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Get the free COVID-19 Healthcare Worker Staffing Pathway Form (57.131). NHSN OMB Forms

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Archived Document For Reference Only Form Approved OMB No. 09201290 Exp. Date: 09/30/2020 www.cdc.gov/nhsnCOVID19 Module Healthcare Worker Staffing Pathway Facility ID #: Summary Census ID #: *Date
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How to fill out covid-19 healthcare worker staffing

01
Step 1: Go to the designated website or portal for filling out the covid-19 healthcare worker staffing form.
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Step 2: Provide your personal information, such as name, contact details, and healthcare organization details.
03
Step 3: Specify the type of healthcare worker staffing needed, whether it's for doctors, nurses, or other healthcare professionals.
04
Step 4: Enter the required number of healthcare workers needed for different roles and shifts.
05
Step 5: Fill out any additional information or requirements regarding the staffing needs.
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Step 6: Review the filled form for accuracy and completeness.
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Step 7: Submit the form online or follow the instructions provided to submit a physical copy.
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Step 8: Wait for confirmation or further communication from the designated authority regarding the staffing request.

Who needs covid-19 healthcare worker staffing?

01
Healthcare facilities, such as hospitals, clinics, and medical centers, may require covid-19 healthcare worker staffing.
02
Organizations involved in emergency response and disaster management may also need covid-19 healthcare worker staffing.
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Countries or regions experiencing a surge in covid-19 cases may require additional healthcare workers to meet the increased demand.
04
Healthcare facilities facing a shortage of staff due to quarantine or sickness among their existing workforce may utilize covid-19 healthcare worker staffing.
05
Temporary healthcare facilities or field hospitals set up specifically for managing covid-19 cases may require staffing support.

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