IPC Checklist for hospitals

This is a checklist for hospitals to enforce infection prevention and control.

Basic preparedness

[ ] Provide handouts to doctors and nurses on a) clinical symptoms of COVID-19 and infection prevention and control measures.

[ ] Make a nurse in-charge of infection control and preparedness at the hospital.

[ ] Display posters on cough etiquette in hospital corridors

[ ] Create physical barrier or teller window between the patients and doctors in all hospital OPDs.

[ ] Instruct periodic decontamination of stethoscopes.

[ ] Create hand-washing ports for places where sufficient hand washing facilities aren't available.

[ ] Post information on Infection Prevention and Control on all doors of wards, clinics and procedure rooms.

Earmarking dedicated resources and facilities

[ ] Use dedicated medical equipment for suspected patients. Doctors should be advised against using personal stethoscopes when checking patients with respiratory symptoms.

[ ] Designate a separate procedure room to carry out aerosol-generating procedures such as swabbing.

[ ] Other aerosol-generating procedures for example, tracheal intubation, bronchial suctioning, bronchoscopy, and sputum induction should be always carried out in negative pressure isolation rooms and preferably with aerosol box.

[ ] Dedicate a restroom for patients who demonstrate symptoms of COVID-19 Put a sign board denoting that the restroom is meant for COVID-19 patients.

[ ] Have dedicated sanitation staff for COVID-19 isolation wards. Sanitation staff should be instructed to take a shower and change entirely before stepping out of isolation wards.

[ ] Dedicate separate ambulance/vehicle for transfers of suspected or confirmed patients. If dedicated ambulance cannot be maintained; ensure that patients aren't grouped with non-suspects.

Every Morning

[ ] Conduct daily 15-minute briefings on infection control in the hospital. Instructions on donning (putting on); doffing (putting off) and optimal use of PPEs should be done.

[ ] Get inventory count for available PPEs in the hospital.

[ ] Decontaminate all high-touch surfaces esp in patient rooms; procedure rooms.

[ ] Check health workers for any possible symptoms and maintain their daily route chart.

Patient instructions

[ ] Mandate all patients to use mask/face coverings within the hospital premise.

[ ] Instruct all patients to maintain a distance of 1-meter from the healthcare workers and other patients.

Visitor instructions

[ ] Do not allow visitors inside neonatal ICUs; oncology wards and critical care units; including pre-op and post-op rooms.

[ ] Instruct avoidance of all physical contacts between patients and visitors.

[ ] Give time cards to visitors so that every visitor is with patient for no more than 30 minutes.

[ ] Visitors to suspected or confirmed cases must be given a symptom monitoring tool and monitored daily for a minimum of 14 days after the discharge of patient.

At entry points of the hospital

[ ] Place cloth masks and hand sanitizers at the door of all procedure rooms and wards, for use by incoming patients and visitors.

[ ] All waste from patient and procedure rooms should be treated as biomedical waste and disposed accordingly.

Patient transport

[ ] Decontaminate the ambulance; wipe surfaces and stretchers with approved disinfectant after each transfer of a patient with suspected or confirmed case.

[ ] Make surgical masks and hand sanitizer available to the patient inside the ambulance.

[ ] If possible, create a physical partition between the paramedical staff and patient.