HAN Public Alerts

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2563-07-13 3:33 หลังเที่ยง46663492COVID19
2563-07-10 3:32 หลังเที่ยง46663489VFC
2563-07-10 12:51 หลังเที่ยง46663488Opioid Concerns
2563-07-09 1:07 หลังเที่ยง46663383CCN Health Advisory
2563-07-07 4:03 หลังเที่ยง46663382COVID19
2563-07-06 10:22 ก่อนเที่ยง46663381West Nile Virus
2563-07-06 8:48 ก่อนเที่ยง46663380Environmental Hazards
2563-07-02 5:18 หลังเที่ยง46663379Laboratory Information
2563-06-30 10:01 หลังเที่ยง46663288Opioid Concerns
2563-06-29 9:22 ก่อนเที่ยง46663180West Nile Virus
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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