| Was the room checked for cleanliness? | | | |
| Did the medical professional introduce themselves to the patient? | | | |
| Was the exam room door completely closed? | | | |
| Did the medical professional start a movie for the patient? | | | |
| Did the medical professional explain the volume control and movie selection process? | | | |
| Did the medical professional use hand sanitizer upon entering the room before touching patient and when leaving? | | | |
| Were the patient’s vitals entered into the EMR using an electronic device while in the exam room? | | | |
| Was the medical history reviewed? | | | |
| Was the social history reviewed? | | | |
| Was the family history reviewed? | | | |
| Was the surgical history reviewed? | | | |
| Was the medication history reviewed? | | | |
| Were allergies reviewed? | | | |
| Were point of care test results entered into the EMR within an acceptable time? | | | |
| Was the medical professional logged into Google email and chat? | | | |
| Upon discharge, were care plan and RX given and reviewed? | | | |