Template

UWNI High-Level Disinfection Observation IP

by Infection Prevention Specialist, from the Community

This infection prevention checklist supports monthly observations of high-level disinfection in clinical areas. It covers safe chemical handling and labeling, PPE use per manufacturer instructions, spill response procedures, SDS access, and eyewash location and checks. Storage practices for disinfected devices are assessed, including endoscope and probe storage, temperature and humidity monitoring, and reprocessing requirements for idle devices. Modality-specific steps for Trophon and GUS systems are included, along with verification of soak times, rinsing, test strip expiration and quality control, efficacy checks each use, and temperature requirements. Staff education and competency documentation are reviewed to ensure ongoing compliance.

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Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Sterile Processing and HLD Infection Rounding Checklist
This infection prevention rounding checklist supports central sterile processing and high level disinfection programs. It covers administrative requirements, point of use practices, decontamination room setup, instrument preparation, sterilization monitoring and documentation, use of biological and chemical indicators, immediate use steam sterilization controls, and traceability. Sections also assess high level disinfection chemicals and equipment, sterile storage standards, and the physical environment including temperature, humidity, ventilation, and housekeeping. Use it to verify compliance with manufacturer instructions, PPE, staff training, maintenance records, and clean to dirty workflows across the department.
by Scott Grimes, from the Community
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Template
UWNI Sterile Processing Observation - IP
This Infection Prevention checklist supports sterile processing observations across decontamination, assembly, and storage. It covers ventilation checks, PPE compliance, chemical selection and SDS access, correct use and disposal of enzymatic detergents, and step by step instrument cleaning including brushing under water, flushing cannulas, soak times, ultrasonic use, and separating hand wash only items. It reviews brush care, biological indicators, daily Bowie Dick testing, adherence to manufacturer instructions, and policy access. Environmental monitoring includes temperature and humidity ranges and actions when out of range. It also verifies washer and sonic quality tests, reporting, cleaning responsibilities, storage clearances, pass through window, peel pouch packaging, eyewash station access and weekly checks, and sterile storage practices.
by Infection Prevention Specialist, from the Community
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Template
Chemical Storage Checklist
Use this chemical storage checklist to assess safe storage and labeling of hazardous substances, verify licensing limits for quantities held, maintain an up to date chemical register, and confirm risk assessments are completed and reviewed. Ensure SDS are current and accessible to workers, staff are trained in handling, use, disposal and emergency procedures, and appropriate first aid and spill response equipment is available. Check PPE provision and maintenance, identify hazards, assign corrective actions, and document completion to improve compliance and workplace safety.
by Thelma Bridge, from the Community
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Template
UWNI Clinic Sterilization Observation Checklist
This clinic sterilization observation checklist supports monthly audits for infection prevention. It covers PPE use, preparation of enzymatic solution with warm water, minimum soak times, proper instrument washing and drying, and sanitizing red containers with Oxyvir TB with required contact time. It guides packaging instruments in steri peel pouches with indicators, correct loading of pouches, and daily, weekly, and monthly sterilizer cleaning and maintenance logging. It includes running biological indicators on a set schedule, selecting and incubating controls, verifying color change, and recording results. The checklist also reviews eyewash station location and weekly checks, access to SDS and manufacturer guidelines, and staff education and competency documentation.
by Infection Prevention Specialist, from the Community
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UWNI High-Level Disinfection Observation IP

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