Hand Hygiene Facilities

Hand Hygiene Facilities

The organisation has comprehensive procedures and a policy for hand hygiene?

Organisational structures are in place to ensure, distribution and compliance and monitoring of the hand hygiene policy and procedures?

Hand hygiene is an integral part of induction for all staff?

Staff have received training in hand hygiene procedures? (Ask a member of staff)

Clinical staff nails are short, clean and free from nail extensions and varnish?

No wrist watches, stoned rings or other wrist jewellery are worn during clinical procedures?

Hand hygiene is encouraged and alcohol hand rubs are made available for visitors?

Posters promoting hand hygiene are available and are on display?

There is a hand wash basin in each treatment / clinical area?

Hand washing facilities are clean and intact? (Check sinks, taps, splash backs, soap and towel dispensers)

Hand wash basins are dedicated for that use only and are free from used equipment and inappropriate items?

There is easy access to the hand wash basin?

The hand wash basin complies with HTM 64 i.e. no plugs, no overflows, water from taps not directly situated above plug hole?

Elbow operated taps are available at all hand wash basins in clinical areas?

Liquid soaps available at all hand wash basins in clinical areas?

Liquid soap is in the form of single use cartridge dispensers?

There is no bar soap at hand washing basins in treatment / clinical areas?

Alcohol rub is available for use at the entrance / exits to clinical settings, when appropriate, e.g. Community hospitals?

Alcohol hand rub is available at the point of care as per local and national standards?

Portable alcohol hand rub is available for domiciliary visits?

Clinical staff are encouraged to use hand moisturisers that are pump operated for personal use?

Soft absorbent paper towels are available at all hand wash sinks?

There aren't re-usable cotton towels used to dry hands?

There are no re-usable nail rushes used or present at hand wash sinks?

There is a foot operated bin for waste towels in close proximity to hand wash sinks which are fully operational?

Environment

Environment

The organisation has access to the NHS document "Infection Control in the Built Environment?" (www.nhsestates.gov.uk)

The organisation has comprehensive procedures based on the following documents - "Revised Guidance for Contract Cleaning", "NHS Healthcare Facilities Cleaning Manual","National Specifications for Cleanliness?" (www.nhsestates.gov.uk)

Organisational structures are in place to ensure distribution, compliance and auditing of cleanliness?

Overall appearance of the environment is tidy and uncluttered with only appropriate, clean and well maintained furniture used?

Fabric of the environment and equipment smells clean, fresh and pleasant?

The allocation of rooms for clinical practice is fit for purpose?

Rooms where clinical practice takes place are not carpeted?

Floor coverings are washable and impervious to moisture and are sealed regularly?

The complete floor, including edges and corners are visibly clean with no visible body substances, dust, dirt or debris?

Furniture, fixtures and fittings should be visibly clean with no body substances, dust, dirt, debris or adhesive tape?

All dispensers, holders and all parts of the surfaces of dispensers of soap and alcohol gels,paper towel / couch roll / toilet paper holders are visibly clean with no body substances, dust, dirt, debris or adhesive tape?

Toilets are visibly clean with no body substances, dust, lime scale stains, deposits or smears - including under the toilet seat?

Hand wash basins are visibly clean with no body substances, dust, lime scale stains, deposits or smears?

Hand wash basins are dedicated for that use only and are free from used equipment and inappropriate items?

Facilities are available for the safe disposal of sanitary towels?

Sanitary bins are replaced regularly with clean to prevent overfilling?

Waste receptacles are clean, including lid and pedal?

Foot pedals of clinical waste bins are in good working order?

There is a procedure in place for regular decontamination of blinds and curtains?

Furniture in patient areas e.g. chairs and couches are made of impermeable and washable materials?

Chairs are free from rips and tears?

Couches are free from rips and tears?

Disposable paper couch roll is in use on examination couches?

Pillows are enclosed in a washable and impervious cover?

Furniture that cannot be cleaned is condemned?

Tables are tidy and uncluttered to enable cleaning?

Medical equipment is cleaned, maintained and stored appropriately?

Water coolers are mains supplied, visibly clean and on a planned maintenance programme?

Soft toys are not available for communal use?

Toys are visibly clean with no evidence of body substances, dust or debris?

Changing mats are free of rips and tears and are visually clean with no evidence of body substances, dust or deposits?

Changing mats are covered in easy-clean material?

Baby weighing scales are visibly clean with no body substances, dust or deposits?

Sandpits have fitted lids?

Sand is kept clean and dry and sand is renewed regularly?

Animals used for pet therapy have evidence that all appropriate worming and vaccinations are up-to-date and have a flea management programme?

Feeding areas, cages and bedding are cleaned and changed regularly?

Hand hygiene is actively encouraged after handling animals in healthcare environments - must apply to staff and visitor?

Sharps bins / boxes are clearly and correctly labelled?

Sharps bins / boxes are not overfilled and do not have any objects protruding?

Sharps bin / box lids are in a closed position?

Kitchen Area

Kitchen Area

The kitchen is subject to a regular inspection from Environmental Health or other agency?

The floor is clean and tidy?

There is no evidence of infestation or animals in the kitchen?

Fly screens are in place where required?

Cleaning materials used in the kitchen are identifiable and are stored separately to other cleaning equipment and away from food?

There is a separate dedicated hand wash sink and liquid soap and paper towels are available?

Fixtures and fittings are in a good state of repair?

Fixtures, surfaces and appliances are clean and dry?

Shelves, cupboards and drawers are clean and dry, free from dust and in a good state of repair?

All cooking appliances are visibly clean?

Refrigerators / freezers are clean and free from ice build up?

There is a thermometer in the refrigerator and freezer?

There is evidence that daily temperatures are recorded and appropriate action is taken if standards are not met? ( refrigerator temperature must be less than 8C, freezer -18C or as local policy

Patient and staff food is labelled and there is a system in place to determine when it was opened and / or when it should be used by?

There are no inappropriate items ( e.g. medications or specimens ) in the refrigerator?

Milk is stored in the refrigerator?

Bread is stored in a clean dry container?

All food products are within their expiry dates?

Opened food is coved or stored in containers?

Water coolers / ice machines are mains supplied, visibly clean and on a planned maintenance programme?

Ice making machines that use storage bins for storing ice in the ice maker are not in use?

Ice dispensing machines are used where it is required for food / drink purposes? ( I.e. the ice is dispensed from nozzles directly into receptacle on demand)

The daily routine of the ice maker / dispenser is strictly adhered to and is cleaned at least once a week according to manufacturers instructions?

There is a satisfactory system for cleaning crockery and cutlery e.g. Dishwasher which is clean and well maintained?

Disposable paper roll is available for drying equipment and surfaces?

There are no fabric tea towels or dish cloths in use?

Waste bins are foot operated, clean, and in good working order?

There are no inappropriate items or equipment in the kitchen?

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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.