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النماذج
IC FORMS
001-01 Doctor Monthly Rota - for NPS OPS SWAB.docx
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001-02 Respiratory Triage Monthly Rota -.docx
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003-01 Competency Checklist - Safe Injection Practices.docx
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004- 01 SSI Bundle Checklist.docx
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004-01 Central Venous Catheter Insertion Bundle.docx
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004-04 Urinary Catheter Insertion Bundle.docx
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007-01 CSSD - Biological Indicator Result Sheet.docx
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007-02 CSSD - Daily Bowie - Dick Test Result.docx
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007-03 �CSSD - Load Record Form - Plasma.docx
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007-04 CSSD - Load Record Form.docx
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007-05 CSSD Technician Orientation Checklist.docx
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007-06 CSSD - Recall Form.docx
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009-01 Employee Data.docx
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009-02 HCWs Daily Self Health Monitoring.docx
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009-03 Immunization and Health Status.docx
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009-04 HCWs Contact Tracing monitoring.docx
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010-01 Vaccination Record.docx
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010-02 EHC Clearance Form.docx
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011-01 Infectious Disease Notification Form.docx
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014-01 Competency Checklist - Hand Hygiene.docx
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019-01 Laundry Process Cycle Log.docx
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019-02 Laundry Weekly Assignment.docx
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019-03 Competency Checklist - Laundry.docx
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020-01 Outbreak Final Summary Report.docx
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020-02 Outbreak F orm 1.docx
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020-03 Outbreak F orm 2.docx
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020-04 Outbreak F orm 3.docx
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020-05 Outbreak Manament flowchart.docx
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021-01 Needle Prick or Blood and Body Fluids REport.docx
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023-06 Daily Trolley Monitoring of food transport.docx
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023-07 24 Hour Food Sample.docx
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023-08 Competency Checklist for Dietary Staff.docx
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025-01 Education Consent Form for Patient_s sitters on Isolation.docx
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025-02 Visitor_s log for patient admitted on Isolation.docx
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025-03 HCWs attended to isolated patient log.docx
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027-01 Competency Checklist - Putting PPE.docx
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027-02 Competency Checklist - Removing PPE.docx
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027-03 Competency Donning & Doffing N-95.docx
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027-04 Medical Assessment for N95 Respirator Fit Test.docx
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027-05 Respirator Fit Test.docx
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027-06 PAR Level of P.P.E & Disinfectants.docx
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028-01 Pest control Checklist- Hospital.docx
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028-02 Pest control Checklist Accommodation.docx
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029-01 MDRO Care bundle Checklist.docx
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029-02 MDROs Surveillance Data Collection Form (1).docx
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030-01 Refusal - Screening of HIV.docx
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034-01 Updated terminal-cleaning-checklist.docx
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034-02 Room Fumigation.docx
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034-03 Changing Curtain.docx
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036-01 Ventilator Care Bundle Checklist.docx
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036-02 NICU Ventilator Care Bundles.docx
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036-03 Ventilator Breathing Circuit Monitoring.docx
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036-04 VAP Surveillance.docx
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037-02 Microbilogical Culture of Environmental Sampling Request form.docx
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038-01 Competency Checklist in Monitring of AIIR.docx
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038-02 Negative Pressure Room Maintenance Log.docx
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038-03 Changing of HEPA Filter.docx
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038-04 Readiness of Pressure Controlled Rooms Post HEPA Filter Change.docx
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041-01 Endoscope Regular Biological Test.docx
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041-02 Endoscopy Unit Log Sheet.docx
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043-01 Collection Form of Monthly Monitoring of HAI_s.docx
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043-02 CLABSI Surveillance Form.docx
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036-04 VAP Surveillance.docx
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043-04 SSI Surveillance form.docx
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043-05 CAUTI Surveillance Form.docx
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043-06 SSI Infection Surveillance Post operative data collection form.docx
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044-01 Precaution Form Removal Permit.docx
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044-02 Precaution Form.docx
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045-01 Competency Checklist - Biological Spillage Management.docx
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046-01 Waste Refrigerator Monitoring Log 15 to 18� C.docx
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049-01 Form of Product Evaluation.docx
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049-02 Hospital Approved Disinfectant (HAD).docx
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051-01 General ward- Daily cleaning checklist.docx
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051-02 Competency Checklist - Double Bucket Technique.docx
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051-03 OR- Daily Cleaning Checklist.docx
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051-04 OR-Cleaning Checklist in between cases.docx
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051-05 OR-Weekly checklist Cleaning.docx
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051-06 Hospital lockers cleaning and Disinfection.docx
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