Lumiform Template Library

Health Services

5 Moments of Hand Hygiene - Infection Control

5 Moments of Hand Hygiene - Infection Control

Use this checklist template to check if employees know the 5 Momenet of hand hygiene.

Accident Incident Report Form

Accident Incident Report Form

Use this template to write a complete accident report.

Anesthesia Infection Prevention Assessment Checklist

Anesthesia Infection Prevention Assessment Checklist

Use this template to check if guidelines for infection prevention and control in anesthesia practices are followed.

COVID-19 | Preparation checklist for healthcare providers (CDC)

COVID-19 | Preparation checklist for healthcare providers (CDC)

This checklist is for service providers in the healthcare industry. It can be used to review steps in preparing for transport and upon arrival of patients with confirmed or possible COVID-19.

Covid-19 | Screening Checklist for Visitors and Employees

Covid-19 | Screening Checklist for Visitors and Employees

Use this checklist to screen visitors and staff of healthcare facilities for Covid-19 symptoms before they enter.

Covid-19 | Social Distancing Plan for Nursing Homes and Adult Care Facilities

Covid-19 | Social Distancing Plan for Nursing Homes and Adult Care Facilities

Use this template to create a social distancing plan for nursing homes and adult care facilities.

Evaluation of Infection Control (Long-term Care)

Evaluation of Infection Control (Long-term Care)

Use this template to review the standards and measures for infection control in a long-term care facility.

FDA Inspection

FDA Inspection

Utilize this FDA Inspection Preparation Checklist to keep track of the preparedness of a site or facility for an upcoming FDA inspection.

Fire Safety Audit - Dental Practice

Fire Safety Audit - Dental Practice

Fire Safety Audit - Dental Practice

Fire Safety Audit for a Nursing Home

Fire Safety Audit for a Nursing Home

Use this template to conduct a fire safety audit in a care facility to ensure that residents, staff and visitors are safe in hazardous situations.

First Aid Kit - Replacement List

First Aid Kit - Replacement List

Use this template to check first aid kits for completeness and get a replacement if necessary.

General Infection Control Audit Checklist

General Infection Control Audit Checklist

Use this infection control audit template to ensure the completion of baseline control measures against healthcare-associated infections.

Hand Hygiene Audit

Hand Hygiene Audit

Use this hand hygiene audit checklist to evaluate hand hygiene practice based on the WHO Five Moments.

Home Visit Checklist

Home Visit Checklist

Use this template to assess the health status of a patient during a home visit.

Hospital: Patient Satisfaction

Hospital: Patient Satisfaction

This Patient Satisfaction Questionnaire can be implemented by medical secretaries or clinic workers to assess patient satisfaction.

Hygiene Concept Medical Office

Hygiene Concept Medical Office

Use this checklist template to check whether your hygiene concept covers all hygiene-related topics.

Infection Control Assessment Tool (Acute Care)

Infection Control Assessment Tool (Acute Care)

Use this template to monitor infection control in acute care.

Lab inspection checklist

Lab inspection checklist

This SOP template is used to perform a proper process hazard assessment of hazardous substances and physical hazards before using a chemical laboratory.

Laboratory Logistics Audit Form

Laboratory Logistics Audit Form

Logistics audit

MDSAP Audit

MDSAP Audit

Use Lumiform's FREE MDSAP audit checklists to determine if the manufacturer's Quality Management Systems meet ISO 13485 requirements.

Medical Record Audit

Medical Record Audit

ACC

Nursing Audit Checklist

Nursing Audit Checklist

Nursing audit is the process of determining the quality of nursing care by reviewing clinical records made by healthcare professionals.

Patient Satisfaction Survey Template

Patient Satisfaction Survey Template

This Patient Satisfaction Survey Template helps medical professionals to instantly determine the grade of patient satisfaction.

Patient Survey Template

Patient Survey Template

This Patient Survey Template based on the HCAHPS Survey helps you to measure the quality of hospital care.

Pharmaceutical GMP Audit Checklist

Pharmaceutical GMP Audit Checklist

This drug manufacturer audit checklist can be used to perform systematic audits of a pharmaceutical manufacturing facility and measure compliance with GMP guidelines.

Pharmacy Audit

Pharmacy Audit

Improve the daily business of your pharmacy with this template.

Pharmacy Audit Checklist

Pharmacy Audit Checklist

Use this checklist to carry out extensive self-checks and ensure compliance.

Pharmacy Inspection Checklist

Pharmacy Inspection Checklist

This template makes it easier for pharmacists to meet the demands of an internal audit.

Quality Pulse Check Audit

Quality Pulse Check Audit

10 minute audit of not negotiable quality and safety standards

Risk Assessment for Hazardous Substances

Risk Assessment for Hazardous Substances

Use this template to check and keep track of the handling and storage of hazardous substances.