Get Post Exposure Followup Injury Id: (for Office Use Only) Facility Id: (for Office Use Only) Email

Filling out the Post Exposure Follow-Up form is a critical step in ensuring proper documentation and response to potential exposure incidents. This guide provides clear and comprehensive instructions for each section of the form to assist users in completing it accurately and efficiently.

Follow the steps to accurately fill out the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor for filling out.
2. In the section labeled Injury ID and Facility ID, enter the corresponding unique identifiers. These fields are for office use only, so ensure that any information filled in here is accurate.
3. Enter the email address where further communication regarding the exposure will be sent. Making sure this email is correct is important for receiving updates.
4. For the date of injury/exposure, use the format provided (MM/DD/YYYY) to ensure consistency.
5. Specify the source patient information. List the patient details as appropriate, indicating whether the source patient is known and whether they were tested for blood-borne pathogens.
6. Indicate the test results for Hepatitis B, Hepatitis C, and HIV based on available tests. Make sure to circle the appropriate results for clarity.
7. Document any additional comments on the source patient and the exposure incident to provide context. This may include risks present, known behaviors, or other relevant details.
8. Complete the healthcare worker section by filling out vaccination status, testing details, and any treatments received post-exposure.
9. Check the section for follow-up results of tests conducted after exposure. Maintain detailed tracking of any changes or follow-up actions.
10. Review the entire form for accuracy and completeness. Once confirmed, you may choose to save changes, download, print, or share the filled-out form as needed.

Ensure proper documentation by completing your forms online today.