Daliy Round checklist for Infection Control Nurse in Hospital
Patient Assessment
- Examine charts for documented infections.
- Identify any trends or recurrent infections.
- Note laboratory results associated with infections.
- Look for physician notes regarding infection concerns.
- Ensure all relevant information is up-to-date.
- Check for fever, chills, and sweating.
- Look for redness, swelling, or discharge at sites.
- Assess for pain or tenderness reported by the patient.
- Evaluate respiratory symptoms like cough or difficulty breathing.
- Document any abnormal findings thoroughly.
- Locate the latest culture reports in the chart.
- Review the sensitivity patterns for recent infections.
- Identify any pending cultures and their expected results.
- Discuss findings with the healthcare team if necessary.
- Keep records updated for reference.
- Observe staff and visitor compliance with protocols.
- Assess the patient’s understanding of precautions.
- Document any breaches in infection control practices.
- Provide education if adherence is lacking.
- Ensure proper signage is visible in the patient area.
- Check the patient's vaccination records.
- Identify any missing vaccinations pertinent to infection control.
- Discuss vaccination status with the patient and family.
- Advise on any necessary vaccinations for prevention.
- Document findings in the patient’s chart.
- Review history for conditions like diabetes or HIV.
- Identify any recent surgeries or hospitalizations.
- Document comorbidities that may impact infection risk.
- Consult with medical staff about necessary precautions.
- Ensure comprehensive understanding of the patient's health.
- Observe current infection control practices being used.
- Assess the patient’s response to existing measures.
- Document any issues or areas for improvement.
- Collaborate with the healthcare team to enhance practices.
- Make recommendations based on observations.
- Inspect the insertion sites for redness or swelling.
- Check for any discharge or unusual odor.
- Document the condition of each device thoroughly.
- Report any concerns to the nursing staff immediately.
- Ensure proper maintenance protocols are followed.
- Ask about recent hospital stays and their reasons.
- Inquire about exposure to infectious individuals.
- Document the patient’s responses carefully.
- Assess risk factors based on provided information.
- Consult with the infection control team if needed.
- Review dietary intake and preferences.
- Assess for signs of malnutrition or dehydration.
- Consult with a dietitian if necessary.
- Document findings related to nutrition.
- Advise on dietary changes if indicated.
- Check all recent lab tests for infection markers.
- Look for elevated white blood cell counts or CRP levels.
- Document any new findings in the patient’s chart.
- Discuss significant lab results with the healthcare team.
- Ensure follow-up testing is scheduled if needed.
- Observe handwashing practices of the patient and visitors.
- Provide hand sanitizer if necessary.
- Educate on proper hand hygiene techniques.
- Document compliance or issues related to hand hygiene.
- Encourage regular hand hygiene before and after patient contact.
- Assess the patient's mobility level and limitations.
- Discuss their ability to comply with infection control measures.
- Document any barriers to participation.
- Provide assistance or accommodations as needed.
- Collaborate with physical therapy if necessary.
- Review the patient’s medication history for antibiotics.
- Identify any patterns of recurrent or resistant infections.
- Document relevant antibiotic history in the chart.
- Consult with pharmacy for additional insights if needed.
- Advise on appropriate antibiotic stewardship.
Environmental Assessment
- Check floors for dirt and debris.
- Examine surfaces for dust and stains.
- Ensure bedding is clean and properly arranged.
- Confirm personal items are organized and stored.
- Look for any signs of pests or mold.
- Verify soap and hand sanitizer dispensers are full.
- Check for functionality of faucets and paper towel dispensers.
- Ensure signage for hand hygiene is visible.
- Test hand hygiene stations for accessibility and cleanliness.
- Inspect for any blockages or plumbing issues.
- Check that waste bins are clearly labeled.
- Ensure biohazard containers are in good condition.
- Confirm regular collection schedules are being followed.
- Inspect for proper segregation of waste types.
- Review staff compliance with disposal procedures.
- Verify that sterilization logs are up-to-date.
- Check the functionality of sterilization equipment.
- Assess the availability of necessary supplies for sterilization.
- Inspect storage areas for sterile items.
- Confirm staff training on sterilization protocols.
- Review cleaning logs for accuracy and completeness.
- Inspect areas for thoroughness of cleaning.
- Check for disinfection of high-touch surfaces.
- Observe staff adherence to cleaning protocols.
- Evaluate the frequency of terminal cleaning schedules.
- Inspect vents and filters for cleanliness.
- Assess airflow and circulation in rooms.
- Monitor humidity and temperature levels.
- Check for any unusual odors.
- Review maintenance schedules for HVAC systems.
- Check floors and surfaces for dust and debris.
- Verify that seating areas are clean and organized.
- Inspect high-touch areas for frequent disinfection.
- Assess availability of hand hygiene stations.
- Look for proper waste disposal options.
- Check that PPE is readily available and accessible.
