Form 57.75TT Laboratory-identified MDRO Event Summary Form

The National Healthcare Safety Network (NHSN)

TT_LIMESummary.ppt

Laboratory-identified MDRO Event Summary Form

OMB: 0920-0666

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  1. *Facility ID:

  1. __________

  1. *Month:

  1. _____

  1. *Year:

  1. _______

  1. *Are you reporting data for every bedded patient care location

     of the facility? ____Y ____N

  1. *Location

  1. *Patient Days

  1. *Admissions

  1. ________________

  1. ________________

  1. _______________

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  1. Total:

  1. ________________

  1. _______________

 
File Typeapplication/vnd.ms-powerpoint
File TitleSlide 1
AuthorJasie L. Jackson
Last Modified Byrfp9
File Modified2007-07-26
File Created2007-04-03

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