You’re offline. This is a read only version of the page.
Skip to main content
An Official
Pennsylvania
Government Website
Department of Health
Pennsylvania Project Firstline (PA PFL) Training Request Form
Please complete all the fields below to indicate the type of training that your facility is seeking from PA PFL.
Name
*
*
Professional Role
*
*
Email
*
*
*
Phone Number (xxx-xxx-xxxx)
*
*
Name of PA Healthcare Facility Where You Work
*
*
Type of PA Healthcare Facility
*
Acute Care
Long Term Care
Personal Care Home
Other
County of Facility
*
Adams
Allegheny
Armstrong
Beaver
Bedford
Berks
Blair
Bradford
Bucks
Butler
Cambria
Cameron
Carbon
Centre
Chester
Clarion
Clearfield
Clinton
Columbia
Crawford
Cumberland
Dauphin
Delaware
Elk
Erie
Fayette
Forest
Franklin
Fulton
Greene
Huntingdon
Indiana
Jefferson
Juniata
Lackawanna
Lancaster
Lawrence
Lebanon
Lehigh
Luzerne
Lycoming
McKean
Mercer
Mifflin
Monroe
Montgomery
Montour
Northampton
Northumberland
Perry
Philadelphia
Pike
Potter
Schuylkill
Snyder
Somerset
Sullivan
Susquehanna
Tioga
Union
Venango
Warren
Washington
Wayne
Westmoreland
Wyoming
York
Infection Prevention and Control (IPC) Topics You Require Training For (Check All that Apply)
The Basic Science of Viruses
Hand Hygiene
Environmental Cleaning/Disinfection
Injection Safety (Multidose Vials, Injection Safety)
IPC Personal Protective Equipment (PPE)
Standard and Transmission-based Precautions (e.g., contact, droplet, airborne)
Triage and Screening
Recognizing Risk
How Germs Make People Sick
Recognizing Risk Using Reservoirs
Body Reservoirs
Healthcare Environment Reservoirs
Escape Room
Preferred Training Mode
*
In person
Virtual
Preferred Training Length
*
10 minutes
30 minutes
60 minutes
Any Other Comments/Questions?
*
