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Infection Control Risk Assessment Tool - …
Version 1 web 10/11/15 (P Hamilton) Infection prevention and Control Risk Assessment (for patients with known or suspected Infection that cannot be isolated) Daily Assessment / Review Required Addressograph Label: Patient Name and DOB/CHI: COMMENTS DATE DATE DATE DATE DATE DATE DATE Daily Assessment Performed by Initials Known or suspected Infection unexplained loose stools, MRSA, Group A Strep, C. difficile, Influenza, pulmonary tuberculosis. Please state Infection Control Risk, unable to isolate, unable to close door of isolation room. Please state Reason unable to isolate / close door to isolation room, falls risk, observation required, clinical condition.
Version 1 – web 10/11/15 (P Hamilton) Infection Prevention and Control Risk Assessment (for patients with known or suspected infection that cannot be isolated)
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