Get the free Pertussis Surveillance Worksheet - cdc
Show details
This document provides detailed instructions for completing the Pertussis Surveillance Worksheet, including data entry for disease details, patient information, vaccine history, laboratory tests,
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign pertussis surveillance worksheet
Edit your pertussis surveillance worksheet form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your pertussis surveillance worksheet form via URL. You can also download, print, or export forms to your preferred cloud storage service.
How to edit pertussis surveillance worksheet online
Use the instructions below to start using our professional PDF editor:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit pertussis surveillance worksheet. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
With pdfFiller, it's always easy to work with documents. Try it out!
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out pertussis surveillance worksheet
How to fill out Pertussis Surveillance Worksheet
01
Gather patient information: Collect the patient's personal details, including name, date of birth, and contact information.
02
Document vaccination history: Record the patient's immunization status regarding pertussis.
03
Note symptoms: Describe any symptoms the patient is experiencing, such as cough, fever, or nasal congestion.
04
Provide exposure history: Include information on any known exposure to pertussis or individuals diagnosed with it.
05
Complete laboratory results: Enter results from any pertinent lab tests conducted.
06
Sign and date: Ensure the worksheet is completed with the healthcare provider's signature and the date.
Who needs Pertussis Surveillance Worksheet?
01
Healthcare providers monitoring pertussis cases.
02
Public health officials tracking outbreaks.
03
Researchers studying pertussis trends.
04
Clinics conducting immunization assessments.
Fill
form
: Try Risk Free
People Also Ask about
How do you screen for pertussis?
Diagnosis A nose or throat culture and test. Your healthcare professional takes a mucus sample from the back of the throat, where the nose and throat meet. Blood tests. A blood sample may be taken and sent to a lab. A chest X-ray. This test may be recommended to check for signs of pneumonia due to whooping cough.
What are the guidelines for pertussis?
Children should stay off nursery, school, or work until they have completed 48 hours of appropriate antibiotic treatment, or for 14 days from the onset of coughing if not treated.
Does pertussis need to be reported by law?
Both probable and confirmed pertussis cases should be reported to the National Notifiable Diseases Surveillance System (NNDSS) by the state health department via the National Electronic Telecommunications System for Surveillance (NETSS) or National Electronic Disease Surveillance System (NEDSS).
Do you have to report pertussis to the health department?
Pertussis is a nationally notifiable disease in the United States.
Does pertussis need to be reported to the CDC?
Pertussis is a nationally notifiable disease.
Do you have to report pertussis to health department?
Pertussis is a nationally notifiable disease in the United States.
Does whooping cough need reporting?
Health professionals have a duty of care to report all suspected and confirmed cases to public health to ensure that contacts are managed promptly. Pertussis is a highly contagious, vaccine- preventable, respiratory disease that is caused by the Bordetella pertussis bacterium.
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What is Pertussis Surveillance Worksheet?
The Pertussis Surveillance Worksheet is a document used to collect and report information regarding cases of pertussis (whooping cough) for epidemiological tracking and public health purposes.
Who is required to file Pertussis Surveillance Worksheet?
Healthcare providers, laboratories, and public health officials are generally required to file the Pertussis Surveillance Worksheet when they identify a case of pertussis to ensure accurate tracking and response measures.
How to fill out Pertussis Surveillance Worksheet?
To fill out the Pertussis Surveillance Worksheet, individuals must provide details such as patient information, clinical symptoms, laboratory results, vaccination history, and other relevant epidemiological data.
What is the purpose of Pertussis Surveillance Worksheet?
The purpose of the Pertussis Surveillance Worksheet is to facilitate the gathering of essential data that helps in monitoring the incidence of pertussis, guiding public health policies, and implementing control measures.
What information must be reported on Pertussis Surveillance Worksheet?
The information that must be reported includes the patient's demographic details, clinical signs and symptoms, laboratory findings, vaccination status, exposure history, and any relevant travel history.
Fill out your pertussis surveillance worksheet online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.
Pertussis Surveillance Worksheet is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.
