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Interactivity Infection Control
Transfer Form for States Establishing
HAI Prevention Collaborative
Available from: https://www.cdc.gov/hai/prevent/prevention×tools.html
This example Interfacility
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How to fill out inter-facility infection control transfer

How to fill out inter-facility infection control transfer
01
To fill out the inter-facility infection control transfer, follow these steps:
02
Begin by gathering all the necessary information about the patient, such as their name, date of birth, and medical history.
03
Identify the type of infection or disease that the patient has and make sure to provide detailed information about it.
04
Specify the precautions and guidelines that need to be followed during the transfer to prevent the spread of the infection.
05
Provide information about any ongoing treatments or medications that the patient is currently receiving.
06
Include details about any necessary infection control measures that should be taken by the receiving facility.
07
Make sure to document any special instructions or considerations that are important for the receiving facility to know.
08
Double-check all the entered information for accuracy before submitting the inter-facility infection control transfer form.
Who needs inter-facility infection control transfer?
01
Inter-facility infection control transfer is required for patients who are being transferred from one healthcare facility to another.
02
It is especially crucial for patients with contagious infections or diseases to ensure proper infection control measures are followed during the transfer.
03
Healthcare professionals, including doctors, nurses, and administrators, involved in the transfer process should also be aware of inter-facility infection control protocols.
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What is inter-facility infection control transfer?
Inter-facility infection control transfer refers to the process of transferring infection control protocols and measures between facilities to prevent the spread of infections.
Who is required to file inter-facility infection control transfer?
Healthcare facilities and institutions are required to file inter-facility infection control transfer.
How to fill out inter-facility infection control transfer?
Inter-facility infection control transfer can be filled out by including details of infection control measures, protocols, and any transferred patients.
What is the purpose of inter-facility infection control transfer?
The purpose of inter-facility infection control transfer is to ensure continuity of infection control measures and prevent the spread of infections between healthcare facilities.
What information must be reported on inter-facility infection control transfer?
Information such as infection control protocols, patient transfer details, and any infectious disease outbreaks must be reported on inter-facility infection control transfer forms.
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