Theatre Environment

Theatre Environment

The changing areas are clean with adequate locker storage?

There is clean footwear for visitors to the unit?

Footwear is regularly decontaminated?

There are no drugs / blood transfusion or pathology specimens in the food fridge?

Opened food is stored in pest free containers?

There is no food past expiry date?

Milk is stored under refrigerated conditions?

Fridge temperature is between 0 - 5 degrees C?

The theatres are clean and free from dust?

Wall seals are clean and free from dust?

Theatre table mattresses are intact and clean?

There is a written policy for cleaning theatres on a seasonal basis, daily basis, 6 monthly basis for walls / ceilings etc?

Mops and buckets are stored dry and clean?

Mop heads are laundered daily?

Separate cleaning equipment is provided for each theatre?

The sluice is clean and free from spillage?

There is no evidence of infestation of animals?

Theatre ventilation system is monitored on a pre-planned maintenance programme by the works department and documented?

An ultraclean theatre is monitored on a regular basis ( minimum annually ) by the microbiology department contractor?

Visitors entering theatres ( past anaesthetic room ) change clothing and foot ware?

There is a sequence of increasingly clean zones for the entrance to the operating areas?

Patient beds brought into the operating theatre have clean linen removed and left outside theatre?

Clinical Practices

Clinical Practices

There is a policy for patients with known infections ( e.g. MRSA, HIV, HBV )?

Labels for specimens?

Infected linen bags?

HSDU autoclavable bags?

All specimens are handled, labelled and stored safely?

Sterile dressings are used to cover intravenous cannula sites?

The policies in the infection control manual are the most up-to-date versions?

Staff can locate the infection control policy manual?

Staff can name their link nurse?

There is a staff induction programme for infection control?

Protective Clothing

Protective Clothing

Masks are worn correctly when entering clean areas?

Masks are removed when leaving operating theatres?

All headgear is worn correctly?

Theatre clothing is not worn outside the theatre area ( minimum clean white coat to protect )?

All theatre clothing is intact and safe to use ( e.g. Charnley gowns intact )?

Overshoes are not worn?

Disposable / waterproof gowns?

Eye protection?

Gloves are worn as required?

Anaesthetic team do not handle equipment, notes or other articles with contaminated gloves?

Hand Hygiene

Hand Hygiene

Soap / anaesthetic is available at all sinks?

Paper towels are available at all sinks in clinical areas?

Access to hand washing basins is clear?

The correct hand washing technique observed by circulating staff in at least one theatre?

A satisfactory scrub by medical staff is observed in at least one theatre?

A satisfactory scrub by nursing staff is observed in at least one theatre?

The infection control team approves the antiseptic in use?

The plungers in the antiseptic containers are washed before reuse or new plungers are used each time?

Nailbrushes used for pre-operative scrubs are either single use or sterile?

No wrist watches / stoned rings worn by the staff carrying out hand washing technique?

Hands are washed after removal of gloves?

A good hand washing technique is included in new staff induction programme?

Decontamination

Decontamination

A disinfection policy is in place and known by staff?

Appropriate disinfectants and dilution charts are a available to deal with blood spillages?

Correct dilutions of hypochlorite are used for blood spillages?

Chemical disinfection is only used for heat liable equipment e.g. Flexible endoscopes?

Appropriate measures for compliance with COSHH are in place when using disinfectants e.g. Ventilation?

Data sheets are available for disinfectants used ( COSHH )?

Care of Equipment

Care of Equipment

Steve equipment is stored in a clean / dry condition?

Single use items are used in accordance with hospital policy?

Used instruments are stored in the sluice ( or dirty corridor ) in appropriate containers less than 3/4 full?

Staff can clearly state the procedure for handling biohazard equipment for return to sterile services?

Staff are aware of the need for decontamination and a certificate prior to sending equipment for maintenance / repair?

Suction equipment is clean and dry. Catheter is not attached ( clean cover accepted in some emergencies )?

Anaesthetic equipment is filtered and disinfected according to hospital policy I.e. LM's, Laryngoscopes?

Any manual handling / lifting aids are clean and in a good state of repair?

Manual handling aids are disinfected according to hospital policy after each patient use?

Sharps Handling

Sharps Handling

Containers used comply with British Standard and UN 3291?

Sharps box is less than 3/4 full and there are no pot ruling sharps?

Sharps box is available on the anaesthetic trolley?

Sharps box is correctly assembled?

Sharps box is labelled / signed according to hospital policy?

Staff are aware of appropriate action to take following an inoculation injury?

Linen Handling

Linen Handling

Linen is segregated in appropriate colour coded bags?

Bags are less than 2/3 full and are capable of being secured?

Bags are stored in the dirty utility / linen disposal or sluice prior to disposal?

Clean linen is stored in a clean area ( not the sluice / bathroom )?

Linen coming from the wards on patients beds is clean?

Infected linen is disposed of correctly?

Waste Disposal

Waste Disposal

Waste disposal policy and / or chart is available to staff?

Correct segregation of glass and clinical and household waste?

Waste bags are less than 2/3 full, securely sealed and labelled ( as per local policy )?

There are foot operated bins in working order for clinical waste?

Waste bags are stored safely and away from the public?

The disposal area is locked and inaccessible to unauthorised persons?

The storage areas ( trucks ) are cleaned regularly?

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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.