Surveillance and Monitoring

 ICA 2025 Tool

Central Sterilization Services Department (CSSD) Auditing Tool,2022

Hemodialysis Infection Control Auditing Tool, 2023

Primary Healthcare Auditing Tool (Arabic Version), 2022

Primary Healthcare Auditing Tool (English Version), 2022

Dental Infection Control Auditing (DICA) Tool, 2022

Comprehensive Rehabilitation Centres Infection Control Auditing Tool,2021

Airborne Infection Isolation Room (AIIR) Auditing Tool (Arabic Version),2022

Airborne Infection Isolation Room (AIIR) Auditing Tool (English Version),2022

Hand Hygiene Self-Assessment Tool

Comprehensive Rehabilitation Centres Infection Control Auditing Tool(English) 2023

Transfer Agreement Template

Infection Control Audit 2024 (Arabic Version)

Central Sterilization Services Unit Tools

SUPPORTIVE CHECKLIST FORMS FOR DENTAL CENTERS

Dental Center IPC Monitoring and Evaluation Tool

Reprocessing of Dental Handpieces Policy

The Most Common Frequently Asked Questions in Dental Settings (Arabic Version)

ICLaRE Tool

Agreement for Patient Transfer and Care Coordination

ICLaRE Project Report Current Situation May-August 2024

Main-IPC-Supplies-Codes 2024

IPC Supplies Consumption Rate Calculator

Respiratory Protection Program Self-Assessment Tool (PDF)

Airborne Infection Isolation Room (AIIR) Assessment Tool

Airborne Infection Isolation Room (AIIR) Assessment Tool (Arabic Version)

Laundry Department Evaluation Form

Daily Cleaning Checklist

Terminal Cleaning Procedures Checklist (Discharge)

Daily Operating Room Cleaning Checklist

IPC Supplies Consumption Rate Calculator (XLSX)

Main-IPC-Supplies-Codes 2024

Principles and Practices of Product Evaluation and Process Management

CLABSI Event Form

CL Insertion and Maintenance Bundle Form

Laboratory Confirmed Blood Stream Infection (LCBI) Checklist

CAUTI Form

UC Insertion and Maintenance Bundle Form ( Adult and Pediatrics)

Urinary Tract Infection Checklist

Ventilator-Associated Event Form

Adult Ventilator Bundle Form

Pediatric/Neonatal Ventilator Bundle Form

Pediatric Ventilator-Associated Event (PedVAE) Checklist

Ventilator Associated Event (VAE) Checklist

Ventilator Associated Event (VAE) Monitoring Form

SSI Form

Surgical Bundle Form

Surgical Site Infection (SSI) Checklist

Dialysis Event Form

Hemodialysis Bundle For Catheter

Hemodialysis Bundle For Fistula/Graft

Surveillance Data Collection Form

Denominator Days Form (Adult and Pediatrics)

Denominator Days Form (Neonates)

Surveillance Audit Tool

On-site Validation Reporting Form

Authorized Supervisor letter

Central Line Insertion Eligible ICU Doctors

Central line insertion practices adherence monitoring form

Competency Assessment for Insertion of Central line

Go Green Safety Line Squad

Competency Assessment for Maintenance of Central Line

Central Line Maintenance Practices Audit Form

CAUTIoN Road Map Implementation Assessment Tool

CAUTIoN Champions Criteria

Competency Assessment for Insertion of Indwelling Urinary Catheter

Urinary Catheter Maintenance Competency Tool

Daily CAUTI Safety Huddle Tool

Urinary Catheter Insertion Adherence Monitoring Tool

Urinary Catheter Maintenance Adherence Monitoring Tool.

CAUTIoN Implementation Related Supplies Codes Tool

CAUTIon Supplies Consumption Calculator Tool.