- Inspect PPE for expiration dates and integrity.
- Ensure clear signage for PPE usage is posted.
- Evaluate staff knowledge of PPE protocols.
- Confirm that stations are regularly stocked.
- Inspect for cleanliness of sinks and toilets.
- Check that soap and paper towels are stocked.
- Ensure proper waste disposal in restroom bins.
- Assess the availability of hand hygiene stations.
- Review maintenance logs for restroom upkeep.
- Identify all high-touch surfaces in the area.
- Verify cleaning schedules are followed consistently.
- Check for appropriate disinfectants being used.
- Observe staff practices for surface disinfection.
- Review training regarding cleaning protocols.
- Check for appropriate signage on isolation precautions.
- Inspect equipment and supplies in isolation rooms.
- Ensure proper ventilation and air filtration.
- Review cleaning protocols specific to isolation areas.
- Confirm staff training on isolation protocols.
- Inspect all areas for droppings or nests.
- Check for entry points where pests may enter.
- Review pest control logs for recent activity.
- Assess staff reporting protocols for pest sightings.
- Coordinate with pest control for regular inspections.
- Check shelves for dust and organization.
- Ensure supplies are stored in appropriate conditions.
- Verify that items are within their expiration dates.
- Confirm accessibility of essential supplies.
- Review storage inventory for completeness.
- Review project plans for infection control measures.
- Inspect construction zones for safety and cleanliness.
- Ensure barriers are in place to protect patients.
- Monitor staff compliance with infection control training.
- Evaluate communication with facility staff regarding construction.
- Inspect signage for visibility and clarity.
- Ensure signs are placed in high-traffic areas.
- Review content for accuracy and relevance.
- Confirm that signs are maintained and updated.
- Evaluate staff understanding of signage instructions.
- Assess staff training records for compliance.
- Check for ongoing education opportunities.
- Ensure staff are aware of their responsibilities.
- Review staff feedback on training effectiveness.
- Monitor staff engagement in infection control practices.
Staff Compliance
- Monitor staff handwashing before and after patient contact.
- Ensure use of soap and water or hand sanitizer as per guidelines.
- Document compliance rates and identify areas needing improvement.
- Verify availability and proper use of PPE among staff.
- Ensure staff are wearing appropriate PPE for specific tasks.
- Conduct spot checks to confirm adherence to PPE protocols.
- Observe adherence to isolation signage and protocols.
- Verify staff knowledge of isolation requirements for patients.
- Document any breaches and provide immediate corrective feedback.
- Identify specific areas of non-compliance during rounds.
- Schedule short, focused training sessions for affected staff.
- Use real scenarios to illustrate the importance of compliance.
- Access and review training records for all staff members.
- Identify any staff lacking current infection control training.
- Schedule training sessions for those needing updates.
- Observe disposal practices in patient care areas.
- Ensure sharps containers are readily available and correctly used.
- Document any improper disposal incidents and educate staff.
- Check cleaning logs for frequency and thoroughness of cleaning.
- Observe staff cleaning techniques to ensure compliance.
- Provide feedback and retraining where necessary.
- Review medication administration records for compliance.
- Observe medication preparation and administration processes.
- Document findings and discuss with staff to improve practices.
- Monitor visitor check-in and check-out procedures.
- Ensure visitors are following infection control protocols.
- Document any non-compliance and address with staff.
- Conduct unannounced observations of staff during patient care.
- Evaluate adherence to all infection control protocols.
- Provide immediate feedback and suggestions for improvement.
- Compile compliance data and prepare feedback reports.
- Share findings during team meetings or individually.
- Encourage open dialogue about compliance challenges.
- Organize meetings following infection incidents.
- Encourage staff to share experiences and learning points.
- Identify compliance gaps and develop action plans.
- Create a non-punitive environment for reporting.
- Provide clear guidelines on how to report incidents.
- Acknowledge and address reported issues promptly.
- Collect compliance data regularly from multiple sources.
- Analyze data for trends, peaks, and declines in compliance.
- Use findings to inform training and policy adjustments.
Patient Education
Reporting and Follow-Up
- Use standardized form for consistency.
- Include date, time, and location of observation.
- Note specific infection control practices observed.
- Highlight areas of concern and compliance.
- Ensure legibility and clarity for future reference.
- Identify the specific breach and its context.
- Provide evidence or documentation if available.
- Submit report through established channels.
- Follow up with management for acknowledgment.
- Maintain confidentiality of sensitive information.
- Identify areas with documented concerns.
- Set specific dates and times for follow-up.
- Notify relevant staff of upcoming rounds.
- Ensure adequate resources are available.
- Document changes made since last round.
- Gather relevant infection data prior to meeting.
- Analyze trends over specified time frames.
- Prepare visual aids for clarity (charts/graphs).
- Encourage team input and discussion.
- Document decisions and action items from meeting.
Use in Manifestly