|
My Cart (0)
|

Welcome! Log In or Register        How to best view this site

MED-PASS:  The Fine Art of Document Design

 .
The Credit Card Checkout process has changed.  Card information is entered after pressing the "Place Order" button.
If
 you have any questions, please call MED-PASS at 1-800-438-8884.
 

Infection Control Log - 50/pad

CP1905

Availability: In stock

Price: $5.75
  • Buy 5-9 for $5.40 each and save 7%
  • Buy 10 or more for $4.90 each and save 15%


Request a free sample. Click here.

 

custom forms button

Description
This form captures up to 17 entries and provides overview information for your Infection Control Performance Improvement or Quality Assurance Committee.
Features
  • Prompts include:
    • Admit, Onset, Recultured, Resolved Dates
    • Site totals for Skin, Eye, Urinary Tract and Upper Respiratory
    • Infection Related Problems
    • Cultures, X-Rays, Organism, Antibiotic
    • Isolated, Nosocomial
  • Printed on durable paper to withstand repeated handling.
  • Punched 5 holes top and side to accommodate variety of standard chart binders.
  • Updated January 2013 to provide additional body site/systems for Total Number of Infections summary documentation.
Specifications
Size 8-1/2 x 11
Unit Pad of 50
Other Info Handwritten
Hole Punch 5 holes left, 5 holes top

Product Tags

Use spaces to separate tags. Use single quotes (') for phrases.