Home Care Infection Control Bundle | 8 Editable Word Templates | Policy, PPE Checklist, Exposure Control Plan, Outbreak Plan
Infection Control Bundle for U.S. non-medical home care agencies: 8 editable templates in one instant download.
Build your agency infection control program with one matching set: a written policy, a hand hygiene and PPE competency checklist, a training quiz with answer key, illness and exposure reporting, return to work clearance, a cleaning checklist, an outbreak response plan and a bloodborne pathogens exposure control plan.
WHAT'S INCLUDED (8 templates; 9 Word .docx files in one ZIP):
- Infection Control Policy and Procedures (11 pages, Word). File: ic-01-Home-Care-Infection-Control-Policy.docx
- Hand Hygiene and PPE (Donning and Doffing) Competency Checklist (5 pages, Word). File: ic-02-Home-Care-Hand-Hygiene-PPE-Competency-Checklist.docx
- Infection Control Training Quiz and Sign-Off, with Answer Key (2 Word files) (6 + 3 pages, Word). File: ic-03-Home-Care-Infection-Control-Training-Quiz.docx, ic-03-Home-Care-Infection-Control-Quiz-Answer-Key.docx
- Caregiver Illness and Exposure Incident Report (5 pages, Word). File: ic-04-Home-Care-Caregiver-Illness-Exposure-Report.docx
- Caregiver Return to Work Form (3 pages, Word). File: ic-05-Home-Care-Caregiver-Return-to-Work-Form.docx
- Client Home Cleaning and Disinfection Checklist (5 pages, Word). File: ic-06-Home-Care-Client-Home-Cleaning-Disinfection-Checklist.docx
- Infectious Disease Outbreak and Pandemic Response Plan (11 pages, Word). File: ic-07-Home-Care-Infectious-Disease-Outbreak-Response-Plan.docx
- Bloodborne Pathogens Exposure Control Plan (18 pages, Word). File: ic-08-Home-Care-Bloodborne-Pathogens-Exposure-Control-Plan.docx
9 Word files: the training quiz comes with a separate answer key file. Each file ends with an Agency Instructions page.
WHO IT IS FOR:
- Home care agency owners writing an infection control program
- Trainers checking caregiver hand hygiene and PPE skills
- Supervisors handling caregiver illness, exposure and return to work
- Agencies planning for outbreaks and bloodborne pathogen exposure
HOW TO CUSTOMIZE:
- Unzip the download and open each file in Microsoft Word.
- Use Home > Replace > Replace All (Ctrl+H) to change [Agency Name] and [State] to your own details. This also reaches the page headers.
- Fill in the blank lines with your own policies, contacts and choices, and check every state-specific item against your state rules.
- Add your logo if you want one, save your master copies, and print or share as needed.
Some lines cross-reference policy numbers from a companion Policy & Procedure Manual (sold separately); edit them to match your own policies.
INSTANT DOWNLOAD: This is a digital product. No physical item will be shipped. After purchase, download the ZIP from your Payhip library or the link in your confirmation email. Works best in Microsoft Word; Google Docs and LibreOffice can open the files, but some layout may shift.
DISCLAIMER: These are customizable templates, not legal advice. Rules differ by state, so check each template against your state rules and have a qualified professional review it before use. Using these templates does not guarantee that your agency meets any law, licensing survey or standard. Not a license to operate and not state-approved. For personal and business use by the buyer; please do not resell or share the files.