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Audit Checklist for HIC
Location : __________________________ Date : ____________________
S.No Parameter Yes / No Remarks
Whether the hospital infection prevention and control 1 programme is documented? A hospital infection control committee and team is 2 formed? A designated and qualified infection control nurse(s) is 3 present? 4 A designated infection control officer is present? 5 Has the hospital Identified high risk areas? Does the hospital implements policies and/or procedures 6 to prevent infection in these areas? Does the organization adheres to standard precautions 7 at all times? Equipment cleaning, disinfection and sterilization 8 practices as per the polices? An appropriate antibiotic policy is established and 9 implemented? Hospital adheres to laundry and linen management 10 processes? Hospital adheres to kitchen sanitation and food handling 11 issues? Does the hospital has appropriate engineering controls to 12 prevent infections? 13 Does the hospital adheres to mortuary practices?
14 Does the safe injection and infusion practices foollowed?
Is the infection prevention and control programme
15 updated at least once in a year? 16 Is the HIC surveillance data collected regulary? Is the Verification of data done on a regular basis by the 17 infection control team? In cases of notifiable diseases, information (in relevant 18 format) is sent to appropriate authorities? Tracking and analysing of infection risks, rates and 19 trends
20 Organization adheres to housekeeping procedures?
Does the surveillance activities include monitoring the
21 effectiveness of housekeeping services. 22 HAI rates monitored?
Appropriate feedback regarding HAI rates provided on a
23 regular basis to appropriate personnel?
24 Organization adheres to hand hygiene guidelines?
Adequate and appropriate facilities for hand hygiene in 25 all patient care areas Provided? Are adequate and appropriate personal protective 26 equipment, soaps, and disinfectants available ? Are the personal protective equipment used correctly by 27 the staff?
28 Compliance with hand hygiene guidelines monitored?
Documented procedure for identifying an outbreak
29 present? 30 Implementation of laid down procedure done? Does the organization have adequate space and 31 appropriate zoning for sterilization activities? Documented procedure guides the cleaning, packing, 32 disinfection and/or sterilization, storing and issue of items? Regular validation tests for sterilizationare carried out is 33 done and documented? Is there an established recall procedure when breakdown 34 in the sterilization system is identified? 35 Isolation / barrier nursing facilities are available? Statutory provisions with regard to biomedical waste 36 present? 37 Adherence to various conditions of the act done? Appropriate personal protective equipment used by the 38 BMW handlers? Visit by the hospital authorities to the disposal site done 39 and documented? Does the hospital makes available resources required for 40 the infection control programme
Does the organization earmarks adequate funds from its
41 annual budget for infection control activities?
Does the organization conducts induction training for all
42 staff? Appropriate “in-service” training sessions for all staff at 43 least once in a year conducted? Appropriate pre and post exposure prophylaxis is 44 provided to all concerned staff members? 45 Staff interview