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This document is used for submitting specimens related to Norovirus outbreaks for testing by the California Department of Public Health. It requires information about the institutional setting, number

How to fill out norovirus outbreak specimen submittal

How to fill out Norovirus Outbreak Specimen Submittal Form

1. Obtain the Norovirus Outbreak Specimen Submittal Form from the appropriate health department or relevant agency.
2. Fill in the header section with the laboratory's name, address, and contact information.
3. Provide patient information including name, date of birth, gender, and contact details.
4. Record the clinical information such as symptoms, date of onset, and duration of illness.
5. Specify the specimen type being submitted (e.g., stool, vomit).
6. Indicate the date and time the specimen was collected.
7. Include any relevant epidemiological information, such as potential exposure to contaminated food or water.
8. Sign and date the form to certify that the information provided is accurate.
9. Submit the completed form along with the specimen to the designated laboratory.

Who needs Norovirus Outbreak Specimen Submittal Form?

1. Healthcare providers who suspect a Norovirus infection in patients.
2. Laboratories conducting tests for Norovirus during an outbreak.
3. Public health officials managing Norovirus outbreaks to track the spread of the virus.

People Also Ask about

How is a norovirus outbreak identified?

Whole stool is the preferred clinical specimen for laboratory diagnosis of norovirus. If food or water is the suspected cause of an outbreak, collect samples as soon as possible after people were exposed.

How do you report a norovirus outbreak?

To report a norovirus outbreak, contact your state or local health department.

What sample to send for norovirus?

Stool. Whole stool is the preferred clinical specimen for laboratory diagnosis of norovirus. Specimens for norovirus testing may also be Cary-Blair medium or stool specimens.

What is the sample for norovirus test?

Whole stool is the preferred clinical specimen for laboratory diagnosis of norovirus. If food or water is the suspected cause of an outbreak, collect samples as soon as possible after people were exposed. Then immediately refrigerate the samples.

What is the sample for norovirus?

Stool. Whole stool is the preferred clinical specimen for laboratory diagnosis of norovirus.

For pdfFiller’s FAQs

What is Norovirus Outbreak Specimen Submittal Form?

The Norovirus Outbreak Specimen Submittal Form is a document used to collect and submit specimens from individuals suspected of having norovirus during an outbreak for laboratory testing.

Who is required to file Norovirus Outbreak Specimen Submittal Form?

Healthcare providers, laboratories, and public health officials involved in investigating norovirus outbreaks are required to file the Norovirus Outbreak Specimen Submittal Form.

How to fill out Norovirus Outbreak Specimen Submittal Form?

To fill out the Norovirus Outbreak Specimen Submittal Form, users should provide accurate patient information, details about the specimen, outbreak information, and any prior laboratory results, ensuring all required fields are completed.

What is the purpose of Norovirus Outbreak Specimen Submittal Form?

The purpose of the Norovirus Outbreak Specimen Submittal Form is to facilitate the appropriate collection and testing of specimens to identify and control norovirus outbreaks effectively.

What information must be reported on Norovirus Outbreak Specimen Submittal Form?

The form must report information such as patient identification, specimen type, date of onset of symptoms, outbreak location and description, and any relevant medical history or previous test results.