Road Map Assessment

Surgical Site infection prevention checklists

SSI Prevention Competency Assessment

SSI Prevention Compliance Monitoring

Authorization Letter

Central Line Insertion Eligible NICU Physicians

Central Line Insertion Practices Adherence Monitoring Form

Central Line Maintainance Practices Adherence Monitoring Form

Competency Assessment Checklist Insertion of Central Line

Competency Assessment Checklist Maintenance of Central Line

MONTHLY COMPLIANCE MONITORING FORM FOR HOSPITALS FOR COLLECTION(1)

NCRS IPC Codes

Neonatal CLABSI Auditing Tool

Audit Tool: Hemodialysis hand hygiene observations

Data Collection Instructions

AuditTool:Hemodialysis Injectable Medication Preparation

AuditTool:Hemodialysis Station Routine Disinfection Observations

AuditTool:Catheter Exit Site Care Observations

AuditTool:AVG / AVF Cannulation Observations

AuditTool:Catheter Connection andDisconnectionObservations

Competency Assessment: Hemodialysis CVC Scrub-the-Hub Protocol (Catheter Connection and Disconnection Steps)

Competency Assessment: Hemodialysis Central Venous Catheter Care

Competency Assessment: Dialysis Station Routine Disinfection

Competency Assessment: AVF / AVG Cannulation and Decannulation

Dialysis Event linelist 2024

VARS Master Plan 2025

Assessment of Leadership Engagement in VAE Prevention Efforts

NVRS Situation Analysis Assessment

Mechanical Ventilator Rounds Card

Ventilator-Associated Events Surveillance Competency Assessment

Ventilator-Associated Events Preventive Measures Competency Assessment

Mechanical Ventilator Care Competency Assessment Respiratory Therapists

Mechanical Ventilator Care Competency Assessment for Physicians

VAE Prevention Monthly Report Template

VAE Prevention Leadership Discussion Form

VAE Daily Monitoring Form

Adult VAE Surveillance Form

Pediatric & Neonate VAE Surveillance Form

Adult Ventilator Bundle Form

Pediatric & Neonatal Ventilator Bundle Form

Essential Report for Outbreaks Levels A & B Time frame (within 24 h)

Outbreak Final Report (within 72 h)

Outbreak Management Plan

Outbreak Validation

Clarification and Clearance form

MDRO surveillance (ESCKAPE-C Data)

Most Frequently Asked Questions About Candida Auris

Procedure for Collection of Patient Swabs for Candida Auris Screening

Candida Auris _ CAPS Banner

Candida Auris Champion Initiative

Candida Auris Fact Sheets

Candida Auris in Kingdom of Saudi Arabia (KSA) Current Situation Report

CAPS Facility Assessment

National Master Plan

auris Care Elements

auris Infection Prevention and Control Checklist

Initial Report

Final Report

Brief Death Report COVID19 Cases (WORD)

MERS-CoV Report

Brief ICU COVID19 Report (Word)

