CMS Manual System - Louisiana Department of Health and Hospitals

Multiple use items (e.g., shower chairs, bedside scales, resident lifts,
commodes, tubs) are properly cleaned/disinfected between each resident
use.
Observe whether hand hygiene and use of gloves (when indicated) is in accordance with
current standards. Hand hygiene should occur before and after putting on sterile gloves
and after taking off all gloves during all resident care that requires the use of gloves. This
includes:
Medication administration (e.g., eye drops, sublinguals, and injections);
Dressing changes that require the use of gloves (e.g., anticipated contact with
body fluid, excretions, tissue and specimens);
Insertion or removal of a catheter; and
Any invasive procedure.
Note the availability of gloves and the equipment and products to perform hand hygiene.
Interview
During the resident review, interview the resident, family or responsible party to the
extent possible to identify, as appropriate, whether they have received education and
information about infection control practices, such as appropriate hand hygiene and any
special precautions applicable to the resident.
Interview direct care staff to determine:
Whether they are aware of and have reported any signs or symptoms exhibited by
the resident that may be associated with an infection;
Whether they are aware of and have been instructed on any special precautions
that are applicable to any resident on transmission based precautions;
Whether they are familiar with the indications for washing hands and/or using
alcohol based products and understand the basis for the use of gloves and when
they are to be removed;
How staff know which residents are covered by transmission-based precautions;
and
Whether staff is aware of what specific actions are required for each type of
transmission-based precautions.