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?
Related Healthcare Checklists
- Hand Hygiene Compliance
- Medication Safety Check
- Surgical Safety Checklist
- Fall Prevention Assessment
- Joint Commission Readiness
- HIPAA Compliance Audit