Infection Control Skills Checklist

Skills Checklist

Let’s assess your clinical skills and experience. Fill out this checklist to get one step closer to your next opportunity.

1

= No theory and/or experience
2

= Limited Experience
3

= Experienced/minimal support needed to perform
4

= Proficient

Age of Patients Cared For
Newborn/Neonate (birth to 30 days)*
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Infant (1 month to 1 year)*
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Toddler (1 year to 3 years)*
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Preschooler (3 years to 5 years)*
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School Age Child (5 years to 12 years)*
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Adolescents (12 years to 18 years)*
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Young Adults (18 years to 39 years)*
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Middle Adults (39 years to 64 years)*
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Older Adults (64 years to 79 years)*
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Elderly Adults (over 79+ years)*
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Basic Microbiology
Describe microorganism types and their role in HAI*
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Describe antimicrobial resistance and its role in HAI*
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Disease Transmission
Identify links in "chain of transmission"*
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Describe transmission routes in healthcare setting (airborne, droplet, contact, vector, fomite)*
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Apply principles of asepsis (e.g., clean vs. dirty tasks, sterile vs. non-sterile procedures)*
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Distinguish between clean, disinfected, and sterile patient care items. Spaulding scale*
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Describe difference in product selection for cleaning vs. disinfection*
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Describe role of environment in HAI transmission*
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Standard/Transmission Based Precautions
Demonstrate education of proper hand hygiene, and conducting HH rounds*
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Describe the categories of transmission-based precautions, when to initiate the preventative activities of each category, requirements for each type of isolation, and facility signage*
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Demonstrate how to verify negative pressure function of a patient environment*
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Describe appropriate patient placement (e.g., room type, cohorting) relative to the category of transmission-based precautions*
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Describe appropriate interventions required during patient transport relative to the category of transmission-based precautions.*
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Demonstrate proper PPE donning / removal, and fit check (user seal check) of NIOSH-approved respirator.*
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Describe the signs, symptoms and diagnoses that would alert a health care worker to initiate transmission-based precautions (e.g., fever with cough, fever with skin rash/lesion, fever with other respiratory symptoms, gastrointestinal symptoms).*
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Occupational Health
Demonstrate safe handling and disposal of sharps, including appropriate use of safety devices*
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Explain methods to safely handle blood and body fluids to prevent exposure.*
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Describe the first aid for cut/puncture exposures, or fluid exposures to the eyes, nose or mouth.*
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Articulate the process for reporting blood/body fluid exposure in the workplace.*
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Describe regulated waste vs. general trash and the appropriate disposal of each.*
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Explain the importance of health care worker participation in immunization programs.*
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Describe signs, symptoms and diagnoses that require absence from work or work restrictions (e.g., fever with cough, fever with skin rash/lesion, fever with other respiratory symptoms, gastrointestinal symptoms).*
- 1
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Emergency Prepardness
Explain own role in the facility disaster plan.*
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Demonstrate participation in facility drills and exercises.*
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Describe practice changes (e.g., altered standard of care) in the event of limited resources.*
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Survelliance
Describe targeting vs. comprehensive surveillance and develop surveillance plan for facility / areas of coverage*
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Notifiable conditions reporting*
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Demonstrate abstraction of surveillance data from electronic and paper health records*
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VAE / VAC surveillance accuracy*
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CLABSI surveillance accuracy*
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CAUTI surveillance accuracy*
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C. diff surveillance accuracy*
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MRSA BSI surveillance accuracy*
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MDRO surveillance accuracy*
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SSI Coding accuracy validation*
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SSI Post-discharge letters*
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Theradoc - data & reports*
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Meditech - abstracting data from PCI*
- 1
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Meditech - Common IP Reports*
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NHSN - data entry and upload*
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NHSN - analysis tools*
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MHS Clinical Excellence Data Reports Available*
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MHS HAC Reports/SPAE*
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Process Survelliance
Hands-On Bundle Rounds*
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Abstracting documented bundle compliance*
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IP Environmental rounds - Patient Care Areas*
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IP Environmental rounds - Sterile and Invasive areas*
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IP Environmental rounds - Kitchen and dietary*
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Hand Hygiene - Targeted Solutions Tool*
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Product evaluation*
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MDRO screening / isolation*
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MRSA Decolonization*
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Infection Control Program Annual Reports
Complete Annual IC Program Evaluation*
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Complete cost savings assessment*
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Complete facility program plan*
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Complete Annual Facility Risk Assessment*
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Statistics & Data Analysis
MHS data sources, storage locations*
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Running IP data reports from Theradoc, NHSN*
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Data analysis and communication*
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IP / Epidemiologic study design*
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Proficiency with data presentation*
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Policies & Procedures
MHS Policy Tech - review IC policies*
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Exposures / Outbreak procedures*
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Complies with HIPAA and information security requirements*
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Facilities Management
Construction & Renovation*
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Environmental Services*
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Cleaning Agents*
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Linen Service*
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Regulated Waste*
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Ventilation*
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Water issues*
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Leadership
Discuss own role in infection prevention and control (e.g., recognizing unsafe activities, intervening when breaches in infection control are identified).*
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Describe practice changes (e.g., altered standard of care) in the event of limited resources.*
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Demonstrate ability to problem-solve and apply knowledge to recognize, contain, and prevent infection transmission.*
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Builds rapport and cooperative relationships with colleagues in facility and IP team*
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Collaborates with medical staff and facility quality team to monitor quality and initiate improvement strategies*
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Maintains constructive interpersonal relationships when under stress*
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Evaluates and reinforces understanding of previously taught / discussed information*
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Lead a performance improvement team*
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Presentation, in-servicing and public speaking*
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Special Populations (as applicable for facility or interest)
Women's Health*
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IVF*
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Labor & Delivery*
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Report Perinatal Hep B*
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Neonatal / NICU*
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Geriatrics*
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Implants*
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Intensive Care*
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Immunocompromised*
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Burns*
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Long-term care*
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Behavioral health*
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Post-mortem care*
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Support Services
Cleaning, Disinfection & Sterilization*
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Single-use devices*
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Volunteers*
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Nutrition*
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Animals*
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Diagnostic & Therapeutic Services*
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Surgery*
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Cardiac Catheterization*
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IC & endoscopy*
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Dialysis*
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IC & laboratories*
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Respiratory Therapy*
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Pharmacy*
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Imaging*
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Rehab*
- 1
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Please list the EMR systems you have used*
*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.*
*
I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*
Your Recruiter*
Name*
First Last
Email*
Phone*
TODAY'S DATE*
MM slash DD slash YYYY

Skills Checklist

Age of Patients Cared For

Basic Microbiology

Disease Transmission

Standard/Transmission Based Precautions

Occupational Health

Emergency Prepardness

Survelliance

Process Survelliance

Infection Control Program Annual Reports

Statistics & Data Analysis

Policies & Procedures

Facilities Management

Leadership

Special Populations (as applicable for facility or interest)

Support Services