HAN Public Alerts

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2562-10-18 4:00 หลังเที่ยง46658489Announcement
2562-10-18 8:44 ก่อนเที่ยง46658488Announcement
2562-10-16 12:32 หลังเที่ยง46658487Vaccine Shortage
2562-10-15 11:31 ก่อนเที่ยง46658483Infectious Disease
2562-10-11 4:28 หลังเที่ยง46658782Influenza
2562-10-11 2:40 หลังเที่ยง46658783Vaping
2562-10-11 11:39 ก่อนเที่ยง46658482Influenza
2562-10-09 3:45 หลังเที่ยง46658781CCN Announcement
2562-10-09 3:35 หลังเที่ยง46658780CCN Announcement
2562-10-01 9:53 ก่อนเที่ยง46658481VFC
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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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