Healthcare Facility Compliance 12 items
Isolation Precautions & PPE Competency Audit
Audit of transmission-based isolation precautions, signage, PPE availability, and staff donning/doffing competency.
CDC Isolation Precautions Guideline 2007OSHA 1910.132/1910.1030TJC IC.02.01.01
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Precaution Selection & Signage
- Are the correct transmission-based precautions (contact, droplet, airborne) applied for the patient's condition? *
- Is appropriate isolation signage posted at the room entrance? *
- Are airborne-isolation patients placed in an airborne infection isolation room (AIIR) with monitored negative pressure? *
PPE Availability & Use
- Is the correct PPE stocked and readily available outside each isolation room? *
- Do staff don and doff PPE in the correct sequence to prevent self-contamination? *
- Is a fit-tested NIOSH-approved N95 or higher respirator worn for airborne precautions? *
Competency & Program
- Is annual PPE and isolation competency documented for clinical staff? *
- Is respirator fit testing performed at least annually for staff required to wear N95s? *
- Are dedicated or single-use patient-care equipment items used for isolation patients? *
Monitoring & Discontinuation
- Is patient placement and precaution status communicated at handoff and on transfer? *
- Are precautions discontinued only per defined clinical or microbiologic criteria? *
- Is adherence to isolation precautions monitored and reported to infection prevention? *
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