Did the representative ask about travel upon hearing the symptoms?

Was the patient instructed to put a mask on.

Did staff touch the patient?

Did triage nurse dress in basic PPE?

Was physician notified immediately?

Was the call made to the infection Preventionist?

Did IP call the ID Doc?

Did IP call the state department of health?

Did IP call the cdc?

Did IP call the supervisor?

Did the supervisor call maintenance?

Did the supervisor call SMT on call?

Did they wipe down the counter or call housekeeping to clean area of travel?

Did triage nurse dress in basic PPE?

Did the staff follow the pre-designated route for ebola patient (ESD bed 5)?

Did the staff talk of room setup?

Did the staff retrieve the Ebola cart?

Did the staff operate room controls appropriately?

Did the staff identify the use of the buddy system?

Did the nurse donn ebola PPE to enter the patient room?

Did the MD donn Ebola PPE to enter the patient room?


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.