Get the free Inter-facility Infection Control Transfer Form - OEPS - WV.gov

Interfacility Infection Control Transfer Form This form must be filled out for transfer to the accepting facility with information communicated prior to or with transfer. Please attach copies of the

How to fill out inter-facility infection control transfer

How to fill out inter-facility infection control transfer

1. Fill out patient's demographic information including name, date of birth, and medical record number.
2. Document the reason for transfer as well as any relevant medical history or conditions.
3. Record any current infections or infectious diseases the patient may have.
4. Note any isolation precautions or special considerations needed for the patient during transfer.
5. Ensure all necessary paperwork is completed and signed by appropriate healthcare providers.

Who needs inter-facility infection control transfer?

1. Patients who are being transferred between healthcare facilities.
2. Healthcare providers involved in the transfer of patients.

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What is inter-facility infection control transfer?

Inter-facility infection control transfer refers to the process of transferring a patient from one healthcare facility to another while ensuring that proper infection control measures are in place to prevent the spread of infections.

Who is required to file inter-facility infection control transfer?

Healthcare providers and facilities involved in the transfer of patients who have been identified as having an infectious disease or are at risk of infection are required to file an inter-facility infection control transfer.

How to fill out inter-facility infection control transfer?

To fill out the inter-facility infection control transfer, the transferring facility must complete a standardized form that includes patient information, infection status, details about the transfer, and the receiving facility's contact information.

What is the purpose of inter-facility infection control transfer?

The purpose of inter-facility infection control transfer is to ensure that receiving facilities are aware of a patient's infection status prior to admission, thereby facilitating appropriate infection control measures and protecting other patients and staff.

What information must be reported on inter-facility infection control transfer?

Information that must be reported includes patient demographics, the nature of the infectious disease, risk factors, recent lab results, and any necessary equipment or precautions needed during transport.