Interview Questions

Form Approved

OMB No. 0920-1011

Exp. Date 03/31/2017

1. Please describe policies and procedures within the operating room regarding

   1. Hand Hygiene and Personal Protective Equipment

2. Medication safety

3. Medication preparation

4. Central venous catheter management

5. Other invasive device management

6. Surgical instruments and ancillary device cleaning, disinfection, and/or sterilization.

7. Environmental cleaning

8. Family/visitors

Public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74 Atlanta, Georgia 30333; ATTN: PRA (0920-1011)