Name
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First Name
Last Name
Email
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Email
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Preferred Phone
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In what type of facility do you work?
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What is your position?
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If "Other" please describe your job description
Domain 1 - Identification of infectious disease process
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(specimen diagnostics in serology and microbiology, resistance screening, disease trends and analysis, advances in epidemiology of infectious disease)
Domain 2 - Surveillance and epidemiologic investigation
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(surveillance system designs, interpretation and data analysis, merging diseases, and outbreak investigations)
Domain 3 - Preventing/controlling the transmission of infectious agents
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(community/facility planning responses to biologic threats and disasters, communicable diseases influx, antimicrobial stewardship, MDROs, infection prevention and control strategies, and vaccines/vaccinations)
Domain 4 - Management and Commnunication
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(planning, communication/feedback, quality performance improvement, healthcare informatics, patient safety, and behavioral modification)
Domain 5 - Education and research
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(opportunities for staff assessments, teaching, simulation, interpreting research methods and application into work practice, safety, HAI reduction and reportable conditions and updates)
Domain 6 - Employee/occupational health
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(screening/immunization programs, communicable diseases and exposures, healthcare personnel transmission risk to patients, coworkers, and occupational exposures to infectious diseases)
Domain 7 - Environment of Care
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(infection control risks during design, construction, and renovation in patient are settings, HVAC, water and construction standards, environmental cleaning, disinfection practices and technologies)
Domain 8 - Cleaning, Sterilization, Disinfection, Asepsis
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(identify and evaluate appropriate practices, critical steps, regulatory compliance, and patient care concerns)
Leadership and Program Management
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(leadership skills, accountability, strategic planning, program justifications, barriers, and influence)
COMMENTS
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