HAN Public Alerts

Publication Date 
Alert ID 
2020-01-21 4:44 오후46659878CCN Announcement
2020-01-21 4:27 오후46659978Viral
2020-01-17 10:22 오후46659777Viral
2020-01-17 2:21 오후46659680Influenza
2020-01-14 5:04 오후46659386VFC
2020-01-10 3:30 오후46659487Influenza
2020-01-10 2:24 오후46659486Influenza
2020-01-10 2:16 오후46659485Influenza
2020-01-08 8:01 오후46659484Influenza
2020-01-03 2:56 오후46659384Influenza
false null [0, 1, 2, 3]

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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