Nursing Home Infection Control Log
Nursing Home Infection Control Log
This log is to be used daily by staff to record all infection-related incidents within the facility. It should be filled out with accuracy to ensure proper tracking and management of infectious diseases.
Resident Information
|
Resident Name |
Room No. |
Age |
Pre-existing Conditions |
|---|---|---|---|
|
[Resident Name] |
101 |
78 |
Diabetes, Hypertension |
Incident Details
|
Time of Observation |
Symptoms |
Suspected Infection |
Action Taken |
Reported to (Name/Position) |
|---|---|---|---|---|
|
08:45 AM |
Fever, cough |
Yes - Flu |
Isolation, Administered Antipyretic |
Nurse Supervisor - [Name] |
Staff Health Screening
|
Staff |
Position |
Time In |
Symptom Check |
Temperature Check |
Fit for Work |
|---|---|---|---|---|---|
|
[Name] |
Nurse |
07:00 AM |
No Symptoms |
98.6°F |
Yes |
Sanitization Records
|
Area |
Time |
Staff Responsible |
|---|---|---|
|
Resident Rooms |
09:00 AM |
[Name] |
Checked By: [Your Name]
Date: [Month, Day, Year]
[Your Company Name] commits to the health and safety of our residents and staff. This log is an essential part of our infection control measures. Please ensure all sections are completed daily.
