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IPC Checklist

The document is an IPC checklist for Adet Primary Hospital, outlining criteria for environmental cleaning, hand hygiene compliance, health education, instrument reprocessing, waste management, and healthcare-associated infection surveillance. It includes specific questions to assess adherence to infection prevention protocols within various departments. The checklist aims to ensure that necessary hygiene and safety standards are met in the hospital setting.

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326 views1 page

IPC Checklist

The document is an IPC checklist for Adet Primary Hospital, outlining criteria for environmental cleaning, hand hygiene compliance, health education, instrument reprocessing, waste management, and healthcare-associated infection surveillance. It includes specific questions to assess adherence to infection prevention protocols within various departments. The checklist aims to ensure that necessary hygiene and safety standards are met in the hospital setting.

Uploaded by

freefano19
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Adet Primary Hospital IPC check list for department Level Date ---------------------- Department -----------------

SN Domain Criteria Yes No N/A Remark


1.1. Are cleaning schedules established for both patient rooms and common areas

1.2. A record of cleaning activities is available each day.

Environmental 1.3. Walls, windows, ceilings, and doors should be spot cleaned with a towel, detergent, and water (specify
Cleaning rooms observed).
1
1.4. Toilets and latrines should be cleaned with a dedicated mop, cloth, or brush and a disinfectant solution.

1.5. adherence of cleaning day by staff

1.6. Presences of non-functional equipment everywhere


2.1. Are hand hygiene stations (with soap and alcohol-based hand rubs) available at the point of care and in
Hand Hygiene strategic areas?
2 (HH) Practice 2.2. Adherence of hand hygiene
Compliance
2.3. Hand hygiene posters or job aids are available at all HH stations.

3 Health education 3.1 Health education was given (waste segregation, toilet utilizations)(ask attendant)

4.1. Reprocessing of contaminated medical instruments (point-of-use cleaning). ---> (thorough cleaning) --->
Instrument (high-level disinfection or sterilization).
4
Reprocessing
4.2. staff awareness about decontaminations process
5.1. Waste collection containers for non-infectious (general), infectious, and sharps waste are available
Waste /labeled
5 Management and
Sharps Disposal 5.2. Waste is correctly segregated into general, infectious waste, and sharps at the point of generation
5.3 Staff aware about waste segregation

IPC Program 6.1 IPC SOPs/ guidelines are easily accessed by healthcare workers.
6
6.2. Presence of functional IPC focal with evidence

7.1. The department has assigned a dedicated focal person for HAI surveillance activities
Health care-
associated 7.2. HAI surveillance is currently ongoing: (if yes, check from the options below)
7 infection (HAI)
surveillance)
7.3. staff awareness regarding HAIs

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