(In addition to Standard Precautions) 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by reviewing the instructions for families and visitors. Ensure they understand the importance of hand hygiene upon entering and leaving the room.
3. Next, focus on the requirements for doctors and staff. Make sure to note that gowns and gloves must be donned at the door before entering.
4. Fill in any specific patient information as required, particularly if the patient has diarrhea or is suspected of having C. difficile.
5. Ensure that all equipment and supplies are documented correctly, emphasizing the need for dedicated or disposable items when available.
6. Review linen management procedures, ensuring that all linens are bagged in the patient's room.
7. Finally, confirm that personal protective equipment usage is clearly outlined, including proper handwashing protocols after removing PPE.

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