National Healthcare Safety Network (NHSN) Training

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Hemovigilance Module Webinar Request Form

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Webinars are informative 30-60 min long presentations offered by NHSN HV staff on a variety of topics and sometimes include the opportunity for module demonstrations.

Procedure

Submit a webinar request for the NHSN Hemovigilance Module by completing the Training Request Form. Please keep a copy of the request for your reference.

The Training Request Form will be processed within 2-4 weeks of submission. The NHSN HV staff will send a follow-up email to the point of contact entered on the form.

Training Request Form

* Required

* Organization(s) requesting the training (List all):

Current Member of NHSN:
Yes No

Point of contact for training request

* Name:

Address:

Phone:

* Email:

* Please describe which topic(s) you would like covered during the webinar?

* Proposed training dates:

Number of people expected to attend:

Intended audience(Check all that apply)
Transfusion Services Staff Data Entry Staff Transfusion Safety Officers Hospital Epidemiologists State Health Department Personnel Clinicians Quality Specialist Hospital/Institution Leadership Blood Collection Center Staff Other, specify

Other comments:

Thank you for your interest and/or participation in the NHSN Hemovigilance Module.
We look forward to responding to your request. Please refer any further questions, concerns, and inquiries to nhsn@cdc.gov and add ‘Biovigilance’ to the subject line for faster response.

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Hemovigilance Module Webinar Request Form

Procedure

Training Request Form

Point of contact for training request

Thank you for your interest and/or participation in the NHSN Hemovigilance Module. We look forward to responding to your request. Please refer any further questions, concerns, and inquiries to nhsn@cdc.gov and add ‘Biovigilance’ to the subject line for faster response.

Get Email Updates

Related Links

File Formats Help:

Thank you for your interest and/or participation in the NHSN Hemovigilance Module.
We look forward to responding to your request. Please refer any further questions, concerns, and inquiries to nhsn@cdc.gov and add ‘Biovigilance’ to the subject line for faster response.