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  • Active Surveillance Form For Critical Care Areas

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    This document appears to be an active surveillance form for monitoring patients in critical care areas to prevent and control infections. The form collects information about patients such as name, bed number, file number, age, date of admission, date of discharge or expiration, diagnosis, surgical procedures, dates of various medical procedures and devices like central venous pressure lines and ventilators. It also tracks minimum airway pressures and oxygen levels, fevers, white blood cell counts, culture results, antibiotics used, and any relevant comments. The purpose is to closely monitor patients for signs of infection and provide appropriate treatment.

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    Active Surveillance Form for Critical Care Areas

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    This document appears to be an active surveillance form for monitoring patients in critical care areas to prevent and control infections. The form collects information about patients such as name, bed number, file number, age, date of admission, date of discharge or expiration, diagnosis, surgical procedures, dates of various medical procedures and devices like central venous pressure lines and ventilators. It also tracks minimum airway pressures and oxygen levels, fevers, white blood cell counts, culture results, antibiotics used, and any relevant comments. The purpose is to closely monitor patients for signs of infection and provide appropriate treatment.

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    © All Rights Reserved
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    3 views1 page

    Active Surveillance Form For Critical Care Areas

    Uploaded by

    2v64p7snyy
    This document appears to be an active surveillance form for monitoring patients in critical care areas to prevent and control infections. The form collects information about patients such as name, bed number, file number, age, date of admission, date of discharge or expiration, diagnosis, surgical procedures, dates of various medical procedures and devices like central venous pressure lines and ventilators. It also tracks minimum airway pressures and oxygen levels, fevers, white blood cell counts, culture results, antibiotics used, and any relevant comments. The purpose is to closely monitor patients for signs of infection and provide appropriate treatment.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    PREVENTION AND CONTROL OF INFECTION

    Active Surveillance form for Critical acre Areas


    Patient’s Name: _____________________________________________________ Bed #:_______________ File #:____________________ Age: _____________

    DOA: ______________DOD: ___________________ Exp: _________________ Transferred to: ______________________________ Transferred from: _______________
    Diagnosis: _____________________________________________
    Surgical Procedure (if done): ______________________________ Date of procedure: ____________________________

    Date CVP HDC PICC F/C Vent Minimum Minimum Fever C/S Result Antibiotic Comments
    (Date of (Date of (Date of (Date of (Date of PEEP FiO2 (Temp) WBCs
    insertion) insertion) insertion) insertion) intubation)

    HMG/QID/501

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