Long-Term Care Facility COVID-19 Toolkit  


This toolkit includes a set of resources (e.g. audit tools, huddle sheets, and posters) that your facility can utilize for infection control and training purposes over the course of the COVID-19 response. Additional PDPH infection control resources can be found here.

Audit Tools and Forms

COVID-19: Hand Hygiene/PPE Use Audit Tool

Hand Hygiene and PPE Use Audit Tool - 8.5x11

COVID-19: Mask/Eye Audit Tool

Mask and Eye Protection Audit Tool - 8.5x11 and Guidance Sheet

COVID-19: LTCF/Dialysis Care Form

LTCF/Dialysis Transition of Care Form - 8.5x11


COVID-19: NP Swab Competency Checklist

           NP Specimen Collection Checklist - 8.5x11         



Huddle Sheets

COVID-19: Symptoms Huddle Sheet

COVID-19 Symptoms Huddle Sheet - 8.5x11

COVID-19: Hand Hygiene Huddle Sheet

Hand Hygiene Huddle Sheet - 8.5x11

COVID-19: Environment of Care Huddle Sheet

Environment of Care Huddle Sheet - 8.5x11


Posters for Healthcare Personnel

COVID-19: Donning PPE

Donning PPE - 8.5x11 and 8.5x14

COVID-19: Donning PPE

Doffing PPE - 8.5x11 and 8.5x14

COVID-19: Enhanced Respiratory Precautions

Enhanced Respiratory Precautions - 8.5x11

COVID-19: PPE Conservation

PPE Conservation - 8.5x11 and 8.5x14


PPE Use - 8.5x11 and 8.5x14





Posters for Residents

COVID-19: Mask Up PHL

Mask Up PHL Posters - English (#1, #2, #3), Spanish, and Chinese