Get the free Pertussis Death Worksheet - Texas Department of State ... - dshs texas
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TexasCenterforInfectious Disease PreAdmissionClinicalWorksheet 2105314508 mandate: PART:PatientInformation Hostname:Filename: Age:Gender: DOB: Address:City:MI: SSN: County:Zip:Homeless Phone Race:Ethnicity:Language:PlaceofBirth
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How to fill out pertussis death worksheet
How to fill out pertussis death worksheet
01
To fill out the pertussis death worksheet, follow these steps:
02
Start by collecting all the necessary information about the deceased person, such as their name, age, and relevant medical history.
03
Identify the symptoms and signs of pertussis that were present in the individual before their death.
04
Document the sequence of events leading up to the death, including any medical interventions or treatments that were administered.
05
Include information about any laboratory tests or diagnostic procedures that were performed in relation to the case.
06
Provide a detailed description of the cause of death, including any underlying conditions or contributing factors.
07
Fill out all the required fields in the worksheet accurately and legibly.
08
Double-check the information provided to ensure its accuracy.
09
Submit the completed worksheet to the appropriate authorities or organizations as per the guidelines and requirements.
10
Remember to always follow the latest guidelines and protocols provided by the relevant healthcare authorities.
Who needs pertussis death worksheet?
01
The pertussis death worksheet is needed by healthcare professionals, medical examiners, coroners, and other individuals involved in investigating and documenting deaths related to pertussis (whooping cough). It helps in gathering essential information and maintaining records for further analysis and research purposes.
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What is pertussis death worksheet?
The pertussis death worksheet is a standardized document used to collect information regarding deaths that are suspected to be caused by pertussis (whooping cough) to ensure proper case classification and reporting.
Who is required to file pertussis death worksheet?
Healthcare providers, typically physicians or medical examiners, who determine that a death may be related to pertussis are required to file the pertussis death worksheet.
How to fill out pertussis death worksheet?
To fill out the pertussis death worksheet, the individual must provide relevant patient information, clinical details, and circumstances surrounding the death, including symptoms, diagnosis, and laboratory results related to pertussis.
What is the purpose of pertussis death worksheet?
The purpose of the pertussis death worksheet is to collect standardized data on deaths associated with pertussis, to support public health surveillance, track disease patterns, and improve understanding of pertussis-related mortality.
What information must be reported on pertussis death worksheet?
Information that must be reported includes patient demographics, clinical symptoms, laboratory confirmations of pertussis, timeline of illness, and any relevant medical history.
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