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Post-season Influenza Vaccination Program Survey for Healthcare Personnel - NHSN Mobile App

This Post-season Survey on Influenza Vaccination Programs for Healthcare Personnel is used to collect information on the strategies actually implemented in order to vaccinate HCP against influenza. This survey will capture changes that occurred to the facilities’ vaccination strategies and/or target vaccination populations during the vaccination season. This form should be completed at the conclusion of the vaccination season.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Post-season Influenza Vaccination Program Survey for Healthcare Personnel - NHSN Mobile App

Included Features

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Included Fields

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

  • Ico textbox

    Facility ID #

  • Ico textbox

    Date Entered (Month/Year)

  • Ico textbox

    For Season (Specify Years xxxx-xxxx)

  • Ico dropdown

    Vaccination campaign for

  • Ico dropdown

    Which personnel groups did you include in your annual influenza vaccination program this past se...

  • Ico statictext

    Which of the following types of employees did you include in your annual influenza vaccination p...

  • Ico checkbox

    Full-time employees

  • Ico integer

    Number

  • Ico checkbox

    Part-time employees

  • Ico integer

    Number

  • Ico checkbox

    Contract employees

  • Ico integer

    Number

  • Ico checkbox

    Volunteers

  • Ico integer

    Number

  • Ico checkbox

    Others

  • Ico textbox

    Specify

  • Ico integer

    Number

  • Ico dropdown

    At what cost did you provide influenza vaccine to your healthcare workers?

  • Ico dropdown

    Did you provide influenza vaccination during all work shifts (including nights and weekends)?

  • Ico statictext

    Which of the following methods did you use during influenza season to deliver vaccine to your he...

  • Ico checkbox

    Mobile carts

  • Ico checkbox

    Centralized mass vaccination fairs

  • Ico checkbox

    Peer-vaccinators

  • Ico checkbox

    Provide vaccination in congregate areas (e.

  • Ico checkbox

    Provide vaccination at occupational health clinic

  • Ico checkbox

    Other

  • Ico textbox

    Specify

  • Ico statictext

    Which of the following strategies did you use to promote/enhance healthcare worker influenza vac...

  • ...and More!

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