Get Ltc Infection Surveillance Report Form (pdf Version)

Filling out the LTC Infection Surveillance Report Form online is an essential process for nursing staff to document suspected infections accurately. This guide provides a step-by-step approach to ensure that all necessary information is captured effectively.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the form and open it in your online editor.
2. Begin by entering the resident's demographics in the designated section. This may include using an addressograph or typing the information directly into the form.
3. Specify the date when the infection was suspected in the Date Infection Suspected field. Ensure to use the format DD/MM/YYYY.
4. Indicate the type of infection suspected by checking the appropriate box, such as cellulitis/soft tissue/wound infection, urinary tract infection (UTI), or others, based on the symptoms presented.
5. For each type of suspected infection, provide details regarding the signs and symptoms observed. This includes items such as fever, swelling, or drainage, according to the guidelines specified in the form.
6. If antimicrobial treatment has been initiated, indicate 'Yes' or 'No' in the Treatment section. Specify the drug name, dose, route, frequency, and duration of treatment.
7. Complete the laboratory data section, indicating whether a specimen was taken and the type of specimen. Include the collection date and any results if known.
8. Sign and print your name in the designated area, along with the date of completion. Make sure all signs and symptoms are documented in the chart before submission.
9. Once all sections are filled out, you have the option to save changes, download, print, or share the form as necessary.

Complete the LTC Infection Surveillance Report Form online today to ensure accurate documentation of suspected infections.