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DEPARTMENT OF HEALTH SERVICES Division of Public Health F01902D (06/2017)STATE OF WISCONSIN Page 1 of 2URINARY SYSTEM INFECTION (USI) (FORMERLY OUT) (KIDNEY, URETER, BLADDER, URETHRA, OR TISSUE SURROUNDING
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How to fill out urinary system infection usi

How to fill out urinary system infection usi
01
Start by washing your hands thoroughly with soap and warm water.
02
Collect a clean urine sample in a sterile container provided by your healthcare provider.
03
Begin urinating into the toilet, then midstream, collect a small amount of urine in the container.
04
Fill the container to the required level or as instructed by your healthcare provider.
05
Make sure to avoid touching the inside of the container to prevent contamination.
06
Close the container securely with its lid.
07
Label the container with your name, date, and time of collection.
08
Deliver the urine sample to your healthcare provider as soon as possible.
09
Follow any additional instructions provided by your healthcare provider for completing the urinary system infection USI form.
Who needs urinary system infection usi?
01
Anyone who suspects they may have a urinary system infection (USI)
02
Individuals who exhibit symptoms such as frequent urination, burning sensation during urination, cloudy or foul-smelling urine, or pelvic pain.
03
People with a history of recurrent urinary tract infections (UTIs) may also need to fill out the urinary system infection USI form.
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What is urinary system infection usi?
Urinary system infection usi refers to a type of infection that affects the urinary system, including the kidneys, bladder, ureters, and urethra.
Who is required to file urinary system infection usi?
Healthcare providers and facilities are required to file urinary system infection usi reports.
How to fill out urinary system infection usi?
Urinary system infection usi reports can typically be filled out electronically through a specific reporting system or software.
What is the purpose of urinary system infection usi?
The purpose of urinary system infection usi reporting is to track and prevent the spread of urinary system infections in healthcare settings.
What information must be reported on urinary system infection usi?
Information such as patient demographics, type of infection, treatment received, and healthcare facility details must be reported on urinary system infection usi.
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