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Get the free Influenza Specimen Submission and Test Result Form - Dallas County - dallascounty

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Dallas County Health and Human Services Influenza Specimen Submission and Test Result Form *Required information: failure to provide information may result in an inability to test or a delay If from
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How to fill out influenza specimen submission and

01
Gather the necessary materials such as a specimen collection kit, personal protective equipment, and a requisition form.
02
Ensure the specimen collection kit is sterile and not expired.
03
Put on the personal protective equipment, including gloves, a surgical mask, and a face shield.
04
Label the specimen collection container with the patient's name, date of birth, and unique identification number.
05
Collect the respiratory specimen using a nasopharyngeal swab or nasal swab as specified in the instructions.
06
Place the swab in the provided transport medium and securely seal the container.
07
Complete the requisition form with relevant patient information, including symptoms and date of specimen collection.
08
Pack the specimen submission kit appropriately for transport, following any specific packaging instructions.
09
Submit the specimen to the designated laboratory or healthcare facility for testing.
10
Dispose of personal protective equipment and clean hands thoroughly after handling the specimen.

Who needs influenza specimen submission and?

01
Individuals experiencing flu-like symptoms such as fever, cough, sore throat, body aches, and fatigue.
02
Healthcare professionals collecting specimens for diagnostic purposes.
03
Public health agencies conducting surveillance and monitoring of influenza outbreaks.
04
Research institutions studying influenza epidemiology, transmission, and antiviral resistance.
05
Individuals participating in clinical trials or vaccine effectiveness studies.
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Influenza specimen submission is the process of submitting samples of influenza virus for testing and analysis.
Healthcare providers, laboratories, and public health agencies are required to file influenza specimen submission.
Influenza specimen submission forms can be filled out online or submitted in person at a designated location.
The purpose of influenza specimen submission is to track the spread of the virus, identify new strains, and inform public health responses.
Information such as patient demographics, date of sample collection, and laboratory findings must be reported on influenza specimen submission forms.
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