|
Total number of beds
|
140
|
140
|
140
|
140
|
|
Number of critical care beds
|
18
|
18
|
18
|
18
|
|
Infection control committee in place
|
No
|
No
|
Yes
|
Yes
|
|
Infection control committee constituted of representative members
|
NA
|
NA
|
Yes
|
Yes
|
|
Regular infection control committee meetings
|
NA
|
NA
|
Yes
|
Yes
|
|
Adequate infection control committee minutes
|
NA
|
NA
|
Yes
|
Yes
|
|
Infection control unit
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Number of infection control team staff
|
2
|
4
|
5
|
5
|
|
Nurses
|
1
|
2
|
2
|
2
|
|
Environmental inspectors
|
1
|
1
|
1
|
1
|
|
Doctors
|
0
|
1
|
1
|
1
|
|
Microbiologists
|
0
|
0
|
1
|
1
|
|
Educational activities
|
No
|
No
|
Yes
|
Yes
|
|
Surveillance system
|
No
|
No
|
Yes
|
Yes
|
|
Area audited
|
Percent scores
|
|
Handwashing
|
16
|
61
|
59
|
77
|
|
Environmental cleaning
|
50
|
56
|
62
|
58
|
|
Waste disposal
|
0
|
50
|
82
|
82
|
|
Handling of clean linen
|
0
|
60
|
60
|
70
|
|
Handling of soiled linen
|
0
|
50
|
70
|
60
|
|
Standard and transmission based precautions
|
29
|
36
|
50
|
56
|
|
Single use policy
|
33
|
33
|
67
|
50
|
|
Urinary catheter care
|
40
|
40
|
60
|
80
|
|
Sterile wound dressing
|
64
|
64
|
73
|
69
|
|
Food hygiene
|
54
|
69
|
69
|
83
|
|
Pests and animal control in clinical areas
|
67
|
67
|
67
|
67
|
|
Average total percent score
|
32
|
53
|
65
|
68
|
