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Appendix 1
IPCPGN17Interhealthcare Infection Control Transfer Form
Patient/client details: (insert label if available)Consultant:Name:GP:Address:
Transferring facility: (hospital, ward, care home,
other)
NHS
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How to fill out inter-healthcare infection control transfer
How to fill out inter-healthcare infection control transfer
01
Begin by obtaining the inter-healthcare infection control transfer form.
02
Fill in the patient's personal information, including their name, date of birth, and contact details.
03
Provide details about the healthcare facility where the patient is currently receiving treatment.
04
Specify the infection control measures that are being implemented at the current healthcare facility.
05
Describe any ongoing treatments or procedures that the patient is undergoing.
06
Document any known infections or communicable diseases that the patient has.
07
Indicate whether the patient requires any special precautions or isolation.
08
Include information about any devices or equipment used in the patient's treatment.
09
Note down any specific infection control measures that need to be followed during the patient's transfer.
10
Finally, sign and date the form to confirm its completion.
Who needs inter-healthcare infection control transfer?
01
Inter-healthcare infection control transfer forms are required for patients who are being transferred from one healthcare facility to another.
02
This may include patients who are being referred to a different hospital, clinic, or care center for specialized treatment or continuing care.
03
It is important for healthcare professionals at the receiving facility to have access to the patient's infection control information to ensure appropriate precautions are taken and to prevent the spread of infections.
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What is inter-healthcare infection control transfer?
Inter-healthcare infection control transfer refers to the process of transferring patient infection control information between healthcare facilities to ensure continuity of care and prevent the spread of infections.
Who is required to file inter-healthcare infection control transfer?
Healthcare facilities, including hospitals, clinics, and long-term care facilities, are required to file inter-healthcare infection control transfer.
How to fill out inter-healthcare infection control transfer?
Inter-healthcare infection control transfer forms can be filled out electronically or manually, and must include patient infection control history, treatment information, and contact details of transferring and receiving facilities.
What is the purpose of inter-healthcare infection control transfer?
The purpose of inter-healthcare infection control transfer is to ensure that healthcare facilities have access to vital patient infection control information to provide appropriate and timely care, while minimizing the risk of transmitting infections.
What information must be reported on inter-healthcare infection control transfer?
Information that must be reported on inter-healthcare infection control transfer forms include patient infection history, treatment plan, test results, medication details, and contact information of healthcare providers.
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