|
Total number of beds
|
250
|
250
|
250
|
250
|
|
Number of critical care beds
|
24
|
24
|
24
|
24
|
|
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
|
No
|
No
|
Yes
|
Yes
|
|
Adequate infection control committee minutes
|
No
|
No
|
Yes
|
Yes
|
|
Infection control unit
|
No
|
No
|
Yes
|
Yes
|
|
Number of infection control team staff
|
2
|
2
|
4
|
4
|
|
Nurses
|
2
|
2
|
2
|
2
|
|
Environmental inspectors
|
0
|
0
|
0
|
0
|
|
Doctors
|
0
|
0
|
2
|
2
|
|
Microbiologists
|
0
|
0
|
0
|
0
|
|
Educational activities
|
No
|
No
|
Yes
|
Yes
|
|
Surveillance system
|
No
|
No
|
Yes
|
Yes
|
|
Area audited
|
Percent scores
|
|
Handwashing
|
48
|
65
|
78
|
68
|
|
Environmental cleaning
|
33
|
33
|
62
|
58
|
|
Waste disposal
|
27
|
41
|
59
|
61
|
|
Handling of clean linen
|
20
|
20
|
40
|
60
|
|
Handling of soiled linen
|
0
|
10
|
33
|
57
|
|
Standard and transmission based precautions
|
29
|
32
|
76
|
89
|
|
Single use policy
|
33
|
33
|
67
|
75
|
|
Urinary catheter care
|
60
|
80
|
100
|
60
|
|
Sterile wound dressing
|
55
|
55
|
91
|
64
|
|
Food hygiene
|
46
|
62
|
69
|
75
|
|
Pests and animal control in clinical areas
|
33
|
33
|
33
|
83
|
|
Average total percent score
|
35
|
42
|
64
|
68
|
