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    Public Awareness Campaign : Infection Control Practices- Work Station


    Teacher Name: Wilkerson


    Student Name:     ________________________________________

CATEGORY
4 Proficient
3 Good
2 Fair
1 Poor
Sanitation of Work Station
Work station was cleaned with an EPA disinfectant product and visibly free of contaminants. Industry standards followed.
Work station was cleaned with an EPA disinfectant product. Minimal contaminants visible. Industry standards not met.
Work station was not cleaned with an EPA disinfectant product and visible debris remaining. Industry standards not met.
Work station was not cleaned and visible debris was evident. Industry standards not met.
Products Labeled in English
All products on work station properly labeled in English according to industry guidelines.
Only disinfection products on work station properly labeled in English according to industry guidelines.
Some labels on work station were not clearly visible according to industry standard.
None of the products on work station labeled. Industry standard not met.
Cleaniliness of Implements/Tools
All implements and tools set up on work station visibly clean.
Most all implements and tools were visibly clean.
Few primary implements and tools were visibly unclean.
None of the implements and tools visibly clean.
Maintains Infection Control
Infection control practices maintained at 100% throughout the work day according to industry standards.
Infection control practices were maintained at 80% throughout work day according to industry standards.
Infection control practices were maintained at 70% throughout work day according to industry standards.
Infection control practices are not maintained.
Organization and Presentation
Work station is organized and professionally presentable 100% throughout the work day according to industry standards.
Work station is organized and professionally presentable 80% throughout work day according to industry standards.
Work station is organized and professionally presentable less than 70% throughout work day according to industry standards.
Work station is not organized and professionally presentable.
After Service Clean Up
Surrounding area and work station, chair, used implements and tools are disinfected according to industry standards.
Surrounded area and work station,chair, used implements and tools disinfected and floor swept
Surrounding area and work station, chair, used implements and tools disinfected but floor not swept and hair clippings discarded.
Surrounding area and work station, chair, used implements and tools are not disinfected according to industry standards.


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