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Ipc-Environment Clinical Rounds-1 Checklist03062019114859

1. The document is an infection prevention and control environmental clinical rounds checklist for the Prince Mohammed Bin Nasser Hospital in Saudi Arabia. 2. It contains checklists to audit cleanliness, organization, and infection control compliance in areas like the nurses station, medication room, storage room, isolation room, housekeeping, waste management, and patient rooms. 3. The audit covers topics like proper hand hygiene, cleanliness of surfaces and equipment, safe medication handling and storage, appropriate waste disposal, and compliance with isolation precautions.

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jepa kripa
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124 views3 pages

Ipc-Environment Clinical Rounds-1 Checklist03062019114859

1. The document is an infection prevention and control environmental clinical rounds checklist for the Prince Mohammed Bin Nasser Hospital in Saudi Arabia. 2. It contains checklists to audit cleanliness, organization, and infection control compliance in areas like the nurses station, medication room, storage room, isolation room, housekeeping, waste management, and patient rooms. 3. The audit covers topics like proper hand hygiene, cleanliness of surfaces and equipment, safe medication handling and storage, appropriate waste disposal, and compliance with isolation precautions.

Uploaded by

jepa kripa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

,[F

Kingdom of Seudi Arablr


Ministry of Health
a"ec
Jezan Heelth Dlrectorate 6 -.,r.'llcilljg
Prince Mohrmmed Bln Nasser Hospital

DEPARTMENT OF INTECTION PREVENTION & CONTROL

IPC ENVIRONMENT CLINI C q.L ROUNDS CHECKLIST

Namc of Depertment: Totrl Checklist Standard : Compliance Rete_ 7o

NO. DfS(ruPTION YES NO N/A COMMENTS


I. PERSOI\NEL
I Personnel wear neat uniform and appropriate clothing.
2 Good hair and cleanliness is practiced.
3 Fingernails are cleaned and trimmed.
4 Personnel follow strict clothing and contaminating and Iinen handling
procedures to avoid contaminating their clothes.
5 Disposablc gloves arc worn when handling waste,
6 Staffwere observed and appropriately performing hand hygiene.
U. GENERAL UNIT PATIENT CARE AREAS
A" NURSES STATION
I Nurses station area is cleaned and uncluttered.
) Stafffbod and beverages observed only inside the pantry and stafflounge.
3 Alcohol gel is available in the Nurses Station.
4. Alcohol dispensers are in sufficient quantity and alcohol gel is available in
each dispenser.
B. MEDICATION ROOM
l. Medication cart is clean and free of dust.
.,
Medication room is clean and well organized.
3 Opened medication is written with the date and time of opening.
4. Opened medication date and time is within the acceptable life shelf and
storage.
5. Medications are within the validity period.
6. Syringes, needles, sharps, are properly
disposed in thc sharp container
7 Medication refrigerator is clean and exclusive only for medication,
8. Medication refrigerator temperatur€ is functioning well according to its
standard temperature of _ C.
9. Medication Refrigerator temperatune is monitored daily and log book is
-uCqled.
10. Medication room tempcrature is and monitored regularly.
ll Opened medication kept inside the refrigerator is updated with the date and
time of opening.
t2 Sterile solutions such as normal saline and distilled water for injection are
properly labelod with thc datc and time of opening and needles not found on
the top ofrubber cup.
l3 Sink is available for hand washing with antimicrobial soap.
l4 Under the sink is empty and clean.

