Health Information Portal (HIP)

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

• Hand Hygiene and PPE Use Audit Tool (PDF)
• Mask and Eye Protection Audit Tool (PDF)
• LTCF/Dialysis Transition of Care Form (PDF)
• NP Specimen Collection Checklist (PDF)

Huddle Sheets

• COVID-19 Symptoms Huddle Sheet (PDF)
• Hand Hygiene Huddle Sheet (PDF)
• Environment of Care Huddle Sheet (PDF)

Posters for Healthcare Personnel

• Donning PPE
• Doffing PPE
• Enhanced Respiratory Precautions
• PPE Conservation
• PPE Use

Posters for Residents

• I Wear a Mask to...
  • Keep My City Safe
  • Keep My Family Safe
  • Keep All of Us Safe
  • Keep Everyone Safe
  • Keep My Partner Safe
• Mask Up PHL Posters
  • English
  • Spanish
  • Chinese