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Click ‘Get Form’ to open it in the editor.
Begin by entering your Social Security Number in Item 2, leaving it blank if you do not have one.
In Item 3, print your full name exactly as it appears on your application, including your last, first, and middle names.
Fill in your birth date in Item 4 using the format provided (month/day/year).
Enter your license number in Item 5 and check the appropriate profession box in Item 6.
Complete either Section 1 or Section 2 under Item 7 regarding infection control training. If you completed an approved course, provide the provider's name and date.
If claiming exemption, check the appropriate box and ensure you understand the requirements for notifying the Education Department of any changes.
Finally, sign and date the form at the bottom to attest that all information is true.

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What are the 5 Fs of infection control?

The pathogenic pathogens can spread through the 5Fsfood, fluid, faeces, finger, and fingernailand cause docHub illness in people. By learning more about health issues and changing ones behavior, these can be avoided.

What are the 5 standards of infection control?

They are all equally important and, when used together, will help to defend everyone in your facility against even the most dangerous of infections. Patient placement/assessment for infection risk. Hand hygiene. Respiratory and cough hygiene. Personal protective equipment (PPE) Safe management of care equipment.

How do you educate patients on infection control?

Tell your patients that it is okay to ask healthcare workers and visitors to clean their hands if they dont see them do it. Understand the basics of safe injection practices. Teach your patients to recognize unsafe injection practices and to speak up if they have a concern.