Functioning hand washing stations (including water, soap and paper towel)

Is alcohol based hand sanitizer available at isolation area?

Are the staff following five movements of hand hygiene?

Is there posters to reinforce hand washing and PPE at hand washing stations

Availability of separate Thermometers & BP apparatus.

Is there any protocol for limiting the entry of visitors at isolation area?

Are these isolation rooms are satisfying the criteria of negative pressure? (Applicable if an aerosol generating procedure is performed)

Whether PPEs available and located near point of use?

Dedicated space for staff to put on PPE while entering the isolated area

Do staff transporting the patient wear PPE?

While transporting patients are specific routes used to minimize contact with other patients and staff?

Are they following standard precautions and PPE while taking sample?

Does the facility have a written policy for sample collection and transport?

Are they following standard precautions while transporting the sampl

Are objects and environmental surfaces in patient care areas touched frequently (e.g., bed rails, over bed table, bedside commode) are cleaned?

Are they disinfected with an approved disinfectant frequently (at least daily?

Is there cleaning chart?

While transporting patients, specific routes used to minimize contact with other patients and staff?

Is there any housekeeping policy available at isolation area?

Are they following correct contact time for disinfection with hypochlorite solution? (10 minutes for non-porous surfaces).

Are the staff following outward mopping technique

Availability of separate mops for each area

If a patient leaves their room for medical purposes, are they provided face mask? Do staff transporting the patient wear PPE?

Is there any policy for linen management for isolation facility?

Are they following colour codes bins in BMW management?

Is there sufficient quantity of yellow colour coded bags available?

Disposal of sharps as per the standard protocol?

BMW collected from isolation facility within 48hrs.

Is the distance between beds in ICU more than 1 meter?

Is the oxygen supply is by cylinder or central connection?

Are there any separate Ventilators, nebulizers, Infusion pumps in ICU?

Adequate supply of masks, ET tubes, PPE kits available at ICU?

All ICU Staff received training in donning & doffing of PPE?

Are there separate area for donning & doffing of PPE

Hand washing facility & hand sanitizer available at donning & doffing areas?.

Ventilator & Laryngoscope cleaning & disinfection log book maintained or not?

Designated ambulance facility for transporting patients from isolation area?

Others