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Epidemiology Surveillance Laboratory Record - Department of Health (New Jersey) Mobile App

This epidemiology surveillance laboratory record for the Department of Health of New Jersey has been turned into an easy to use mobile application. Here is a sample entry. Please identify, list, and record antimicrobial susceptibilities (using CLSI guidelines) for the following Inpatient Blood Isolates: A. Gram positive cocci resistant to Vancomycin. B. Gram negative rods resistant (not intermediate) to Imipenem. C. Gram negative rods resistant to Amikacin, Gentamicin, or Tobramycin. D. Pneumococcal/Streptococcal isolates resistant to Penicillin. This application is easily modified to meet your labs needs.

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Take a peek inside the Epidemiology Surveillance Laboratory Record - Department of Health (New Jersey) Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Facility Code Number

  • Ico textbox

    Month & Year (The month and year in which the isolates were obtained, e.

  • Ico textbox

    Total Number of Inpatient Blood Cultures Done During This Month:

  • Ico textbox

    Number of Positive Inpatient Blood Culture Results During This Month:

  • Ico statictext

    MRSA (Defined as Staphylococcus aureus that is resistant to methicillin, nafcillin, or oxacillin ...

  • Ico statictext

    Number of Inpatient Isolates (Number of Patients) in:

  • Ico textbox

    blood

  • Ico textbox

    urine

  • Ico textbox

    sputum

  • Ico textbox

    wound

  • Ico textbox

    other

  • Ico textbox

    Total

  • Ico textbox

    Number of Inpatient MRSA Isolates Resistant to VANCOMYCIN:

  • Ico statictext

    All Staphylococcus aureus isolates with reduced susceptibility or resistant to vancomycin should ...

  • Ico statictext

    Please identify, list, and record antimicrobial susceptibilities (using CLSI guidelines) for the ...

  • Ico multiline

    Gram positive cocci resistant to Vancomycin.

  • Ico multiline

    Gram negative rods resistant (not intermediate) to Imipenem.

  • Ico multiline

    Gram negative rods resistant to Amikacin, Gentamicin, or Tobramycin.

  • Ico multiline

    Pneumococcal/Streptococcal isolates resistant to Penicillin.

  • Ico statictext

    Record antimicrobial susceptibilities as follows: R=Resistant S=Susceptible I=Intermediate

  • Ico dropdown

    Name

  • Ico textbox

    Organism #1

  • Ico textbox

    Organism #2

  • Ico textbox

    Organism #3

  • Ico textbox

    Organism #4

  • ...and More!

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More Information


  • Creator: Team GoCanvas
  • Language: English
  • Country: United States of America
  • Type: Records
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