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  • Utah Infection Control Transfer Form - Health Utah

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UTAH INFECTION CONTROL TRANSFER FORM (Discharging Facility to complete form and communicate information to Receiving Facility) Precautions Demographics Patient/Resident Last Name Date of Birth: First.

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Hand hygiene. Use of personal protective equipment (e.g., gloves, masks, eyewear). Respiratory hygiene / cough etiquette.

Standard precautions are the work practices required to achieve a basic level of infection prevention and control. The use of standard precautions aims to minimise, and where possible, eliminate the risk of transmission of infection, particularly those caused by blood borne viruses.

Interfacility Transfer Form: Inter-facility Transfer Form: Healthcare facilities may use this form to indicate a patient's infection/colonization status upon transfer to another facility. Make sure you attach final lab reports, medication lists, and other medically-important documents too!

An inter-facility transfer form can help standardize and clarify the type of information that is communicated during a patient/resident's transfer to a new facility. Staff responsible for the discharge process should identify how the form can be incorporated into current patient/resident transfer procedures.

Inter-facility transport is defined as the transport of patients between two healthcare facilities. The process is generally accomplished through ground transportation or air vehicles.

CDPH recommends all facilities use an interfacility transfer communication tool when transferring a patient to another facility, or incorporate the information into existing communication processes (for example, an electronic health record). Facilities may use or adapt either form for patient transfers.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232