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DETERMINE THE LEVEL OF ACCESS REQUIRED
Please complete the question/s below to determine the level of access required
Are you required to glove and gown either routinely or on the odd occasion when entering the theatre?
YES
NO
Do you work or may work in the presence of the patient?
YES
NO
Do you have access or may have access whether directly or indirectly to patient personal information?
YES
NO
Do you engage or may engage in one or more of these activities: market access activities, medical aid motivations, patient assistance programs, servicing and maintenance of equipment/systems that stores/processes patient personal information.
YES
NO
Do you, for any reason, enter the hospital environment beyond the hospital foyer, medical practitioner rooms, pharmacy, lab and radiology?
YES
NO
Do you enter the theatre environment even in the absence of a patient to count stock or to service/repair equipment?
YES
NO
LEVEL OF ACCESS REQUIRED:
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