Get the free Pertussis Surveillance Worksheet - odh ohio
Show details
A document designed for the surveillance and reporting of pertussis cases, detailing patient information, vaccination history, clinical data, laboratory results, and epidemiological information relevant
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.
Editing pertussis surveillance worksheet online
Here are the steps you need to follow to get started with our professional PDF editor:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit pertussis surveillance worksheet. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
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.
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
Begin by collecting patient demographic information including name, age, gender, and contact details.
02
Record the date of symptom onset and any previous vaccinations against pertussis.
03
Document the patient's clinical symptoms, including cough characteristics, fever, and respiratory status.
04
Include results from any laboratory tests, such as PCR or culture tests for Bordetella pertussis.
05
Note any relevant exposure history, such as contact with other confirmed pertussis cases.
06
Provide information on the patient's vaccination history, specifically the DTaP or Tdap immunizations.
07
Review and verify all entered information for accuracy before submission.
Who needs Pertussis Surveillance Worksheet?
01
Healthcare providers who suspect a case of pertussis in a patient.
02
Public health officials investigating outbreaks of pertussis.
03
Researchers studying pertussis epidemiology and vaccination impact.
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 tool used by public health officials to collect and document information related to cases of pertussis, commonly known as whooping cough, to monitor outbreaks and assess public health interventions.
Who is required to file Pertussis Surveillance Worksheet?
Healthcare providers and laboratories that diagnose pertussis cases are typically required to file the Pertussis Surveillance Worksheet to ensure proper reporting and tracking.
How to fill out Pertussis Surveillance Worksheet?
To fill out the Pertussis Surveillance Worksheet, healthcare providers should provide detailed information including patient demographics, clinical symptoms, laboratory results, vaccination history, and contact tracing information, following the guidelines provided by health authorities.
What is the purpose of Pertussis Surveillance Worksheet?
The purpose of the Pertussis Surveillance Worksheet is to facilitate the systematic collection of data on pertussis cases for surveillance, outbreak control, and to inform public health responses to effectively manage and prevent the disease.
What information must be reported on Pertussis Surveillance Worksheet?
The information that must be reported includes the patient's name, date of birth, address, clinical symptoms, date of symptom onset, laboratory test results, vaccination status, and any known contacts to monitor potential spread.
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.
