Hand Hygiene

High visibility signs on educational literature on hand hygiene

Availability of hand washing area (with soap & water) and/or touch-free/ personal hand sanitizers and hand dryers/disposable hand towels in the following areas and if station staff are performing hand washing regularly*

Station 1

Station 2

Station 3

Station 4

Station 5

Use of PPE

Removal of all jewelry, watches followed by hand washing

Proper sequencing of DONNING PPE upon room entry for Level 2 as follows: N95 mask - googles/face shield

Remove and replace any soiled or non-fitting mask. N95 mask loops are hooked appropriately around the ear

If doing aerosol-generating procedures using N95. Filtering facepiece respirators are fitted to the nose, extend chin and the respirator strap placed at the crown of the head and base of the neck and user seal check performed

Googles/ face shield

Hand hygiene performed prior to putting on gloves

Clean gloves cover the cuff (wrist) of isolation gown

During Doffing, always wash hands after removing N95

Remove all used PPEs as soon as duty ends properly discarding at the designated area before exiting

Used PPEs are placed in appropriate waste disposal area and properly sanitized

Use of Needle sticks and Sharp Objects

Proper orientation of health workers on the use and disposal of sharps including reporting and monitoring of needle pricks

Practice aseptic techniques during usage of needles (with IV insertion or blood extractions)

Never recap used needles but discard in proper sharps disposal


Appropriate patient placement in a single patient space, observing at least 6 meter distancing of ward beds

Limit to 1 watcher per patient

At least 1 meter of physical distancing for station consults. Floors has markers

Patients and watchers wear masks at all times

Proper cough etiquette is observed at all times

Limit watcher movement inside the wards

Equipments commonly used for multiple patients is cleaned and disinfected every after patient use (ex.nebulizer, suction machine)

Avoid ambubagging, instead directly attached patient to mechanical ventilation when immediately available

Use aerosol boxes and nebulization chambers (should be present at the station at all times)


Clean and disinfect all surfaces (tables, chairs, floors and other high contact areas) every 4 hours at least

Fans, curtains, blinds, telephones and computer keyboards are being cleaned

Waste is covered and segregated

Station toilet are being cleaned and free from extraneous items

Availability of PPE disposal container with cover

Has designated person to regularly collect and dispose wastes and used PPEs

Disposal of sharps to properly designed sharps container

Proper usage of work areas; eating of staff should be done at pantry area or other designated area when available


Ventilate the room to maintain >12 Air Exchanges

Waste containers are properly covered and labeled


Catheter Associated Urinary Tract Infection Checklist

Ventilator Associated Pneumonia Checklist

Surgical Site Infection Surveillance Checklist

Prevention of Central Line Associated Blood Stream Infection Checklist

moments of hand hygiene include:

before touching the patient

before aseptic procedure

after body fluid exposure risk

after touching the patient’s surroundings

after touching the patient

after doffing of PPEs

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.