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Healthcare Personnel Safety Reporting Plan
The Healthcare Personnel Safety Reporting Plan Form (CDC 57.203) is used by NHSN
facilities to inform CDC which healthcare personnel safety modules are used during a given
month. This allows CDC to select the data that should be included into the aggregate data pool
for analysis. Each participating facility is to enter a monthly Plan to indicate the module to be
used, if any, and the exposures and/or vaccinations that will be monitored.
A plan must be completed for every month that data are entered into NHSN, although a
facility may choose “No NHSN Healthcare Personnel Safety Modules Followed this Month” as
an option. The Instructions for Completion of Healthcare Personnel Safety Reporting Plan Form
includes brief instructions for collection and entry of each data element on the form. A minimum
of 6 months of data collection for at least one module is required during each calendar year to
remain an active participant in NHSN.

Last Updated August 26, 2009

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