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Infection Prevention and Control for Clinical Office Practice

These IPAC best practices will assist physicians with their clinical office-based practice. Some components have been derived from legislation and regulations, and will state in explicit terms what physicians should or should not do. Other sections are evidence-based best practices, intended to increase awareness about the day-to-day risks of infection acquisition and transmission in a physician’s clinical office and to equip physicians with practical guidance and tools to minimize such risks.

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NEW! IPAC Checklists for Clinical Office Practice

The IPAC checklists were developed to promote consistency when conducting  IPAC inspections of out-of-hospital premises (OHP), independent health facilities (IHF) and other clinical office settings. They will assist you in IPAC assessment activities and are not mandatory. The risk categorizations in these checklists are minimum expectations and may be elevated beyond what is indicated on the checklist where necessary based on the local assessment of the Medical Officer of Health/designate.

PHO develops resources based on the best available evidence and is committed to reviewing and updating these resources in a timely manner based on feedback from their use in the field. For more information or to provide feedback on the checklists, email



NEW! Additional Guidance for IPAC at Clinical Office Practice

Recommendations for Education, Training and Certification for Reprocessing in Clinical Office Settings

This guidance document was developed to provide some clarification about what constitutes a recognized course or certification for staff working in clinical office settings.


Recommendations for Conjunctivitis Prevention in Ophthalmology/Optometry Clinical Office Practice

This document outlines best practices for ophthalmology and optometry offices for hand hygiene, personal protective equipment, environment/equipment cleaning, and work restrictions for the prevention of conjunctivitis. 


 Additional Resources


Self-assessment checklists

Monthly inspection for clinical office safety

Safe medication practices 

Office infection prevention and control 

Reprocessing endoscopy equipment 


Investigation checklists

IPAC CORE Elements

Reprocessing of Medical Equipment/Devices








Personal Protective Equipment (PPE):




Page last reviewed:  
Page last updated: 25/05/2017 11:53 AM
Uncontrolled print copy. Valid only on day of Print: [date]
Page updated on [date/time] 25/05/2017 11:53 AM
© , Ontario Agency for Health Protection and Promotion