Hand Hygiene

Hand Hygiene - General

The organisation has comprehensive procedures and policy for hand hygiene?

Organisational structures are in place to ensure distribution, 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 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 the taps not directly situated over the plug hole?

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

Liquid soap is available at each hand wash basin?

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

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

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

Portable 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 washing sinks?

There are no reusable cotton towels used to dry hands?

There are no reusable nail brushes used

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

MIU / Outpatients

MIU / Outpatients - Environment

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, 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 underneath 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 curtains and blinds?

Furniture in patient areas e.g. Chairs and couches are made from 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 deposits?

Changing mats are free from rips and tears and are visibly clean with no evidence of body substances, dust or debris?

Changing mats are covered in an easy clean material?

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

Sharps bins / boxes are clearly and correctly labelled?

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

Sharps bins / boxes are in a closed position?

Physiotherapy - Environment

Physiotherapy - Environment

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, impervious to moisture and 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 curtains and blinds?

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 from rips and tears and are visibly clean with no evidence of body substances, dust or deposits?

Changing mats are covered in an easy clean material?

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

Sharps bins / boxes are clearly and correctly labelled?

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

Sharps bins / boxes are in a closed position?

OT Kitchen - Environment and Kitchen

OT Kitchen - Environment and Kitchen

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 mills 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, debris or adhesive tape?

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 or soap and alcohol gels, paper towels / couch roll / toilet paper holders are visibly clean with no body substances, dust, dirt, debris or adhesive tape?

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?

Waste receptacles are clean, including lid and pedal?

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

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?

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?

The kitchen floor is clean and dry?

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

Cleaning materials used in the kitchen are clearly 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 / 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 8 degrees C, freezer -18 degrees C or as per 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 and dry container?

All food products are within their expiry dates?

Opened food is covered 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 ice is required for food / drink purposes? (I.e. The ice is dispensed from nozzles directly into a 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 manufacture instructions?

Disposable paper roll is available for drying equipment and surfaces?

There are no fabric tea towels or dishcloths in use?

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

There are no inappropriate items or equipment in the kitchen?

Kitchen - Kitchen

Kitchen - Kitchen

The kitchen is subject to a regular inspection from environmental health or other agency?

The floor is clean and dry?

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 8 degrees C, freezer -18 degrees C or as per 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 Re no inappropriate items (e.g. Medications or specimens) in the refrigerator?

Milk is stored in the refrigerator?

Bread is stored in a clean and dry container?

All food products are within their expiry dates?

Opened food is covered 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 ice is required for food / drink purposes? (I.e. The ice is dispensed from nozzles directly into a 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?

Ward One - Environment

Ward One - Environment

Ward Name

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 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 underneath 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 equipment and inappropriate items?

Facilities are available for the safe disposal of sanitary towels?

Sanitary bins are replaced regularly with new 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 curtains and blinds?

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 e 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 deposits?

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

Changing mats are covered in an easy clean material?

Sharps bins / boxes are clearly and correctly labelled?

Sharps bins / boxes are in a closed position?

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

Ward Two - Environment

Ward Two - Environment

Ward Name

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, impervious to moisture and sealed regularly?

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

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

All dispensers, holders and all parts 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 underneath 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 curtains and blinds?

Furniture in patient areas e.g. Chairs and couches are made from impervious 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 deposits?

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

Changing mats are covered in an easy clean material?

Sharps bins / boxes are clearly and correctly labelled?

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

Sharps bins / boxes are in a closed position?

MRSA Screening

MRSA Screening - Screening Compliance
Patient One

Has the MRSA screen been carried out and is it clearly documented in patient one's notes?

Patient Two

Has the MRSA screen been carried out and is it clearly documented in patient two's notes?

Patient Three

Has the MRSA screen been carried out and is it clearly documented in patient three's notes?

Saving Lives - Catheter Ongoing Care

Saving Lives - Catheter Ongoing Care
Patient One

Hand Hygiene?

Catheter Hygiene?

Aseptic Sampling?

Drainage bag position?

Catheter manipulation?

Catheter needed?

Patient Two

Hand Hygiene?

Catheter Hygiene?

Aseptic Sampling?

Drainage bag position?

Catheter manipulation?

Catheter needed?

Patient Three

Hand Hygiene?

Catheter Hygiene?

Aseptic Sampling?

Drainage bag position?

Catheter manipulation?

Catheter needed?

Saving Lives - Cannula Ongoing Care

Saving Lives - Cannula Ongoing Care
Patient One

Hand Hygiene?

Continuing clinical evaluation?

Site inspected?

Dressing?

Cannula access?

Administration set replacement?

Routine cannula replacement?

Patient Two

Hand Hygiene?

Continuing clinical evaluation?

Site inspected?

Dressing?

Cannula access?

Administration set replacement?

Routine cannula replacement?

Patient Three

Hand Hygiene?

Continuing clinical evaluation?

Site inspected?

Dressing?

Cannula access?

Administration set replacement?

Routine cannula replacement?

Sign Off

Sign Off

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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.