Get the free Surgical Site Infection (SSI) Reporting Form - cdc

OMB No. 0920-0666 Exp. Date 12-31-2015 www. cdc.gov/nhsn Surgical Site Infection SSI Page 1 of 4 required for saving required for completion Facility ID Event Patient ID Social Security Secondary ID Medicare Patient Name Last First Middle Gender F M Other Date of Birth Ethnicity Specify Race Specify Event Type SSI Date of Event NHSN Procedure Code ICD-9-CM Procedure Code Date of Procedure Outpatient Procedure Yes No MDRO Infection Surveillance Yes this infection s pathogen location are...

How to fill out surgical site infection ssi

How to fill out Surgical Site Infection (SSI) Reporting Form

1. Begin by entering patient information, including name, date of birth, and medical record number.
2. Record the date of surgery and type of procedure performed.
3. Indicate the location of the surgical site on the diagram provided.
4. Fill out the infection onset date and any relevant symptoms observed.
5. Document the type of microorganism identified, if applicable.
6. Include details of antibiotic treatments prescribed.
7. Review the completed form for accuracy before submitting.

Who needs Surgical Site Infection (SSI) Reporting Form?

1. Healthcare professionals involved in surgical procedures.
2. Infection control teams within hospitals and surgical centers.
3. Surgeons and surgical staff responsible for patient outcomes.
4. Public health officials monitoring infection rates.

People Also Ask about

How does the CDC define a surgical site infection?

A surgical site infection (SSI) is an infection in the part of the body where a surgery took place. SSIs can generally be treated with antibiotics but may require additional medical care.

Is surgical site infection a diagnosis?

Diagnosis of a superficial incisional infection necessitates meeting one of the following criteria: Presence of purulent discharge from the surgical site. Identification of an organism from the surgical site. Clinical diagnosis of a surgical site infection by the surgeon.

What is the ICD 10 code for surgical site infection SSI?

44: The ICD 10 surgical site infection code T81. 44 is crucial as it represents sepsis after a procedure. Sepsis is a critical medical condition where the body's response to infection becomes systemic, affecting multiple organs.

How are surgical site infections classified?

The four wound classifications available within the NHSN application are: Clean (C), Clean-Contaminated (CC), Contaminated (CO), and Dirty/Infected (D].

Which of the following is considered a surgical risk factor for surgical site infection (SSI)?

Surgical risk factors include prolonged procedures and inadequacies in either the surgical scrub or the antiseptic preparation of the skin. Physiological states that increase the risk of SSI include trauma, shock, blood transfusion, hypothermia, hypoxia, and hyperglycemia.

How are surgical site infections reported?

The Centers for Medicare and Medicaid Services (CMS) require hospitals to report SSI rates, which are publicly disseminated (along with other surgical quality measures) on its Care Compare website. Efforts to prevent surgical site infections have been effective.

What qualifies as a surgical site infection?

Surgical site infections (SSIs) are defined as infections occurring up to 30 days after surgery (or up to one year after surgery in patients receiving implants) and affecting either the incision or deep tissue at the operation site.

Are surgical site infections reportable?

Yes. An SSI can only be a primary infection and must be reported if criteria are met. There may be additional primary infections present which may also be reportable.

For pdfFiller’s FAQs

What is Surgical Site Infection (SSI) Reporting Form?

The Surgical Site Infection (SSI) Reporting Form is a document used to record and report cases of surgical site infections that occur following surgical procedures, helping to track, analyze, and improve infection control practices.

Who is required to file Surgical Site Infection (SSI) Reporting Form?

Healthcare facilities, such as hospitals and surgical centers, are required to file the Surgical Site Infection (SSI) Reporting Form, typically including infection control staff, surgeons, and quality assurance personnel.

How to fill out Surgical Site Infection (SSI) Reporting Form?

To fill out the Surgical Site Infection (SSI) Reporting Form, healthcare providers must provide detailed information about the patient, the surgical procedure, any identified infections, and relevant clinical outcomes, ensuring accurate and complete documentation.

What is the purpose of Surgical Site Infection (SSI) Reporting Form?

The purpose of the Surgical Site Infection (SSI) Reporting Form is to collect data on surgical site infections, which can be used for monitoring, quality improvement, and implementing strategies to reduce infection rates in surgical settings.

What information must be reported on Surgical Site Infection (SSI) Reporting Form?

The information that must be reported on the Surgical Site Infection (SSI) Reporting Form includes patient demographics, details of the surgical procedure, date of infection occurrence, type of infection, and any treatment measures taken.