Scribd
Upload
3K views6 pages

ICN Checklist

The document is an infection control inspection checklist that is meant to be filled out daily. It contains sections to check items like proper linen disposal, PPE use by staff, patient care protocols, and monitoring of infection incidents.

Uploaded by

Payal Thakker
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
3K views6 pages

ICN Checklist

The document is an infection control inspection checklist that is meant to be filled out daily. It contains sections to check items like proper linen disposal, PPE use by staff, patient care protocols, and monitoring of infection incidents.

Uploaded by

Payal Thakker
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
You are on page 1/ 6

Infection Control Inspection Checklist (Should be fill daily)

Date

BMW
Liner Liner at Correct Order Proper Segregation Proper Disposal
Yes/No Yes/No Yes/No Yes/No
Deaprtment Name

Infection Control and Safety Gears


Cap Mask Gloves Uniform
Department Name

Patient Care
Proper date and time
Clean Linen Clean Station on invasives Visitors Protocols

Incidence

VAP SSI Spillage Fall of Patient


ll daily)

Instructions Remark

Instructions Remark

Instructions Remark

Sentinel Events NSI


Department: Start time and stop time:
Infection Control and Safety Gears

Employee Cap Mask Gloves Uniform

Number of Staff adhering to safety precaution

Number of Staff audited Observation done by:

% of adherence to safety precautions by staff


rt time and stop time:
ety Gears

Instructions Remark

ervation done by:

You might also like