Templates
28-point infection control checklist

28-point infection control checklist

Enhance your infection control measures with Lumiform’s 28-point infection control checklist. This customizable template helps your team maintain high hygiene standards, ensuring a safe and compliant environment.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF
28-point infection control checklist

Enhance your infection control measures with Lumiform’s 28-point infection control checklist. This customizable template helps your team maintain high hygiene standards, ensuring a safe and compliant environment.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

A 28-point infection control checklist provides a systematic framework to assess and maintain infection prevention standards across healthcare facilities. This comprehensive tool covers essential areas like hand hygiene, PPE usage, waste management, and environmental cleaning protocols. We created this template to help you identify gaps in your infection control practices before they lead to healthcare-associated infections.

For example, when a surgical unit experiences unexplained infection rate increases, this checklist helps pinpoint potential issues with sterilization procedures or staff compliance with hand hygiene protocols that standard reviews might miss. According to the CDC, healthcare-associated infections affect approximately 1 in 31 hospital patients on any given day, making systematic prevention essential.

Related categories

Preview of the template
Page 1
General Facility Information
Facility Name
Facility Type
Address
Date of Inspection
Handwashing and Hand Hygiene
Handwashing sinks available in all patient care areas
Sinks have warm water, soap, and disposable towels or air dryers
Staff perform hand hygiene (handwashing or alcohol-based hand sanitizer) before and after each patient contact
Staff receive training on proper hand hygiene techniques
Personal Protective Equipment (PPE)
Appropriate PPE (gloves, gowns, masks, eye protection) available and accessible for staff
Staff wear appropriate PPE when indicated
Staff receive training on proper donning and doffing of PPE
Cleaning and Disinfection
Facility has written policies and procedures for cleaning and disinfection of patient care equipment and environmental surfaces
Facility uses EPA-registered disinfectants and follows manufacturer instructions for use
Staff perform regular cleaning and disinfection of high-touch surfaces
Facility has a process in place for terminal cleaning of patient rooms
Injection Safety
Single-dose vials are used for one patient only
Multi-dose vials are dated when opened and discarded within 28 days, unless otherwise specified by the manufacturer
Staff use aseptic technique when preparing and administering injections
Staff receive training on safe injection practices
Reprocessing of Reusable Medical Equipment
Reusable medical equipment is properly cleaned and high-level disinfected or sterilized between uses
Staff follow manufacturer instructions for reprocessing of reusable medical equipment
Reprocessing area is physically separated from patient care areas
Staff receive training on reprocessing of reusable medical equipment
Respiratory Hygiene and Cough Etiquette
Facility has tissues, no-touch receptacles, and alcohol-based hand sanitizer available in waiting areas and at patient check-in
Facility posts signs to instruct patients and visitors on respiratory hygiene and cough etiquette
Staff follow respiratory hygiene and cough etiquette when coughing or sneezing
Sharps Safety
Sharps containers are available at the point of use
Sharps containers are not overfilled
Staff receive training on proper sharps disposal
Infection Control Program
Facility has a written infection control program
Facility has an infection control coordinator or committee
Facility conducts infection surveillance and reporting
Facility provides infection control training for staff

Frequently asked questions

What specific areas does the 28-point infection control checklist cover?

The checklist covers hand hygiene practices, personal protective equipment usage, waste management procedures, environmental cleaning protocols, sterilization verification, staff training compliance, isolation procedures, respiratory hygiene practices, sharps handling, and linen management – all critical components for maintaining comprehensive infection control in healthcare settings.

How often should I conduct audits using the 28-point infection control checklist?

Conduct comprehensive audits quarterly at minimum, with targeted high-risk area assessments monthly. Increase frequency during outbreak situations, after identifying compliance issues, or when implementing new procedures. Regular audits help establish baseline performance and track improvements over time while ensuring consistent infection prevention practices.

Who should be responsible for completing the 28-point infection control checklist?

The infection control officer or designated infection prevention specialist should lead the assessment process. However, involving unit managers, quality improvement staff, and frontline healthcare workers creates a more comprehensive evaluation. This collaborative approach ensures diverse perspectives and greater buy-in for implementing necessary improvements identified through the checklist.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.