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Healthcare Worker Prophylaxis/Treatment - Influenza - NHSN Mobile App

This Healthcare Worker Prophylaxis/Treatment – Influenza app is used to collect data on which (if any) antiviral medications were administered to the HCW and any severe adverse reactions associated with their use.

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

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Take a peek inside the Healthcare Worker Prophylaxis/Treatment - Influenza - 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

    Med Admin #

  • Ico textbox

    HCW ID#

  • Ico textbox

    HCW Name, Last

  • Ico textbox

    First

  • Ico textbox

    Middle

  • Ico dropdown

    Gender

  • Ico textbox

    Date of Birth

  • Ico textbox

    Work Location

  • Ico textbox

    Occupation

  • Ico textbox

    Clinical Specialty

  • Ico textbox

    Infectious agent

  • Ico textbox

    For season (specify years xxxx-xxxx)

  • Ico dropdown

    Indication

  • Ico integer

    #

  • Ico dropdown

    Influenza subtype

  • Ico dropdown

    Antiviral medication

  • Ico date

    Start date

  • Ico date

    Stop date

  • Ico dropdown

    Adverse reactions

  • Ico statictext

    Adverse reactions to antiviral medication (check all that apply)

  • Ico checkbox

    Acute respiratory failure

  • Ico checkbox

    Anaphylactic reaction

  • Ico checkbox

    Arrhythmia

  • Ico checkbox

    Behavior disturbances

  • Ico checkbox

    Bronchospasm

  • Ico checkbox

    Cardiac arrest

  • Ico checkbox

    Cardiac failure

  • ...and More!

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