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MED-PASS:  The Fine Art of Document Design

Please be advised that shipping may be delayed due to winter storms and the presidential inauguration in the Northwest, Midwest, Northeast and Washington D.C. areas.

Infection Control Log - 25/pad


Availability: In stock

Price: $3.75
  • Buy 5-9 for $3.25 each and save 14%
  • Buy 10 or more for $2.70 each and save 28%

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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 25
Other Info Handwritten
Hole Punch 5 holes left, 5 holes top

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