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Infection ControlTRANSFER FORM Best practice recommendation: Complete this form prior to transfer to accepting facility. If sent with initial referral,
update this form when transfer
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How to fill out infection control transfer form
How to fill out infection control transfer form
01
Begin by obtaining a blank copy of the infection control transfer form.
02
Fill out the patient's personal information, including name, date of birth, and medical record number.
03
Specify the date and time of transfer.
04
Document the reason for transfer and the receiving facility or healthcare provider.
05
Note any special instructions or precautions that need to be taken during transfer.
06
Have the form reviewed and signed by the transferring healthcare provider.
07
Make copies of the completed form for all relevant parties involved in the transfer.
Who needs infection control transfer form?
01
Any healthcare provider or facility involved in transferring a patient to another location or provider needs an infection control transfer form.
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What is infection control transfer form?
The infection control transfer form is a document used to report the transfer of a patient known to have an infectious disease from one healthcare facility to another.
Who is required to file infection control transfer form?
Healthcare facilities and personnel involved in the transfer of patients with infectious diseases are required to file the infection control transfer form.
How to fill out infection control transfer form?
The infection control transfer form should be filled out with detailed information about the patient, the infectious disease, the transferring facility, and the receiving facility.
What is the purpose of infection control transfer form?
The purpose of the infection control transfer form is to ensure that necessary precautions and measures are taken to prevent the spread of infectious diseases during patient transfers between healthcare facilities.
What information must be reported on infection control transfer form?
Information such as patient demographics, medical history, infectious disease diagnosis, transfer details, and contact information for healthcare personnel involved must be reported on the infection control transfer form.
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