Samtah Ipc

Infection Prevention and Control round

All remarks of IPC Violation of Standards Precautions will be Written here

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Title Page

Conducted on
Prepared by
Location

This part is for IPC

IPC Notes
Action Done by IPC Practitioner
Signature

This report will be sent to Hospital Director and/or Medical Director and Copy to the Department Direct Director

For Department Director after receiving a copy of the report immediate action is required

Samtah Ipc

Infection Prevention and Control round

All remarks of IPC Violation of Standards Precautions will be Written here

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.