|
Total number of beds
|
261
|
261
|
261
|
261
|
|
Number of critical care beds
|
21
|
21
|
21
|
21
|
|
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
|
4
|
4
|
4
|
4
|
|
Nurses
|
2
|
2
|
2
|
2
|
|
Environmental inspectors
|
1
|
1
|
1
|
1
|
|
Doctors
|
0
|
0
|
0
|
0
|
|
Microbiologists
|
1
|
1
|
1
|
1
|
|
Educational activities
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Surveillance system
|
No
|
Yes
|
Yes
|
Yes
|
|
Area audited
|
Percent scores
|
|
Handwashing
|
52
|
83
|
83
|
93
|
|
Environmental cleaning
|
94
|
94
|
83
|
84
|
|
Waste disposal
|
60
|
91
|
96
|
98
|
|
Handling of clean linen
|
75
|
75
|
100
|
100
|
|
Handling of soiled linen
|
90
|
90
|
90
|
90
|
|
Standard and transmission based precautions
|
42
|
86
|
91
|
89
|
|
Single use policy
|
33
|
67
|
100
|
100
|
|
Urinary catheter care
|
80
|
100
|
100
|
100
|
|
Sterile wound dressing
|
82
|
91
|
100
|
100
|
|
Food hygiene
|
50
|
83
|
92
|
96
|
|
Pests and animal control in clinical areas
|
83
|
100
|
67
|
75
|
|
Average total percent score
|
67
|
87
|
91
|
93
|
