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Checklist ICN

The document outlines a series of questions related to hand hygiene practices for healthcare personnel, patients, and visitors, focusing on when and how hands should be cleaned. It assesses the availability and functionality of hand hygiene supplies, including alcohol-based hand sanitizers and wipes. Additionally, it addresses the accessibility of hand hygiene stations within clinical settings.

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suleman.shah2
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46 views4 pages

Checklist ICN

The document outlines a series of questions related to hand hygiene practices for healthcare personnel, patients, and visitors, focusing on when and how hands should be cleaned. It assesses the availability and functionality of hand hygiene supplies, including alcohol-based hand sanitizers and wipes. Additionally, it addresses the accessibility of hand hygiene stations within clinical settings.

Uploaded by

suleman.shah2
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

Infection Control (Hand Hygiene staff Q&A)

No. Description Score


(X,Y,Z)

In most clinical situations, how


111 do healthcare personnel (HCP)
clean their hands?

When are HCP expected to clean


112 their hands? (Select all that
apply)

Are there certain times when


113 HCP must wash their hands with
soap and water? (Select all that
apply)

Are sinks used only for hand


114 washing (i.e., not used to dispose
of waste)?

Is there a process to ensure


115 hand hygiene supplies are readily
available/restocked and that
dispensers are properly
functioning?

116 Is facility approved hand lotion


supplied for use on units?

117 Does the facility hand hygiene


policy include elements related
to fingernails? (select all that
apply)

How do patients, residents and


118 visitors clean their hands? (select
all that apply) ABHS
Antimicrobial-impregnated wipes
(specify antiseptic e.g., alcohol):

119 When are patients, residents and


visitors encouraged to clean their
hands? (select all that apply)
Infection Control (HH station
120 Assessment) Do the Alcohol-
based hand sanitizer (ABHS) used
in the facility contains 60%-95%
alcohol?

Infection Control (HH station


121 Assessment) Are Alcohol-
impregnated wipes stored in a
manner that prevents
evaporation?

Infection Control (HH station


122 Assessment)How is ABHS
dispensed? Wall-mounted/Free-
standing bottles/individual sized
pockets? |Put X:if none present/
Y:If any two present/Z: If only
one present|

Infection Control (HH station


123 Assessment)Do Individual
pocket-sized dispensers of ABHS
remain in the control of HCP (i.e.,
patients/residents are unable to
access these dispensers)?

124 Infection Control (Location &


Accessibility of HH) Are HH
stations easily accessible outside
patient/resident room?

Infection Control (Location &


125 Accessibility of HH)Are any
available Inside room at
threshold?

Infection Control (Location &


126 Accessibility of HH) Inside room
near the bed(s)?

Infection Control (Location &


127 Accessibility of HH) Inside
patient/resident restroom?
ction Control (Hand Hygiene staff Q&A)

Remarks

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