IPAPMBNHB-2019 Pagc I of3

TQIrI DOCUITENT COpy


PMBNH
4tF
Kingdom of Seudl Arrbia
Ministrl of Healtb
a..slc
Jazrn Heelth Dircctorste fi -...rll<i1ljg
Prince Mohrmmcd Bin Nsgscr Hospltal

C. STORE ROOM
I Store room is cleaned and dry
2 Allsterile items are properly packed with package integrity and expiration
dates.
3 Storage area hes limited access and monitorcd ventilation.
4 are on in first out basis.
5 Blue plastic cases for storage sterile Iems are updated and properly labeled
with date of
6 Storage she lves or cabinets must be 50 inches from the ceiling, 8- 0 inches
from the floor and 6 inches from the wall.
7 Under sink is empry and clean.
8. boxes are removed from this area.
9. Sterile and consumable supplies are well arranged and segregated according to
it's kind.
D. ISOLATION ROOM
l There s a clinical handwashing facility with hands free of operation inside the
's room which is with toilet and shower,
,|
Walls and are smooth without decorative parts
3 PPE and hand supplies are available in sufficient quantity,
4. PPE put in the anteroom or outside the conidor.
5 Infectious medical waste is available in the ante room and patient room
6. Logbook is available and properly updated with the names of healthcare
watchers and visitors.
7 All PPE doffed inside the patient room except N95 respirator which is being
removed in the anteroom or corridor.
L The signage used to indicate categories of isolation are clear and visible for
Healthcare workers and visitor.
9.
!*!utp" tag are bilingual in Arabic and English
10. Sign isolation are color-coded. ( Blue for airborne, green
and for
E. HOUSEKEEPING ANI) HOSPIT AL ENVIRONMENT
I Cleaning IS and updated
,|
Cleaning agents and dis-infectant used are consistent with hospital policies
and MOH
3 There are separate clean dirty utility room.
4. Housekeeping staffarc PPE, hand hygiene and proper waste

5 Bedside and curtains are c lean and updated with the date of tn stallation
6. Biological are available.
7 Staffare on how to use Spill kit
8 Terminal checklist are used after cleaning.
F. WASTE MANAGEMENT
I containers arc prcsenl with slzes.
.)
Sharp containers art mounted or on a stand.

IruPMBNHB.2OI9
TQTI DOCUI.{ENT COPY
Page 2 ofJ
PMBNi{
TIIF
Klngdom of Saudi Arrbir
Mlnlstry of Heelth
35rC
Jezan Heelth Directonte iir"allcilljg
Prince Mohrmmed Bln Nlsger Hospita!

J Infectious waste are properly disposed in an infectious yellow plastic.


4 General waste are properly disposed tn a general waste bin .( Black b lue case
)
5 with scalpels, blades, pipettes, glass items are properly
tn8 container
6 Body organs, human tissues and are properly disposed to red bag.
LATINDRY MANAGE,MENT
I There is separate room for clean and dirty linen
2. Clean linen room are well and free ofdust
3. Clcan linen are stored in cupboards or designated clean linen room in covered
linen carts.
4. Linen room are exclusive only for all Linens
5. Clean Linen room is regularly cleaned with the housekeeping personnel with
the use ofhospital approved dlqinfectant and with cleaning schedule available
6. The door of the clesn linen room is closed all the time
7 Maintenance of exhaust points and air sampling for clean and dirty laundry
rooms afe done maintenance
8. Used linen should be stored clean linen room.
9 lnfectious linen ls placed tn infectious waste hamper bag'
t0. Non-infectious linen ts placed tn white hamper bag
ll Door of Dirty linen room is c at
12. Used linen put in the designated bag and not overfilled.
13. Linen bag at alltime.
14. Dirty Linen room IS regularly cleaned by housekeeping personnel with
schedule.
II. PATIf,NT ROOM AND SIJRROI,JNDINGS
I Bed frame cleaned and free stain and dirt.
2. table is cleaned and well arranged.
3 Bed side rails is ofplaster and adhesive tape.
4. lV stand is clean and free of dust.
5 Patient cabinet ls clean, foods and beverages with tn updated date.
5. Patient lockers are free ofpest and rodents

Iaroccted bv:
Nrme of IPC Prrctioner: _ Signaturr: Date:
Ileprrtment Heed Nurtc: _Signature: Dete:
-
Ilepertment Supenlsor: _ Signeturc: Date:

.T.IiT
DOCUMENT TQT DOCUIEIITCOPY
PMBNH PMBT{H

IrclPMBNITN.ZOI9
Pagc 3 ofJ

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