Patient Safety

Checklist for Routine Cleaning &

Disinfection of Suspected or
Confirmed COVID-19 Patient Rooms
Please complete this checklist for routine cleaning and disinfection (C&D) of the following items, if present, within suspected/
confirmed COVID-19 patient rooms. To conserve PPE, complete the checklist as part of a planned patient encounter. Use the
C&D supplies provided near the point-of-care. Make sure that the wipes/cloths that you use are moist, but not dripping with fluid.

DAY SHIFT NIGHT SHIFT

Date Date
Unit Unit
Room # Room #
Initials Initials

CLEAN & DISINFECT DONE CLEAN & DISINFECT DONE

Bed rails Bed rails
Bed control Bed control
Tray table Tray table
Call box/remote control Call box/remote control
Bedside table Bedside table
Telephone Telephone
Monitoring system touchscreen Monitoring system touchscreen
Ventilator control panel Ventilator control panel
IV pole grab area IV pole grab area
Infusion pump control Infusion pump control
Chair Chair
Inside room door plate/ handle Inside room door plate/ handle
Room light switch/button Room light switch/button
Check that alcohol sanitizer Check level of sharps container(s).
dispenser(s) have product If full, replace container(s)

The Most Trusted Voice in Healthcare e clientservices@ecri.org | w www.ecri.org | | 1

 DAY SHIFT NIGHT SHIFT

CLEAN & DISINFECT DONE CLEAN & DISINFECT DONE

Room sink basin Room sink basin
Room sink faucet Room sink faucet
Room sink counter Room sink counter
Check that soap dispenser has product Paper towel lever
Paper towel lever Outside bathroom door plate/ handle
Outside bathroom door plate/ handle Inside bathroom door plate/ handle
Inside bathroom door plate/ handle Bathroom light switch/ button
Bathroom light switch/button Grab bar(s)
Grab bar(s) Room sink basin
Room sink basin Room sink faucet
Room sink faucet Room sink counter
Room sink counter Check that soap dispenser has product
Paper towel lever Paper towel lever
Toilet flush handle/button Toilet flush handle/button
Toilet seat Toilet seat
Remove bathroom trash bag Remove bathroom trash bag
Remove room trash bag Remove room trash bag
Exit patient room without Exit patient room without
touching surfaces touching surfaces
Doff PPE Doff PPE
Perform hand hygiene Perform hand hygiene

To learn how to become a member, contact us: clientservices@ecri.org

About ECRI
ECRI is an independent, nonprofit organization improving the safety, quality, and cost- effectiveness of care across all healthcare settings. With a focus
on patient safety, evidence-based medicine, and health technology decision solutions, ECRI is the trusted expert for healthcare leaders and agencies
worldwide. The Institute for Safe Medication Practices (ISMP) is an ECRI affiliate. Visit ecri.org and follow @ECRI_Org.

e clientservices@ecri.org | w www.ecri.org | | 2
©2020 ECRI. All Rights Reserved. MS3000