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Evaluation of
Clostridium difficile
Online Toolkit
Evaluation of
Clostridium difficile
Toolkit
<<<<<<<<<<<<<<<< Introductory text
*
Are you field-testing this toolkit on behalf of the Prevention Strategies Subcommittee?
Are you field-testing this toolkit on behalf of the Prevention Strategies Subcommittee?
Yes
No
*
Which format of the toolkit are you using?
Which format of the toolkit are you using?
Website/Internet links
Physical booklet
PDF version
*
Which of the following facilities do you represent?
Which of the following facilities do you represent?
Emergency medicine
Indian Health Service
Acute care hospital
Long-term acute care hospital (LTACH)
Longterm care/Skilled Nursing Facility
Critical Access Hospitals
Hospice
Outpatient Treatment Center
Physician Office/ Urgent care centers
Assisted Living Facility
Ambulatory Surgery Center
Hospice
Dialysis
Behavioral health centers
Correctional facilities
Other (please specify)
Do you perform routine or active surveillance on
Clostridium difficile
infections?
Do you perform routine or active surveillance on
Clostridium difficile
infections?
Yes
No
Do not know
Not applicable
Do you isolate patients with
Clostridium difficile
infections?
Do you isolate patients with
Clostridium difficile
infections?
Yes
No
Do not know
Not applicable
Do you have ready access to a computer?
Do you have ready access to a computer?
Yes
No
Are you a member of APIC?
Are you a member of APIC?
Yes
No
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