Infection Prevention Manual

Dade Family Professional Services, LLC. INFECTION TRACKING SUMMARY Month: ______ Year: ______ Patient at SOC: Totals: Wound _________ Respiratory _______ UTI with Foley ________ UTI without Foley _____ Others __________ Trends (same Hospital, physician, etc) ________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Patient acquired: Totals: Wound _________ Respiratory _______ UTI with Foley ________ UTI without Foley _____ Others __________ Trends (same Hospital, physician, etc) ________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Employees: Totals: Respiratory _______ Cold/Flu ___________ GI ___________ Other _____________________________________ Trends (same Nurse, Aide, therapist, MSW, etc) _______________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Employee <-> Patient Trends (ie: pt with resp. infection passed to aide, then passed to secretary of team, etc): ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Your Agency Name (PN System)