Blood Glucose Monitoring
Incorrect use of or failing to properly disinfect blood glucose meters places patients at risk for bloodborne pathogen infections. Use this tool to observe blood glucose monitoring practices and identify gaps and opportunities for improvement. Monitoring may be performed in any type of patient care location where blood glucose is monitored.
A central line associated bloodstream infection (CLABSI) may occur due to breaches in technique during line insertion or lapses in infection prevention practices when accessing and maintaining the line.
Contact PrecautionsReduction of C. difficile and other multi-drug resistant organisms (MDRO) requires strict adherence to contact precautions and proper use of personal protective equipment.
Many areas of the healthcare facility may be performing device reprocessing.
Use this tool in any area where device reprocessing is performed.
High-Level Disinfection of Reusable Devices Adherence Monitoring Tool (PDF)Use this tool in any area where high-level disinfection of reusable devices is performed
Enhanced Standard Precautions
Enhanced Standard Precautions Adherence Monitoring Tool (PDF)Use this tool to determine if staff members are correctly adhering to Enhanced Standard Precautions practices. Feedback of results to staff has been shown to increase adherence to these practices.
Pathogens are transmitted in healthcare settings when contaminated surfaces and equipment are not adequately cleaned and disinfected between patients.
Environmental Services Adherence Monitoring Tool (PDF)Use this tool to measure how well staff members are adhering to appropriate environmental cleaning and disinfection practices.
Fluorescent Marker Assessment Adherence Monitoring Tool (PDF)Use this tool in conjunction with the above Environmental Services Adherence Monitoring Tool to measure how well staff members are adhering to cleaning and disinfecting high-touch surfaces.
Who Cleans What Reminder Template (Word): Use in conjunction with Environmental Cleaning and Disinfection Responsibility Assessment Tool. Customize the template to correspond to your facility policy.
CDC Guidelines for Environmental Infection Control in Healthcare Facilities (PDF)
CDC Options for Evaluating Environmental Infection Control
Regular monitoring with feedback of results to staff can improve hand hygiene adherence.
Hand Hygiene Adherence Monitoring Tool (PDF)Use this tool to identify gaps and opportunities for improvement. Monitoring may be performed in any type of patient care location.
CDC Guideline for Hand Hygiene in Healthcare Settings (PDF)
Use these hemodialysis tools to measure adherence to dialysis care practices that are important for the prevention of bloodstream infections.
Indwelling Urinary Catheter Maintenance Practices
The best ways to prevent a catheter associated urinary tract infections (CAUTI) are to avoid use of indwelling catheter unless absolutely necessary and to remove catheters as quickly as possible after insertion.
Indwelling Urinary Catheter Maintenance Practices Adherence Monitoring Tool (PDF)Use this tool to observe the conditions of urinary catheters in use, and to identify gaps and opportunities for improvement.
CDC Guideline for Prevention of Catheter-associated Urinary Tract Infections, 2009 (PDF)
Injection safety is a basic expectation in patient care, and includes safe handling of medications and using each needle and syringe for only one patient one time.
Injection Safety Adherence Monitoring Tool (PDF)Use this tool to measure adherence to safe injection practices in any type of location where medication is prepared or provided to patients.
CDC Injection Safety Web Materials
Source Control and Respiratory Hygiene
Surgical Site Infections (SSI) - Operating Room Environment
Use these tools to measure adherence to evidence-based practices known to reduce SSI in the operating room. Monitoring may be performed in any operating room setting, including hospitals, ambulatory surgery centers, and outpatient clinics.
NOTE: in addition to the 42 new recommendations, 15 other SSI prevention recommendations were carried forward from the 1999 SSI guideline. They are described in the CDC Guideline for Prevention of SSI, 2017, supplemental eAppendix 1 (page 41).
For questions, suggestions, or an accessible version of these tools, please email
Find additional resources at CDC Infection Prevention Observation Tools