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)

  1. Infection Control Policy and Procedures (11 pages, Word)
  2. Hand Hygiene and PPE (Donning and Doffing) Competency Checklist (5 pages, Word)
  3. Infection Control Training Quiz and Sign-Off, with Answer Key (2 Word files) (6 + 3 pages, Word)
  4. Caregiver Illness and Exposure Incident Report (5 pages, Word)
  5. Caregiver Return to Work Form (3 pages, Word)
  6. Client Home Cleaning and Disinfection Checklist (5 pages, Word)
  7. Infectious Disease Outbreak and Pandemic Response Plan (11 pages, Word)
  8. 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

  1. Purchase and instantly download one ZIP file with all the documents.
  2. Open each file in Microsoft Word.
  3. Use Replace All (Ctrl+H) to change [Agency Name] and [State] to your own details.
  4. 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.
Infection Control

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Buy Now – $32

Instant download via Payhip · Editable Word (.docx) · Secure checkout