Get the free Surgical Site Infection Worksheet

Revised March 2018Name:Surgical Site Infection Worksheet MR#Surgeon:Medicare # Date of Event: Infection Detected: Admission: ___n/surgery Date:Pathogen:Referring to the initial surgical procedure

How to fill out surgical site infection worksheet

How to fill out surgical site infection worksheet

1. Gather all necessary information about the patient's surgery, including date of surgery, type of surgery, surgeon's name, and any preexisting conditions the patient may have.
2. Fill out the patient's demographic information, such as name, age, and contact information.
3. Record any infections the patient may have had in the past, as well as any history of allergies or sensitivities to medications.
4. Document any medications the patient is currently taking, including dosage and frequency.
5. Complete the section on the patient's post-operative care, including any complications or infections that may have occurred after the surgery.
6. Review the completed worksheet for accuracy and completeness before submitting it to the appropriate medical staff or department.

Who needs surgical site infection worksheet?

1. Healthcare providers, including doctors, nurses, and surgical staff, who are responsible for monitoring and reporting surgical site infections.
2. Hospitals and healthcare facilities that are required to track and report surgical site infections to regulatory agencies for quality improvement purposes.

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What is surgical site infection worksheet?

The surgical site infection worksheet is a document used to track and report infections that occur at the site of a surgical procedure.

Who is required to file surgical site infection worksheet?

Healthcare facilities and providers are required to file surgical site infection worksheets as part of their infection control measures.

How to fill out surgical site infection worksheet?

The surgical site infection worksheet must be completed by healthcare staff who are responsible for monitoring and reporting infections. They will need to enter information such as patient details, procedure information, and infection occurrence.

What is the purpose of surgical site infection worksheet?

The purpose of the surgical site infection worksheet is to track and report infections in order to improve patient safety and reduce the risk of healthcare-associated infections.

What information must be reported on surgical site infection worksheet?

Information that must be reported on the surgical site infection worksheet includes patient details, surgical procedure information, details of any infections that occur, and follow-up actions taken.