Anonymous

Infection Prevention Weekly Rounding

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Use this Template

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Title Page

Audit Title
Client / Site
Conducted on
Prepared by
Personnel

Isolation Findings (PPE, door sign, correct disinfectants)
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Hand Hygiene Findings
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Environmental Cleanliness Findings (Clean/Dirty Separation, Computer Cart Evaluation, Clean Supply Storage, Soiled Utility Room)
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Miscellaneous Findings
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Anonymous

Infection Prevention Weekly Rounding

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.