Meghan Engbretson

PPE Competency Audit

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Title Page

Conducted on
Auditor

Assessment

Role of person observed
- Physician
- Nursing
- Learner/Student
- Environmental Services
- Allied Health
- Other
Describe role:

Donning PPE

Was PPE donned in the correct order?
Was all required PPE donned?
Was on the spot education required to safey don PPE?

Doffing PPE

Was PPE doffed in the correct order?
Was all required PPE doffed?
Was on the spot education required to safely doff PPE?

Hand Hygiene (if observed)

If Hand Hygiene was observed, was it performed correctly?

Meghan Engbretson

PPE Competency Audit

Use this Template

Print as PDF

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