Isolation Precautions Audit

Audit template for verifying isolation precautions, including PPE donning and doffing, signage, door closure, and visitor compliance.

Audit Details

• Unit / location inspected
• Isolation type observed
• Patient room / area identifier

PPE Donning Compliance

• Required PPE available at point of entry
• Staff don PPE before crossing the room threshold
• Hand hygiene performed before donning PPE
• Gown, gloves, mask/respirator, and eye protection used per isolation type
• PPE fit and coverage adequate with no exposed skin at risk

Isolation Signage and Room Controls

• Isolation precaution signage posted at room entrance
• Signage clearly identifies required PPE and entry instructions
• Door remains closed when required by isolation type
• Hand hygiene supplies available at or near the entrance
• Waste and linen disposal containers positioned to reduce contamination risk

PPE Doffing and Exit Process

• PPE doffing sequence followed per facility protocol
• Contaminated PPE removed without self-contamination
• Hand hygiene performed immediately after PPE removal
• Used PPE disposed of in designated receptacle

Visitor Compliance

• Visitors informed of isolation precautions before entry
• Visitors wearing required PPE correctly
• Visitor entry limited to authorized individuals only
• Visitor non-compliance addressed by staff during observation