Infection Control Nurse Assessment Form
About this free form template

Streamline Infection Control Performance Reviews with Paperform

Managing infection control in healthcare facilities requires dedicated professionals who can prevent outbreaks, maintain surveillance systems, educate staff, and ensure regulatory compliance. This Infection Control Nurse Assessment Form provides healthcare administrators and managers with a structured, comprehensive tool for evaluating the performance and effectiveness of infection control nurses.

Why This Template Works for Healthcare Organizations

Healthcare facilities—from hospitals and nursing homes to clinics and surgical centers—need systematic ways to assess their infection prevention programs. This template covers the five critical domains of infection control nursing: outbreak prevention and response, surveillance data quality, staff education effectiveness, policy compliance audits, and regulatory reporting accuracy.

With Paperform's conditional logic and calculation features, you can create weighted scoring systems that identify areas of excellence and opportunities for improvement. The form adapts based on responses, revealing relevant follow-up questions only when needed, making the assessment process more efficient for busy healthcare managers.

Automate Your Quality Assurance Workflow

Once you've collected assessment data, Paperform's integration ecosystem helps you take action. Connect your form to your HR system, quality management software, or documentation platforms to automatically route results, trigger improvement plans, or schedule follow-up reviews.

For facilities managing multiple infection control professionals or conducting regular compliance audits, consider pairing this form with Stepper to build automated workflows that send assessment summaries to department heads, create action items for identified gaps, and schedule quarterly review cycles without manual intervention.

HIPAA Considerations

Please note that while Paperform offers enterprise-grade security including SOC 2 Type II compliance, it is not a HIPAA compliant solution. Ensure this assessment form captures only performance evaluation data and does not include any protected health information (PHI) about patients.

Designed for Healthcare Quality Teams

This template is ideal for:

  • Infection prevention directors conducting annual performance reviews
  • Nursing supervisors evaluating infection control competencies
  • Quality assurance teams performing compliance audits
  • Healthcare administrators tracking departmental effectiveness
  • Accreditation coordinators preparing for regulatory inspections

With Paperform's professional design capabilities, you can customize this template to match your facility's branding while maintaining the clinical rigor required for healthcare quality documentation.

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HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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