Evaluation of Infection Control (Long-term Care)

Infection Control Guidelines

Are updated infection control guidelines revised and communicated to all?

Are copies of the manual available to team members in all units?

Has the infection control manual been revised annually in collaboration with the responsible committee?

Infection Program & Committee

Is there a separate agenda and minutes?

Is there a separate infection bulletin/scoreboard? Is the information up to date?

Is the inspection protocol drawn up at least annually?

Are trained respirator inspectors available?

Are all team members tested for infection knowledge at recruitment and every 2 years?

Are supplies (PPE, sanitizers, etc.) available for at least 3 days in case of an outbreak?

Is there a designated staff member who coordinates the infection prevention and control program and has training and experience in infection prevention and control: (a) Infectious disease (b) Cleaning and disinfection (c) Data collection

Are the names written on the personal belongings of each resident? - Personal hygiene items (toothbrushes, combs, etc.) - Nail clippers - Glucometer and eye drops

Do medications have expiration dates? i.e. injections, eye drops etc.

Check-ups & Vaccinations

Is the influenza vaccination strategy being followed?

Is the strategy of pneumonia and TdaP vaccination followed?

Are the guidelines for tuberculosis screening followed?

Are the guidelines for MRSA, AER and ESBL screening followed?

Monitoring Programme

Is there a surveillance form in every residential area that is filled out correctly?

Are the data monitored and validated daily?

Are the infections monitored monthly?

Are the data analysed monthly?

Are the infection rates calculated?

Is the correct data collection sheet used?

Is the information collected on residents' infections at each shift analyzed daily to detect the presence of infections and reviewed at least monthly to identify trends in reducing the incidence of infections and outbreaks?

Are the surveillance data evaluated, analysed and presented at the meeting and is an action plan drawn up?

Is the number of residents with ARO in different units calculated on a monthly basis?

Breakout

Is the procedure to confirm the outbreak followed?

Is the examination checklist followed?

Are the additional precautionary measures for the affected residents implemented immediately?

Is the outbreak management team activated?

Are the responsibilities of the department being followed?

Is the Outbreak Management Team meeting concluded with an action protocol?

Is there a folder where all relevant documents related to the outbreak are stored?

Are outbreak signs visible at each entrance?

Is a highly effective disinfectant used?

Hand Hygiene Program

Is there a structured hand hygiene program? - Hand hygiene test - Team member to support the residents in the implementation of hand hygiene before and after meals - Team members to support the residents in the implementation of hand hygiene before and after the activity - Calculation of hand hygiene rates, analysis of the data and development of an action plan if necessary - Communication of the rates with all team members - Appropriate nail and skin care - The following guidelines regarding jewellery

Are alcohol-based hand disinfectants available at the nursing station?

Is hand hygiene compliance monitored before and after the use of gloves?

Personal Protective Equipment (PPE)

Is the prescribed algorithm for putting on and taking off the PSA followed?

Is PPE available at the entrance to the resident's room as an additional precautionary measure?

Is there a sufficiently large waste bin in the immediate vicinity, accessible by a foot pedal, which is available to residents as an additional precautionary measure?

Fridge monitoring

Is the medication refrigerator monitored and temperatures logged twice a day and actions are taken if they are out of range?

Is the vaccine refrigerator monitored and temperatures logged twice daily and actions are taken if out of range?

Is the sample refrigerator monitored and temperatures logged twice daily and actions are taken if out of range?

Education

Are there annual training sessions in addition to the planned inspections? (influenza, outbreak, IPAC gaps, etc.)

Are providers and the competent authorities involved in the training?

Is the documentation of the training stored electronically or in paper form?

Sharp Disposable Products

Are the "dangerous" waste containers closed before overfilling?

Are the team members informed about the locations of hazardous waste?

Hygienic Environment

Is an environmental audit carried out regularly? - Audit tools - Monitoring system - Evaluation and validation of data - Communication with team members

Are the steps for putting on and taking off the PPE correctly followed?

Is the correct use of gloves followed?

Dirty washrooms, clean washrooms, shower, bath room, laundry room - PSA availability - kept locked away from residents - spray head removed

Is there a problem with pest infestation? (cockroaches, ants, mice, etc.)

Are the rooms visually clean? - curtain for privacy - the room - the bathroom

Disinfection of Non-Critical Objects

Is the protocol for disinfecting non-critical items clear? - Nail clippers - Other

Is the responsibility for the disinfection of non-critical items clear between departments? (raised toilet seats, carbolization beds, lifting devices, etc.)

Is there a schedule, protocol or monitoring method/checklist?

Disinfectants

Is the care community informed about the use of the highly effective disinfectant during the outbreak?

Are there educational events about the use of disinfectants? - Cleaning vs. disinfecting vs. disinfecting - Sanitation vs. disinfection at low level vs. disinfection at high level - dilution/titration, contact time/dwell time, mechanical action/friction - How to read the label

Is there a sporicidal cleaner that is immediately available on request?

Laundry

Are the clean and dirty areas separated?

Is PPE available in the laundry?

Is there an alcohol-based disinfectant for the team members?

Other - Briefs separated from dirty cloths - Large manure is removed manually before it is sent to the laundry - Suitable wipes are used to clean the residents - Personal items removed from clothing before they are sent to the laundry - Dirty containers disinfected daily?

Kitchen

Are there cleaning protocols?

Are all temperatures (refrigerator, freezer, warming area, etc.) controlled and recorded?

Do the team members use appropriate aprons? (clothing is protected)

Is the previous report on the health care visit reviewed and followed up?

Activity and Programmes

Is there a care plan for pets?

Is there a schedule for cleaning equipment after the activity?

Flu Season

Are the team members offered training?

Are infection resources used?

Other

Are PPE available to residents under additional precautions?

Are there signs available for residents for additional precautions?

Are there other areas that require attention?

Specify other areas

Did it meet the criteria?

Completion

Title, Name and Signature of Inspector

Evaluation of Infection Control (Long-term Care)

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Evaluation of Infection Control (Long-term Care)

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