Inspection

This checklist is derived from the Healthcare Professional Preparedness Checklist For Transport and Arrival of Patients With Confirmed or Possible COVID-19 by the Centers for Disease Control and Prevention (CDC).
https://www.cdc.gov/coronavirus/2019-ncov/downloads/hcp-preparedness-checklist.pdf

Review

Review your infection prevention and control policies and CDC infection control recommendations for COVID-19 for:

Assessment and triage of patients with acute respiratory symptoms

Patient placement

Implementation of Standard, Contact, and Airborne Precautions, including the use of eye protection

Visitor management and exclusion

Source control measures for patients (e.g., put facemask on suspect patients)

Requirements for performing aerosol generating procedures

Be alert for patients who meet the persons under investigation (PUI) definition

Know how to report a potential COVID-19 case or exposure to facility infection control leads and public health officials.

Know who, when, and how to seek evaluation by occupational health following an unprotected exposure (i.e., not wearing recommended PPE) to a suspected or confirmed coronavirus disease 2019 patient.

Remain at home, and notify occupational health services, if you are ill.

Know how to contact and receive information from your state or local public health agency.

Sign-off

Comments/Recommendations

Name & Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.