ICU COMPLIANCE CHECKLIST

 ICU COMPLIANCE CHECKLIST

(Based on Supreme Court-endorsed "Guidelines for Organisation and Delivery of Intensive Care Services" and MoHFW/DGHS Guidance, 2026)

Hospital Name: __________________________
ICU Name/Level: Level 1 / Level 2 / Level 3
Date of Inspection: _______________________
Inspected By: ____________________________

Sl. No.	Compliance Item	Yes/No	Remarks
A. GOVERNANCE & ADMINISTRATION
1	ICU has written SOPs for admission, discharge, referral and transfer
2	ICU admission/discharge criteria displayed and implemented
3	Daily documentation and treatment records maintained
4	Mortality, morbidity and infection audits conducted periodically
5	ICU quality indicators monitored and reviewed
B. INFRASTRUCTURE
6	Dedicated ICU area with controlled access
7	Uninterrupted power supply with backup generator/UPS
8	Central oxygen and suction available at each bed
9	Adequate electrical outlets at each ICU bed
10	Access to laboratory, imaging and emergency services 24×7
11	Fire detection and fire-fighting systems functional
12	ICU evacuation plan displayed and staff trained
C. ESSENTIAL EQUIPMENT
13	Multiparameter monitor for each ICU bed
14	Ventilators available and functional
15	Defibrillator available and tested
16	Crash cart/emergency trolley available
17	Infusion and syringe pumps available
18	Portable oxygen cylinders available
19	ECG machine, glucometer and emergency airway equipment available
D. HUMAN RESOURCES
20	ICU supervised by trained intensivist/qualified physician
21	Resident doctors available round-the-clock
22	Nurse-patient ratio maintained at 1:2 to 1:3
23	Critically ill/ventilated patients provided 1:1 nursing care where required
24	Regular training in BLS/ACLS/Critical Care conducted
E. PATIENT CARE & SAFETY
25	Informed consent documented where applicable
26	Daily reassessment for ICU continuation/discharge conducted
27	Stabilized patients shifted to HDU/Ward as appropriate
28	Standard protocols for sepsis, ventilator care and emergencies available
29	Medication safety and high-alert drug protocols implemented
F. INFECTION PREVENTION & CONTROL
30	Hand hygiene facilities available at all ICU stations
31	PPE available and utilized appropriately
32	Ventilator-associated pneumonia (VAP) prevention bundle implemented
33	Catheter-associated infection prevention protocols followed
34	Biomedical waste management compliant with regulations
G. MONITORING & REPORTING
35	ICU bed occupancy monitored daily
36	Equipment maintenance and calibration records available
37	Adverse events and sentinel events reported and reviewed
38	Periodic internal ICU audit conducted
39	Compliance with State/UT ICU implementation plan reviewed
40	Action Taken Report (ATR) maintained on identified deficiencies

Certification

Overall Compliance Status:
☐ Fully Compliant
☐ Partially Compliant
☐ Non-Compliant

Major Deficiencies Identified:

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Corrective Actions Required:

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Signature of Medical Superintendent: _____________

Signature of ICU In-charge: _____________________

References: The checklist is derived from the Supreme Court-endorsed ICU minimum standards, including infrastructure, staffing, equipment, infection control, audits, discharge criteria, and state implementation requirements, along with DGHS/MoHFW ICU admission-discharge and critical care guidance. )