Get Blood Stream Infection Surveillance Form Bsi Bmohb20131 - Medicaldev Moh Gov

This guide provides a clear and detailed overview of how to effectively fill out the Blood Stream Infection Surveillance Form BSI BMOHb20131 online. By following the instructions outlined below, users can ensure that they provide all necessary information accurately and efficiently.

Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to access the Blood Stream Infection Surveillance Form. This will open the document in an online editor for your convenience.
2. Begin with section A, ‘Case Identification Data.’ Fill in the following fields: Name, RN, I/C or Passport Number, Gender (select Male or Female), Hospital, Department, Ward, Date of Admission, and Age. Ensure that all information is accurate and up-to-date.
3. Move to section B, ‘Clinical Data.’ As you proceed, provide your clinical diagnosis in the appropriate field. Next, check the relevant boxes for investigation criteria that apply to the patient's condition, such as if they have had surgery within 30 days or if they are an ICU admission for at least 24 hours.
4. In this section, also note any general predisposing risk factors by selecting the relevant conditions that apply, such as hematology or oncology conditions. Make sure to indicate the type of devices used prior to the onset of BSI by checking the appropriate options.
5. Document any antibiotic therapy given in the past two weeks by filling out the provided fields, including the name and group of antibiotics, therapeutic indication, date commenced, route of administration, duration, and whether it meets local policy.
6. Proceed to section C, ‘Microbiological Data.’ Attach the relevant positive culture and sensitivity report and fill in the date of collection, date of lab report, organism isolated, and antibiotic susceptibility report.
7. In section D, ‘Outcome Data,’ indicate whether the patient is alive or deceased at one month following diagnosis using 'Y' for Yes and 'N' for No. Complete this section accurately as it is vital for reporting.
8. Finally, the report should be signed and dated by the person responsible for completion. Ensure that your name and designation are clearly stated.
9. After filling out all sections, review the form for accuracy and completeness. Users can then save any changes made, download the completed form, print it for record-keeping, or share it as needed.

Take the first step towards efficient documentation by filling out the Blood Stream Infection Surveillance Form online today.