training in infection prevention associated infections and related guidance (2015): Criterion 1 and control and cleaning in a healthcare environment appropriate to role? Section 4: Hand Hygiene Standard: The practice has a clear mechanism to ensure effective implementation of hand hygiene procedures are in place and hand hygiene is practiced at all times to reduce the potential for cross infection between staff, patients, the environment and equipment. Questions EQR / Yes No N/A Remedial action to resolve problem Rationale / Resources BP () () () Does the practice have a Hand Department of Health - Health and Social Care Act 2008 EQR 1 Code of Practice for the prevention and control of Hygiene Policy? healthcare associated infections and related guidance (2015): Criterion 9 World Health Organisation 2009 - Section 16 National Patient Safety Agency Clean Your Hands – Campaign Are posters displayed adjacent National Patient Safety Agency Clean Your Hands – BP 2 Campaign to hand washbasins featuring the hand hygiene process? Does your practice policy Department of Health - Health and Social Care Act 2008 EQR 3 Code of Practice for the prevention and control of demonstrate an awareness of healthcare associated infections and related guidance the DH uniform policy? (e.g. (2015): Criterion 9 DH Uniforms and Work wear 2010 bare below the elbows) Are there wash basins Health Technical Memorandum - 64 Sanitary assemblies. EQR 4 dedicated to hand hygiene in Health Building Note 00-10 part C Sanitary Assemblies each clinical and consulting room which can be easily accessed? Do all hand wash basins for Department of Health - Health and Social Care Act 2008 EQR 5 Code of Practice for the prevention and control of use in connection with clinical healthcare associated infections and related guidance
training in infection prevention and control and cleaning in a healthcare environment appropriate to role? associated infections and related guidance (2015): Criterion 1 Section 4: Hand Hygiene Standard: The practice has a clear mechanism to ensure effective implementation of hand hygiene procedures are in place and hand hygiene is practiced at all times to reduce the potential for cross infection between staff, patients, the environment and equipment. Questions EQR / BP Yes () No () N/A () Remedial action to resolve problem Rationale / Resources 1 Does the practice have a Hand Hygiene Policy? EQR Department of Health - Health and Social Care Act 2008 Code of Practice for the prevention and control of healthcare associated infections and related guidance (2015): Criterion 9 World Health Organisation 2009 - Section 16 National Patient Safety Agency – Clean Your Hands Campaign 2 Are posters displayed adjacent to hand washbasins featuring the hand hygiene process? BP National Patient Safety Agency – Clean Your Hands Campaign 3 Does your practice policy demonstrate an awareness of the DH uniform policy? (e.g. bare below the elbows) EQR Department of Health - Health and Social Care Act 2008 Code of Practice for the prevention and control of healthcare associated infections and related guidance (2015): Criterion 9 DH Uniforms and Work wear 2010 4 Are there wash basins dedicated to hand hygiene in each clinical and consulting room which can be easily accessed? EQR Health Technical Memorandum - 64 Sanitary assemblies. Health Building Note 00-10 part C Sanitary Assemblies 5 Do all hand wash basins for use in connection with clinical EQR Department of Health - Health and Social Care Act 2008 Code of Practice for the prevention and control of healthcare associated infections and related guidance
Hertfordshire-PC-IPC-Self-Assessment-Tool-Mar17.docx