Get Infection Control Inspection/survey Form - Nevada State Board Of ...

This guide provides clear, step-by-step instructions on how to successfully fill out the Infection Control Inspection/survey Form required by the Nevada State Board of Dental Examiners. Completing this form correctly is essential for maintaining proper infection control standards in dental practices.

Follow the steps to complete the form accurately and effectively.

1. Press the ‘Get Form’ button to access the Infection Control Inspection/survey Form and open it in your preferred online editor.
2. Begin by entering the 'Date of Inspection' in the designated field. This should reflect the current inspection date.
3. Input the 'Licensee Name' next to the corresponding field, which should contain the name of the practicing dentist.
4. Complete the acknowledgment section by entering the 'Owner Dentist' name and the name of the 'Dental Office' along with the 'Address', 'City', 'State', and 'Zip Code'.
5. For the 'Inspector(s) / Purpose of Inspection' section, list the names of the inspectors involved along with the type of inspection (Initial, Random, or Re-Inspection) with the corresponding dates.
6. In the 'Identified Deficiencies' section, note any deficiencies as they are identified during the inspection. Specify them by classification: Critical, Remedial, Action Required, or Action Recommended.
7. Provide compliance level criteria for each deficiency indicated, ensuring accurate categorizations are included.
8. Review all sections before finalizing the form to ensure all fields are completed accurately.
9. Once all information is filled in correctly, users can save changes, download, print, or share the completed form as necessary.

Complete your Infection Control Inspection/survey Form online today to ensure compliance and safety in your dental practice.