| Standard precaution of infection control domain and indication | Corresponding action for compliance (YES or NO) against each indication of a domain |
| Hand hygiene |
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| 1) Before touching the patient |
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| 2) Between patient contact |
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| 3) Before a clean or aseptic procedure |
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| 4) After contact with an object that has touched the patient or was in the patient’s immediate environment |
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| 5) Before an invasive procedure (injection, Cannulation and catheterization) |
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| 6) Emmediately after removal of gloves |
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| Total compliance | YES= NO= |
| Use of Personal Protecting Equipment (PPE) and antiseptic solutions |
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| 7) Sterile gloves before vaginal examination |
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| 8) exposure to body fluids |
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| 9) sterlile gloves, eyewear, plastic apron, covered shoes while conducting a vaginal delivery |
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| 10) Use of freshly prepared ant septic solution to clean the perineum before vaginal examination |
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| Total compliance | YES= NO= |
| Equipment disinfection and cleaning of delivery surfaces |
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| Cleaned the delivery surface using a disinfectant using a swipe technique |
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| 11) Before and after contact with patient (thermometer) |
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