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Care Coordination Program Referral Form
INFECTIOUS DISEASE DISCHARGE SUMMARY Page1 of 2Fax copy to: (804) 8648050
Care Coordinators:
8048647951
8048647246CLIENT Informational:DOB:ID Number:DOC/JAIL
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How to fill out infectious disease discharge summary

How to fill out infectious disease discharge summary
01
Step 1: Gather all relevant information about the patient, including their medical history, laboratory results, and any other relevant documents.
02
Step 2: Start by filling out the patient's basic information, such as their name, date of birth, and contact details.
03
Step 3: Document the reason for admission, including the diagnosis and any specific infectious diseases that were treated.
04
Step 4: Provide a detailed summary of the patient's treatment during their hospital stay, including medications administered, procedures performed, and any complications that arose.
05
Step 5: Include any recommendations for further treatment or follow-up care, such as referrals to specialists or instructions for medication continuation.
06
Step 6: Summarize the patient's overall condition at the time of discharge, including their current symptoms, vital signs, and functional status.
07
Step 7: Make sure to list any necessary precautions or infection control measures that should be taken post-discharge to prevent further spread of the infectious disease.
08
Step 8: Review the entire discharge summary for accuracy and completeness before finalizing and signing it.
09
Step 9: Provide a copy of the discharge summary to the patient, their primary care physician, and any other relevant healthcare providers involved in their ongoing care.
Who needs infectious disease discharge summary?
01
Patients who have been admitted to the hospital for treatment of infectious diseases.
02
Healthcare providers involved in the care of patients with infectious diseases.
03
Primary care physicians who need a comprehensive summary of their patients' hospitalizations for infectious diseases.
04
Public health agencies or organizations responsible for tracking and monitoring infectious diseases.
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What is infectious disease discharge summary?
Infectious disease discharge summary is a document that outlines the treatment and follow-up care provided to a patient who has been diagnosed with an infectious disease and is being discharged from a healthcare facility.
Who is required to file infectious disease discharge summary?
Healthcare providers and facilities are required to file infectious disease discharge summaries for patients who have been diagnosed with infectious diseases.
How to fill out infectious disease discharge summary?
Infectious disease discharge summaries should be filled out by healthcare providers with the necessary information including the patient's diagnosis, treatment plan, and follow-up care instructions.
What is the purpose of infectious disease discharge summary?
The purpose of infectious disease discharge summary is to ensure that patients receive proper care and follow-up after being diagnosed with an infectious disease.
What information must be reported on infectious disease discharge summary?
Information such as the patient's diagnosis, treatment plan, medication prescribed, follow-up care instructions, and any necessary precautions to prevent the spread of the infectious disease must be reported on the discharge summary.
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