Central Line Adherence Monitoring

​A central line associated bloodstream infection (CLABSI) may occur due to breaches in technique during line insertion or lapses in infection prevention practices when accessing and maintaining the line. 

Additional resources:

​Device Reprocessing

Many areas of the healthcare facility may be performing device reprocessing.

• Device Reprocessing Adherence Monitoring Tool (PDF)

  Use this tool in any area where device reprocessing is performed. 
  

• High-Level Disinfection of Reusable Devices Adherence Monitoring Tool (PDF)
  Use this tool in any area where high-level disinfection of reusable devices is performed

• Sterilization of Reusable Devices Adherence Monitoring Tool (PDF)
  Use this tool in any area where sterilization of reusable devices is performed.
  

Additional resources:

• CDC Guideline for Disinfection and Sterilization in Healthcare Facilities (PDF)
  
• FDA regulations on reprocessing of single-use devices
  

​Environmental Services

Pathogens are transmitted in healthcare settings when contaminated surfaces and equipment are not adequately cleaned and disinfected between patients.  

• Environmental Services Adherence Monitoring Tool (PDF)
  Use this tool to measure how well staff members are adhering to appropriate environmental cleaning and disinfection practices.  
  

• Fluorescent Marker Assessment Adherence Monitoring Tool​ (PDF)
  Use this tool in conjunction with the above Environmental Services Adherence Monitoring Tool to measure how well staff members are adhering to cleaning and disinfecting high-touch surfaces.
  

• Environmental Cleaning and Disinfection Responsibility Assessment Tool (PDF): Use this tool to assess staff knowledge on who is responsible for cleaning and disinfecting specific items in your facility. 

• Who Cleans What Reminder Template (Word): Use in conjunction with Environmental Cleaning and Disinfection Responsibility Assessment Tool. Customize the template to correspond to your facility policy. 

Additional resources:

• CDC Guidelines for Environmental Infection Control in Healthcare Facilities (PDF)

• CDC Options for Evaluating Environmental Infection ​Control
  

​Hemodialysis

Use these hemodialysis tools to measure adherence to dialysis care practices that are important for the prevention of bloodstream infections.

• Hand Hygiene (PDF)
• Catheter Connect/Disconnect (PDF)
• CDC Catheter E​xit Site Care (PDF)
  
• CDC Injectable medication​ preparation and administration (PDF)
  
• CDC Fistula/graft​ connect/disconnect (PDF)
  
• CDC Dialysis station cleanin​g/disinfection (PDF)
  

Injection Safety

Injection safety is a basic expectation in patient care, and includes safe handling of medications and using each needle and syringe for only one patient one time.  

• Injection Safety Adherence Monitoring Tool (PDF)
  Use this tool to measure adherence to safe injection practices in any type of location where medication is prepared or provided to patients. 
  

• CDC Injection Safety Web Materials
  

​Surgical Site Infections (SSI) - Operating Room Environment

Use these tools to measure adherence to evidence-based practices known to reduce SSI in the operating room.  Monitoring may be performed in any operating room setting, including hospitals, ambulatory surgery centers, and outpatient clinics.

• SSI Prevention/Operating Room Environment Adherence Monitoring Tool (PDF)
• Environmental Cleaning and Disinfection in the Perioperative Area Adherence Monitoring Tool (PDF)
  

Additional resources:

• CDC Guideline for the Prevention of Surgical Site Infections (PDF)

NOTE: in addition to the 42 new recommendations, 15 other SSI prevention recommendations were carried forward from the 1999 SSI guideline. They are described in the CDC Guideline for Prevention of SSI, 2017, supplemental eAppendix 1 (page 41).