Acute Communicable Diseases Standard of Practice Evaluation Form: Outbreak in a Non-Healthcare Facility/Agency
Circle appropriate period
Documentation reflects consideration of facility needs in determining interventions and/or on-going revisions of the plan of care (p. C19).
Initiates action for non-adherent facility
Follows up on non-adherent facility
Completes and submits interim reports as needed until case is closed (p. C19).
Completes and submits investigation forms within 10 days of closure or timeframe agreed upon in consultation with PHNS (p. C19).
Completes Consumer/Community Services module in NPMS, and files hard copy in medical record (p. C19).
Follows up on referrals as reported by facility administrator (p. C18).
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