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Signal infection surveillance log sheet template (Australia)
Signal infection surveillance log sheet template (Australia)
1
!
!
!
Signal!Infection!Surveil
lanc
e
!
Specimen
Date
Lab
Number
Patient Name
Patient
URN
Date & Time
of Admission
Specimen
Site:
Organism(s):
Signal Type:
BSI, SAB, SSI
,
MRO, GTI,
CA
-
UTI
Occupational
Exposure
Signal
(
Please
indicate 0 if no
OEs to repor
t
)
Health Care
Associated
Infection
Y/N
If No, Provide
Reason
Time
Taken
Record No
!
Download
Signal infection surveillance log sheet template (Australia)
DOC: 81.9 KB | PDF: 70.7 KB (1 page)
(
4.1
,
15
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