HAN Public Alerts

Publication Date 
Alert ID 
२०२०-०१-१७ १०:२२ अपराह्न46659777Viral
२०२०-०१-१७ २:२१ अपराह्न46659680Influenza
२०२०-०१-१४ ५:०४ अपराह्न46659386VFC
२०२०-०१-१० ३:३० अपराह्न46659487Influenza
२०२०-०१-१० २:२४ अपराह्न46659486Influenza
२०२०-०१-१० २:१६ अपराह्न46659485Influenza
२०२०-०१-०८ ८:०१ अपराह्न46659484Influenza
२०२०-०१-०३ २:५६ अपराह्न46659384Influenza
२०२०-०१-०३ १०:०३ पूर्वाह्न46659482Substance Abuse
२०१९-१२-३० ९:२६ पूर्वाह्न46659383Influenza
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inter-facility infection prevention transfer form

An inter-facility infection prevention transfer form has been developed as part of a regional effort to improve communication between acute and long-term healthcare facilities. The purpose of the form is to convey information about a patient’s isolation precautions and the reason for their implementation to the receiving facility. The sending facility should record current infection and colonization information. The form is not intended to be a comprehensive documentation of microbiologic history and does not replace review of medical records and communication between care providers. 

Please fill out this form and send it with all patients being transferred between facilities, regardless of whether or not they require isolation.

Please click here for the form.

Questions or feedback about the form may be addressed by the CDPH HAI Unit: cdphhaiar@cityofchicago.org

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