The Eight Essential Elements Implementation Form

CAUTI External Validation Tool (EVT) _ MAY 2025

CAUTI Validation Summary Report _ MAY 2025

CLABSI External Validation Tool (EVT) _ MAY 2025

CLABSI Validation Summary Report _ MAY 2025

DEs External Validation Tool (EVT) _ MAY 2025

DEs Validation Summary Report _ MAY 2025

VAE Validation Summary Report _ MAY 2025

VAE External Validation Tool (EVT) _ MAY 2025

MDRO External Validation Tool (EVT) _ MAY 2025

MDRO Validation Summary Report _ MAY 2025

Outbreak Validation Summary _ MAY 2025

SSI External Validation Tool (EVT) _ MAY 2025

SSI Validation Summary Report _ MAY 2025

BICSL Trainer Evaluation Form (Arabic Version) 2023

Self-Assessment BICSL Training Virtual Audit Tool (SA2023A) – Arabic

BICSL Trainer Evaluation Form (F2023A) -2023- Arabic Version

Self-Assessment BICSL Training Virtual Audit Tool (SA2023A)- Arabic

Tools

ICA 2025 Tool

Central Sterilization Services Department (CSSD) Auditing Tool,2022

Hemodialysis Infection Control Auditing Tool, 2023

Primary Healthcare Auditing Tool (Arabic Version), 2022

Primary Healthcare Auditing Tool (English Version), 2022

Dental Infection Control Auditing (DICA) Tool, 2022

Comprehensive Rehabilitation Centres Infection Control Auditing Tool,2021

Airborne Infection Isolation Room (AIIR) Auditing Tool (Arabic Version),2022

Airborne Infection Isolation Room (AIIR) Auditing Tool (English Version),2022

Hand Hygiene Self-Assessment Tool

Comprehensive Rehabilitation Centres Infection Control Auditing Tool(English) 2023

Transfer Agreement Template

Infection Control Audit 2024 (Arabic Version)

Central Sterilization Services Unit Tools

SUPPORTIVE CHECKLIST FORMS FOR DENTAL CENTERS

Dental Center IPC Monitoring and Evaluation Tool

Reprocessing of Dental Handpieces Policy

The Most Common Frequently Asked Questions in Dental Settings (Arabic Version)

ICLaRE Tool

Agreement for Patient Transfer and Care Coordination

ICLaRE Project Report Current Situation May-August 2024

Main-IPC-Supplies-Codes 2024

IPC Supplies Consumption Rate Calculator

Respiratory Protection Program Self-Assessment Tool (PDF)

Airborne Infection Isolation Room (AIIR) Assessment Tool

Airborne Infection Isolation Room (AIIR) Assessment Tool (Arabic Version)

Laundry Department Evaluation Form

Daily Cleaning Checklist

Terminal Cleaning Procedures Checklist (Discharge)

Daily Operating Room Cleaning Checklist

IPC Supplies Consumption Rate Calculator (XLSX)

Main-IPC-Supplies-Codes 2024

Principles and Practices of Product Evaluation and Process Management

CLABSI Event Form

CL Insertion and Maintenance Bundle Form

Laboratory Confirmed Blood Stream Infection (LCBI) Checklist

CAUTI Form

UC Insertion and Maintenance Bundle Form ( Adult and Pediatrics)

Urinary Tract Infection Checklist

Ventilator-Associated Event Form

Adult Ventilator Bundle Form

Pediatric/Neonatal Ventilator Bundle Form

Pediatric Ventilator-Associated Event (PedVAE) Checklist

Ventilator Associated Event (VAE) Checklist

Ventilator Associated Event (VAE) Monitoring Form

SSI Form

Surgical Bundle Form

Surgical Site Infection (SSI) Checklist

Dialysis Event Form

Hemodialysis Bundle For Catheter

Hemodialysis Bundle For Fistula/Graft

Surveillance Data Collection Form

Denominator Days Form (Adult and Pediatrics)

Denominator Days Form (Neonates)

Surveillance Audit Tool

On-site Validation Reporting Form

Authorized Supervisor letter

Central Line Insertion Eligible ICU Doctors

Central line insertion practices adherence monitoring form

Competency Assessment for Insertion of Central line

Go Green Safety Line Squad

Competency Assessment for Maintenance of Central Line

Central Line Maintenance Practices Audit Form

CAUTIoN Road Map Implementation Assessment Tool

CAUTIoN Champions Criteria

Competency Assessment for Insertion of Indwelling Urinary Catheter

Urinary Catheter Maintenance Competency Tool

Daily CAUTI Safety Huddle Tool

Urinary Catheter Insertion Adherence Monitoring Tool

Urinary Catheter Maintenance Adherence Monitoring Tool.

