Infection Control Isolation Precautions Checklist
Verify appropriate implementation of isolation precautions based on infection type including standard, contact, droplet, and airborne precautions.
- Industry: Healthcare
- Frequency: Every shift / Room entry
- Estimated Time: 5-10 minutes
- Role: All Clinical Staff
- Total Items: 32
- Compliance: CDC Isolation Precautions, Joint Commission IC.02.01.01, OSHA Bloodborne Pathogens
Signage & Communication
Proper signage in place
- Isolation sign posted on door?
- Type of precautions specified on sign?
- All staff aware of isolation status?
PPE Availability
Equipment available outside room
- Gloves available?
- Gowns available?
- Appropriate masks available?
- Eye protection available (if needed)?
- N95 respirators available (airborne)?
PPE Donning Verification
Proper PPE use
- Hand hygiene before donning?
- Gown donned properly?
- Mask fitted/sealed properly?
- Eye protection in place (if required)?
- Gloves donned last over gown cuffs?
Room Requirements
Appropriate room setup
- Private room (if required)?
- Negative pressure room (airborne)?
- Door kept closed?
- Dedicated patient care equipment?
PPE Doffing Verification
Safe removal
- Gloves removed first?
- Gown removed inside-out?
- Hand hygiene after gown?
- Mask removed by straps only?
- Final hand hygiene performed?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
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Why Use This Infection Control Isolation Precautions Checklist?
This infection control isolation precautions checklist helps healthcare teams maintain compliance and operational excellence. Designed for all clinical staff professionals, this checklist covers 32 critical inspection points across 7 sections. Recommended frequency: every shift / room entry.
Ensures compliance with CDC Isolation Precautions, Joint Commission IC.02.01.01, OSHA Bloodborne Pathogens. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Infection Control Isolation Precautions Checklist cover?
This checklist covers 32 inspection items across 7 sections: Signage & Communication, PPE Availability, PPE Donning Verification, Room Requirements, PPE Doffing Verification, Pre-Assessment Information, Infection Prevention & Control. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed every shift / room entry. Each completion takes approximately 5-10 minutes.
Who should use this Infection Control Isolation Precautions Checklist?
This checklist is designed for All Clinical Staff professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.