Assessment of Youth-Friendly Postabortion Care Services:

Annex B: Observation of Infection Prevention PracticesThis section provides information on a variety of infection prevention practices and procedures. The facility should work toward the highest possiblestandards of infection prevention. The best possible guidelines for infection prevention procedures should be in place and all contaminatedinstruments should be processed according to the established protocol.Enter the appropriate rating from the list below into the "Rating" column of the monitoring chart. Please note any further remarks in the"Comments/Recommendations" column.1 = Poor or Rarely/Never 3 = Good or Routine/Always N/A = Does not apply2 = Average/Sometimes N/O = Not observedTask Rating Comments/RecommendationsI. Decontamination0.5% chlorine solution available (powder or liquid bleach)Instructions for mixing chlorine are present & posted on wallChlorine solution is mixed correctlyPlastic buckets are available and solutions are labeledWears rubber glovesDraws chlorine solution through cannula and syringePlaces all instruments in chlorine solution for 10 minutesimmediately following procedureRemoves items from chlorine after 10 minutes and rinses or cleansimmediately to prevent rust or breakdown of plastic or rubberWipes down exam table with 0.5% chlorine solution between patientsCleans all surfaces with 0.5% chlorine solution at the end of thesession & the dayII. Cleaning of InstrumentsWears rubber glovesCleaning equipment, detergent, & brushes availableCompletely disassembles instruments and/or opens jaws of jointeditemsWashes all surfaces with soap, water, and a brushThoroughly cleans serrated edgesRinses all surfaces with clean waterReassembles syringePathfinder International • Assessment of Youth-Friendly Postabortion Care Services 25