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This document provides detailed guidance on the collection, submission, and ordering of laboratory tests for influenza viruses. It includes instructions for specimen collection, packaging, shipping,

How to fill out influenza specimen submission form

How to fill out Influenza Specimen Submission Form

1. Obtain the Influenza Specimen Submission Form from a reliable source.
2. Fill in the patient’s full name in the designated field.
3. Provide the patient's date of birth and other identifying information.
4. Indicate the specimen type (e.g., nasal swab, throat swab, etc.).
5. Enter the date when the specimen was collected.
6. Complete the clinical information section, including symptoms and duration.
7. Include any relevant travel history or known exposures.
8. Ensure that the submitting laboratory's information is accurately filled out.
9. Sign and date the form to confirm all information is correct.
10. Submit the form along with the specimen as per the instructions provided.

Who needs Influenza Specimen Submission Form?

1. Healthcare providers who suspect influenza in patients.
2. Laboratories conducting influenza testing.
3. Public health agencies monitoring flu outbreaks.
4. Research institutions studying influenza viruses.

People Also Ask about

What is the specimen for the flu test?

Alternatively, a combined nasal and throat swab specimen or aspirate specimens can provide good influenza virus yield. Some influenza tests are approved only for use with certain kinds of respiratory tract specimens, so follow guidelines provided by test.

What is the lab test for the flu?

Molecular tests. These tests look for genetic material from the flu virus. Polymerase chain reaction tests, shortened to PCR tests, are molecular tests. You also may hear this type of test called an NAAT test, short for nucleic acid amplification test.

What is influenza form?

Flu, also called influenza, is an infection of the nose, throat and lungs, which are part of the respiratory system. The flu is caused by a virus. Influenza viruses are different from the "stomach flu" viruses that cause diarrhea and vomiting.

Is a flu test a nose or throat swab?

What happens during a flu test? If you are tested at your provider's office or other health care setting, a fluid sample may be collected using: A swab test. A health care professional will use a special swab to take a fluid sample from your nose or throat.

What is influenza type A English?

Type A influenza is a common infection that can cause widespread flu outbreaks. It can cause fever, body aches, chills, fatigue, and other symptoms. Influenza — also known as the flu — is a contagious viral infection that attacks your respiratory system.

How do you submit specimens to the CDC?

State health departments and other federal agencies may submit specimens for reference testing to CDC. With state health department approval, private healthcare providers, hospitals, and laboratories may submit specimens directly to CDC via the CDC Specimen Test Order and Reporting (CSTOR) Web Portal.

How do you collect a flu swab?

(Swab should reach depth equal to distance from nostrils to outer opening of the ear.) Leave swab in place for several seconds to absorb secretions. 3 Slowly remove swab while rotating it. (Swab both nostrils with same swab.)

What is a NP swab for the flu?

During a nasopharyngeal (NP) swab: You will tilt your head back. Your provider will insert a long swab into your nostril until it reaches your nasopharynx (the upper part of your throat). Your provider will rotate the swab for 10 to 15 seconds and remove it.

For pdfFiller’s FAQs

What is Influenza Specimen Submission Form?

The Influenza Specimen Submission Form is a document used to collect essential information regarding specimens submitted for influenza testing to ensure accurate identification and processing.

Who is required to file Influenza Specimen Submission Form?

Healthcare providers and laboratories that are submitting influenza specimens for testing are required to file the Influenza Specimen Submission Form.

How to fill out Influenza Specimen Submission Form?

To fill out the Influenza Specimen Submission Form, you need to provide patient demographics, clinical information, specimen details, and any relevant epidemiological data, ensuring all sections are completed accurately.

What is the purpose of Influenza Specimen Submission Form?

The purpose of the Influenza Specimen Submission Form is to facilitate the collection of standardized data on specimens submitted for testing, which aids in surveillance, diagnosis, and response to influenza outbreaks.

What information must be reported on Influenza Specimen Submission Form?

The information that must be reported includes patient name, date of birth, specimen type, collection date, clinical symptoms, and any relevant travel or exposure history.