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Healthcare Worker Prophylaxis/Treatment – BBF Postexposure Prophylaxis(PEP) - NHSN Mobile App

This Healthcare Worker Prophylaxis/Treatment – BBF Postexposure Prophylaxis(PEP)is used to collect details of medications administered to a healthcare worker following blood or body fluid exposure to HIV or HBV. This form is required if the facility follows the exposure management protocol.

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

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Take a peek inside the Healthcare Worker Prophylaxis/Treatment – BBF Postexposure Prophylaxis(PEP) - NHSN 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 ID#

  • Ico textbox

    Med Admin ID#

  • 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

    Infectious Agent

  • Ico textbox

    Exposure Event #

  • Ico textbox

    Indication

  • Ico integer

    Time between exposure and first dose (hours)

  • Ico textbox

    Drug

  • Ico textbox

    Drug

  • Ico textbox

    Drug

  • Ico textbox

    Drug

  • Ico date

    Date Started

  • Ico date

    Date Stopped

  • Ico dropdown

    Reason for Stopping (select one)

  • Ico dropdown

    PEP Change

  • Ico textbox

    Indication

  • Ico textbox

    Drug

  • Ico textbox

    Drug

  • Ico textbox

    Drug

  • Ico textbox

    Drug

  • Ico date

    Date Started

  • Ico date

    Date Stopped

  • Ico dropdown

    Reason for Stopping (select one)

  • ...and More!

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