If you would like assistance in the use of any of the available tools and software please contact
Noleen Bennett at the
VICNISS Coordinating Centre.
| Surveillance Manual and Forms |
Updated |
Type 2 Surveillance Manual - Version 10
(PDF File  1mb, opens in a new window)
The VICNISS Surveillance Manual provides the Infection Control staff with helpful information on VICNISS definitions, case-finding,
methodology, data sources, and data collection forms (see Section 7 for forms, also available to download separately below). |
Dec 07 |
| VICNISS Type 2 Procedure Groups and
ICD10-AM Codes
(PDF File 73kb)
(Formerly section 7.1 in Version 9 - removed from v10) |
Oct 08 |
7.1 Annual Surveillance Plan
(PDF File
36kb)
(Word File
 215kb)
|
Jun 10 |
Notice of Inability to Undertake VICNISS Surveillance Activities
(PDF File 
23 kb, opens in new window)
As advised in the VICNISS eBulletin April 2008,
if a hospital is unable to undertake the surveillance activities as listed in the Performance Indicator document
for any period of time, formal notification to the VCC is required by completing the above form. This notification
needs to be signed by the Infection Control Coordinator and the Infection Control Executive Sponsor.
This information will then be forwarded to the Department.
|
Jun 10 |
| 7.2 Monthly Event Sheet Fax Cover Page to VICNISS
(PDF File 115kb) |
Jun 10 |
| *New Form* Monthly Summary Form
(PDF File 48kb)
(Submit via Online Webform Only) |
Jun 10 |
| 5.1 Process Indicator: Surgical Antibiotic Prophylaxis Data Collection Form
(PDF File 189kb) |
Jun 10 |
| 5.2 Process Indicator: Health Care Worker Measles Vaccination Surveys
(Sections A, B & C) (PDF File 178kb) |
Dec 07 |
| 5.3 Process Indicator: Health Care Worker Hepatitis B Vaccination Surveys
(Sections A, B & C) (PDF File 181kb) |
Dec 07 |
| 5.4 Process Indicator: Peripheral Venous Catheter Use Survey
(Section A) & Data Collection Form (Section B) (PDF File 197kb) |
Jun 10 |
| 5.5 Multi Resistant Organism (MRO) Data Collection Form
(PDF File 193kb) |
Dec 07 |
| 5.6 Staphylococcus aureus Bacteraemia Data Collection Form
(PDF File 26kb) (Submit via Online Webform Only) |
Jun 10 |
| ** Bloodstream Infection Fact Sheet and Guide
for Investigation Sheets (not included in the Manual)
(PDF File 48kb) to be used in conjunction with module 5.6. (To be Updated Shortly) |
Dec 07 |
| 5.7 Occupational Exposure Data Collection Form
( PDF File 171kb) (Submit via Online Webform Only) |
Jun 10 |
| ** Occupational Exposure - OPTIONAL
Data Collection Forms (not included in the Manual) (PDF File 48kb) |
Dec 07 |
| 5.8 Surgical Infection Report Data Collection Form
(PDF File 199kb) |
Dec 07 |
| ** Surgical Site Infection Fact Sheet and Guide
for Investigation Sheets (not included in the Manual)
(PDF File 44kb) to be used in conjunction with module 5.8. |
Dec 07 |
| 5.9 Type 1 Form 4.1 Haemodialysis Incident (Numerator)
(PDF File 93kb) (Submit via Online Webform Only) |
Jun 10 |
| 5.9 Type 1 Form 4.2 Haemodialysis (Denominator)
(PDF File 100kb) (Submit via Online Webform Only) |
Jun 10 |
| 5.10 Type 1 Form 1.1 Surgical Site Procedure (Denominator)
(PDF File 146kb) |
Jun 10 |
| 5.10 Type 1 Form 1.2 Surgical Site Infection (Numerator)
(PDF File 109kb) |
Jul 08 |
| 5.10 Type 1 Form 1.3 Caesarean Section Procedure (Denominator)
(PDF File 118kb) |
Jul 08 |
| 5.10 Type 1 Form 1.4 Caesarean Section Infection (Numerator)
(PDF File 108kb) |
Jul 08 |