CAUTIoN Implementation Related Supplies Codes Tool

CAUTIon Supplies Consumption Calculator Tool

Road Map Assessment

Surgical Site infection prevention checklists

SSI Prevention Competency Assessment

SSI Prevention Compliance Monitoring

Authorization Letter

Central Line Insertion Eligible NICU Physicians

Central Line Insertion Practices Adherence Monitoring Form

Central Line Maintainance Practices Adherence Monitoring Form

Competency Assessment Checklist Insertion of Central Line

Competency Assessment Checklist Maintenance of Central Line

MONTHLY COMPLIANCE MONITORING FORM FOR HOSPITALS FOR COLLECTION(1)

NCRS IPC Codes

Neonatal CLABSI Auditing Tool

Audit Tool: Hemodialysis hand hygiene observations

Data Collection Instructions

AuditTool:Hemodialysis Injectable Medication Preparation

AuditTool:Hemodialysis Station Routine Disinfection Observations

AuditTool:Catheter Exit Site Care Observations

AuditTool:AVG / AVF Cannulation Observations

AuditTool:Catheter Connection andDisconnectionObservations

Competency Assessment: Hemodialysis CVC Scrub-the-Hub Protocol (Catheter Connection and Disconnection Steps)

Competency Assessment: Hemodialysis Central Venous Catheter Care

Competency Assessment: Dialysis Station Routine Disinfection

Competency Assessment: AVF / AVG Cannulation and Decannulation

Dialysis Event linelist 2024

VARS Master Plan 2025

Assessment of Leadership Engagement in VAE Prevention Efforts

NVRS Situation Analysis Assessment

Mechanical Ventilator Rounds Card

Ventilator-Associated Events Surveillance Competency Assessment

Ventilator-Associated Events Preventive Measures Competency Assessment

Mechanical Ventilator Care Competency Assessment Respiratory Therapists

Mechanical Ventilator Care Competency Assessment for Physicians

VAE Prevention Monthly Report Template

VAE Prevention Leadership Discussion Form

VAE Daily Monitoring Form

Adult VAE Surveillance Form

Pediatric & Neonate VAE Surveillance Form

Adult Ventilator Bundle Form

Pediatric & Neonatal Ventilator Bundle Form

Outbreak Final Report (within 72 h)

Outbreak Management Plan

Outbreak Validation

Clarification and Clearance form

MDRO surveillance (ESCKAPE-C Data)

Most Frequently Asked Questions About Candida Auris

Procedure for Collection of Patient Swabs for Candida Auris Screening

Candida Auris _ CAPS Banner

Candida Auris Champion Initiative

Candida Auris Fact Sheets

Candida Auris in Kingdom of Saudi Arabia (KSA) Current Situation Report

CAPS Facility Assessment

National Master Plan

C. auris Care Elements

C. auris Infection Prevention and Control Checklist

Initial Report

Final Report

Brief Death Report COVID19 Cases (WORD)

MERS-CoV Report

Brief ICU COVID19 Report (Word)

The Eight Essential Elements Implementation Form

CAUTI External Validation Tool (EVT) _ MAY 2025

CAUTI Validation Summary Report _ MAY 2025

CLABSI External Validation Tool (EVT) _ MAY 2025

CLABSI Validation Summary Report _ MAY 2025

DEs External Validation Tool (EVT) _ MAY 2025

DEs Validation Summary Report _ MAY 2025

VAE Validation Summary Report _ MAY 2025

VAE External Validation Tool (EVT) _ MAY 2025

MDRO External Validation Tool (EVT) _ MAY 2025

MDRO Validation Summary Report _ MAY 2025

Outbreak Validation Summary _ MAY 2025

SSI External Validation Tool (EVT) _ MAY 2025

SSI Validation Summary Report _ MAY 2025

BICSL Trainer Evaluation Form (Arabic Version) 2023

Self-Assessment BICSL Training Virtual Audit Tool (SA2023A) - Arabic

Self-Assessment BICSL Training Virtual Audit Tool (SA2023A) - English

BICSL Trainer Evaluation Form (F2023A) -2023- Arabic Version

Self-Assessment BICSL Training Virtual Audit Tool (SA2023A)- Arabic