|
Total number of beds
|
207
|
207
|
207
|
207
|
|
Number of critical care beds
|
22
|
22
|
22
|
22
|
|
Infection control committee in place
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Infection control committee constituted of representative members
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Regular infection control committee meetings
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Adequate infection control committee minutes
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Infection control unit
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Number of infection control team staff
|
2
|
2
|
3
|
3
|
|
Nurses
|
2
|
2
|
2
|
2
|
|
Environmental inspectors
|
0
|
0
|
0
|
0
|
|
Doctors
|
0
|
0
|
1
|
1
|
|
Microbiologists
|
0
|
0
|
0
|
0
|
|
Educational activities
|
No
|
No
|
Yes
|
Yes
|
|
Surveillance system
|
No
|
Yes
|
Yes
|
Yes
|
|
Area audited
|
Percent scores
|
|
Handwashing
|
30
|
57
|
76
|
95
|
|
Environmental cleaning
|
69
|
77
|
82
|
93
|
|
Waste disposal
|
36
|
50
|
91
|
96
|
|
Handling of clean linen
|
40
|
60
|
80
|
100
|
|
Handling of soiled linen
|
30
|
60
|
70
|
89
|
|
Standard and transmission based precautions
|
29
|
57
|
88
|
78
|
|
Single use policy
|
33
|
33
|
67
|
83
|
|
Urinary catheter care
|
80
|
80
|
80
|
100
|
|
Sterile wound dressing
|
44
|
67
|
78
|
100
|
|
Food hygiene
|
8
|
62
|
85
|
100
|
|
Pests and animal control in clinical areas
|
67
|
83
|
100
|
67
|
|
Average total percent score
|
42
|
62
|
82
|
91
|
