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August 2016 Acute Respiratory Illness ARI and Travel History Screening Date YYYY/MM/DD Time Screening Performed by Unable to obtain information. See Travel/Symptom Screening and Patient Name PIN DOB YYYY/MM/DD HC Address Phone Management Algorithm Travel or contact with a traveller to countries listed above indicates a Travel Risk. Refer to the Travel/Symptom Screening and Patient Management Algorithm to assess the need for Additional Precautions This form is to be used for Downtime...
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Gather the necessary information such as the person's symptoms, medical history, and recent travel history.
02
Ensure that you have a copy of the acute respiratory illness (ARI) form or any relevant documentation required for filling out.
03
Start by providing the personal information of the person such as name, age, gender, and contact details.
04
Next, you should accurately fill out the sections related to the person's symptoms. Include details such as the onset of symptoms, severity, and any associated conditions.
05
If applicable, provide information about the person's medical history, including pre-existing respiratory conditions, allergies, or other relevant health issues.
06
Include details about recent travel history, especially if the person has traveled to areas with a high incidence of respiratory illness.
07
Make sure to follow any specific instructions or guidelines provided in the form or documentation.
08
Double-check all the information provided before submitting the completed ARI form.
09
Submit the filled-out ARI form to the designated authority or healthcare provider as instructed.

Who needs acute respiratory illness ari?

01
Anyone experiencing symptoms of acute respiratory illness like coughing, shortness of breath, fever, or sore throat may need to fill out the ARI form.
02
Healthcare professionals may also need to fill out the ARI form for patients presenting with respiratory symptoms.
03
Travelers returning from areas with a high incidence of respiratory illness may be required to complete the ARI form as part of screening measures.
04
Individuals seeking medical assistance or advice for respiratory symptoms may be asked to provide information through the ARI form.
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Acute Respiratory Illness (ARI) is a term used to describe a range of respiratory infections, including the common cold, flu, and pneumonia.
Healthcare facilities and providers are required to file acute respiratory illness (ARI) reports.
You can fill out the ARI report by providing information on the number of cases, symptoms, and outcomes of respiratory illnesses in your facility.
The purpose of ARI reporting is to track respiratory illnesses, monitor outbreaks, and prevent the spread of infections.
Information such as the number of cases, symptoms, and outcomes of respiratory illnesses must be reported on ARI reports.
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