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Get the free Footprint Medical PICC Kit Evaluation Form - Access Medical Supply ...

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1672 Wright Blvd. Schaumburg, IL 60193 Phone: 847 891 6210 Fax: 847 891 6215 Email: admin accessmedicalsupply.com www.accessmedicalsupply.com Footprint Medical PICC Kit Evaluation Form Name: Date:
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A footprint medical PICC kit is a kit used for peripherally inserted central catheter (PICC) placement.
Medical professionals or healthcare providers who perform PICC placements are required to fill out the footprint medical PICC kit.
The footprint medical PICC kit must be filled out with all relevant patient information, catheter placement details and any complications encountered during the procedure.
The purpose of the footprint medical PICC kit is to document the PICC placement procedure, track patient information and report any complications for quality assurance purposes.
The footprint medical PICC kit should include patient's demographic information, catheter details, insertion site, procedure details, complications, and healthcare provider information.
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