Bed Bug Mitigation Audit

Inpatient audit template for bed bug mitigation, including room inspection, treatment verification, discharge linen handling, and documentation of follow-up actions.

Audit Details

• Unit / department identified
  Record the inpatient unit, ward, or department being audited.
• Room number identified
  Record the room or bed space number inspected.
• Audit date and time recorded
  Document when the inspection was completed.
• Inspector name and role recorded
  Enter the inspector's name and job title or role.
• Reason for audit documented
  Identify why the audit was performed.

Room Assessment and Identification

• Mattress seams, box spring, and bed frame inspected for live bugs or evidence
  Inspect bed seams, tufts, frame joints, and nearby crevices for live bed bugs, cast skins, fecal spotting, or eggs.
• Furniture, baseboards, and adjacent surfaces inspected for bed bug evidence
  Check nightstands, chairs, wall edges, baseboards, and nearby surfaces within the room for signs of infestation.
• Clutter minimized to support inspection and treatment access
  Verify the room allows access to bed, furniture, and perimeter areas without obstruction.
• Signs of patient bites or reported exposure documented
  Confirm whether patient-reported symptoms, bites, or exposure history were documented and escalated per facility procedure.
• Adjacent rooms or shared spaces assessed when indicated
  Verify whether nearby rooms, shared equipment, or common areas were assessed based on risk or confirmed activity.
• Evidence type recorded
  Select all evidence observed during the inspection.

Treatment Verification

• Treatment order or service record available
  Verify a treatment order, pest control service record, or approved work order is available for the room.
• Treatment date and method documented
  Record the date of treatment and the method used, such as heat, chemical, vacuuming, encasement, or integrated pest management actions.
• Treatment completed as ordered
  Confirm the treatment was completed according to the approved plan and any required re-entry restrictions were followed.
• PPE used by staff during treatment or room entry
  Verify appropriate PPE was used based on the treatment method and facility procedure.
• Post-treatment monitoring or reinspection scheduled
  Confirm follow-up inspection, monitoring, or retreatment date has been scheduled when required.

Discharge Linen Handling and Containment

• Used linens and soft goods bagged at point of removal
  Verify linens, gowns, blankets, and other soft goods were contained before leaving the room.
• Linen bags sealed and labeled per facility procedure
  Confirm linen containment bags were sealed and identified according to facility process for suspected or confirmed bed bug exposure.
• Clean and soiled linen separated during transport
  Verify clean linen was protected from contaminated items and transport routes minimized cross-contamination risk.
• Discharge or transfer linen handling documented
  Confirm discharge linen handling steps were documented for the patient transfer or room turnover.
• Environmental services notified of linen and room status
  Verify housekeeping or environmental services were notified that the room requires special handling or turnover precautions.

Documentation, Communication, and Follow-Up

• Findings documented in the incident or pest log
  Confirm inspection findings, evidence observed, and actions taken were entered into the appropriate log or record.
• Patient care team notified of findings
  Verify nursing, provider, and relevant support staff were informed of the inspection results and any precautions.
• Corrective actions assigned with owner and due date
  Confirm each deficiency or non-conformance has an assigned owner and target completion date.
• Follow-up status recorded
  Document the current status of the bed bug mitigation follow-up.
• Inspector signature completed
  Inspector signs to confirm the audit findings are accurate and complete.