Get Nhsn Cdc 57.155 2023-2025

The NHSN CDC 57.155 form is essential for submitting point of care testing results. This guide provides detailed instructions to ensure that users can complete the form accurately and efficiently online.

Follow the steps to fill out the NHSN CDC 57.155 form online.

1. Press the ‘Get Form’ button to retrieve the NHSN CDC 57.155 form and open it for editing.
2. Begin by entering the Facility ID and Resident ID in the designated fields.
3. Fill in the patient's first name, middle name, and last name.
4. Indicate the gender by selecting one of the options: Female, Male, or Other.
5. Provide the patient’s ethnicity in the specified field.
6. Enter the address, including line 1 and line 2 if necessary, and complete the city, state, zip code, and county fields.
7. Input the contact phone number, ensuring to include the area code.
8. In the POC Test Results section, select the type of individual tested (e.g., Staff, Visitor) and fill in the Staff ID or Visitor ID if applicable.
9. Enter the date of birth for the individual being tested.
10. Specify the race of the person tested.
11. Record the test date and complete the details of the test, including device name, specimen source, test result, and specimen number.
12. Fill in the name of the ordering physician, along with their address, including city, state, and zip code.
13. Indicate whether the person was symptomatic or pregnant.
14. Review all entered information for accuracy, then save changes, download, print, or share the form as needed.

Complete your documentation of NHSN CDC 57.155 online today for efficient record keeping.