Pre-season Survey on Influenza Vaccination Programs for Healthcare Personnel - NHSN

Form Template

This Pre-season Survey on Influenza Vaccination Programs for Healthcare Personnel is used to collect data on the strategies that the facility plans to provide for influenza vaccine of HCP.

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In addition, denominator data regarding the target vaccination population (e.g., number of FTEs, PTEs, contractors, volunteers, others) are collected. This form should be completed at the beginning of the vaccination season.

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