE RECEPTACLES

  Yes

  No

  N/A

• FOOD AND FOOD CART

  Yes

  No

  N/A

COMMENTS & SUGGESTIONS :