Infection Control
Eight editable Word templates for a USA non-medical home care agency, 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.
Every file is an editable Microsoft Word (.docx) document. This is a Word-only download: no PDF, Excel, or Canva files are included. You can also open the files in Google Docs or LibreOffice; some layout may shift slightly.
What’s included (8 templates, 9 Word files in one ZIP)
- Infection Control Policy and Procedures (11 pages, Word)
- Hand Hygiene and PPE (Donning and Doffing) Competency Checklist (5 pages, Word)
- Infection Control Training Quiz and Sign-Off, with Answer Key (2 Word files) (6 + 3 pages, Word)
- Caregiver Illness and Exposure Incident Report (5 pages, Word)
- Caregiver Return to Work Form (3 pages, Word)
- Client Home Cleaning and Disinfection Checklist (5 pages, Word)
- Infectious Disease Outbreak and Pandemic Response Plan (11 pages, Word)
- Bloodborne Pathogens Exposure Control Plan (18 pages, Word)
9 Word files: the training quiz comes with a separate answer key file. Each file ends with an Agency Instructions page.
Who it’s 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 it works
- Purchase and instantly download one ZIP file with all the documents.
- Open each file in Microsoft Word.
- Use Replace All (Ctrl+H) to change [Agency Name] and [State] to your own details.
- Fill in the blank lines with your own policies, contacts and choices, then save, print or share as needed.
Please note
- This is a digital download. No physical item will be shipped.
- These are customizable templates, not legal advice, and are not a license to operate or state-approved. They do not guarantee that your agency meets any law, licensing survey or standard.
- State rules vary. Check every state-specific item against your state requirements and have a qualified professional review the templates before use.
- Some lines cross-reference policy numbers from a companion Policy & Procedure Manual (sold separately); edit them to match your own policies.
Instant download via Payhip · Editable Word (.docx) · Secure checkout









