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MED-PASS:  The Fine Art of Document Design

Infection Control Log - 50/pad


Availability: In stock

Price: $5.75
  • Buy 5-9 for $5.35 each and save 7%
  • Buy 10 or more for $4.80 each and save 17%

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This form captures up to 17 entries and provides overview information for your Infection Control Performance Improvement or Quality Assurance Committee.
  • 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.
Size 8-1/2 x 11
Unit Pad of 50
Other Info Handwritten
Hole Punch 5 holes left, 5 holes top

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