INSTRUMENTS / SUBSEQUENTLY EXPOSED PATIENTS This form / subsequently exposed patients V1 THIS COPY IS UNCONTROLLED WHEN PRINTED / subsequently exposed patients V1 THIS COPY IS UNCONTROLLED WHEN PRINTED Incident reference / subsequently exposed patients V1 THIS COPY IS UNCONTROLLED WHEN PRINTED Field descriptions Index patient procedure / /
FORM 2A: HIGH INFECTIVITY TISSUES - POTENTIALLY CONTAMINATED INSTRUMENTS AND SUBSEQUENTLY EXPOSED PATIENTS This form is for local use to collect the information needed to trace and identify patients who have potentially