Theme | Categories | Codes |
---|---|---|
1. Gaps in infection control measures | 1.1. A lapse in handwashing technique | 1.1.1. Time allotted for handwashing was less than 30 s before and after a sterile procedure |
1.1.2. 5 moments of hand hygiene technique not followed | ||
1.2. Lack of proper usage of PPE | 1.2.1 Surgical masks did not cover the entire beard area of the male resident during the procedure | |
1.2.2. The female HCW wore a face cover instead of a surgical mask during a sterile procedure | ||
1.3. Crossover of non-sterile items into the sterile zone | 1.3.1 No zone of demarcation between sterile and non-sterile areas | |
1.3.2. Contamination of sterile instruments with non-sterile instruments |