Get the free Tuberculosis Contact Investigation Worksheet - publichealth lacounty

FORM EBOLA VIRUS DISEASE CONTACT INVESTIGATION WORKSHEET FOR SYMPTOMATIC SUSPECT OR CONFIRMED CASE Acute Communicable Disease Control 313 N. Figueroa St., Rm. 212 Los Angeles, CA 90012 2132407941

How to fill out tuberculosis contact investigation worksheet

How to fill out tuberculosis contact investigation worksheet

1. Obtain the tuberculosis contact investigation worksheet from your healthcare provider.
2. Fill in the personal information of the individual being investigated, such as name, date of birth, and contact information.
3. Provide information about the tuberculosis case, including the date of diagnosis and any relevant treatment information.
4. List all known contacts of the individual, including family members, friends, and healthcare providers.
5. Indicate the type of exposure each contact had to the tuberculosis case, such as household contact or casual contact.
6. Document any symptoms that contacts may be experiencing and any testing or treatment they have received.
7. Submit the completed tuberculosis contact investigation worksheet to the appropriate healthcare authorities.

Who needs tuberculosis contact investigation worksheet?

1. Healthcare providers conducting tuberculosis contact investigations.
2. Public health officials responsible for monitoring and controlling the spread of tuberculosis.
3. Individuals who have been diagnosed with tuberculosis and need to track and notify their contacts.

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What is tuberculosis contact investigation worksheet?

The tuberculosis contact investigation worksheet is a document used by public health officials to track and manage individuals who have been in close contact with a person diagnosed with tuberculosis (TB). It facilitates the identification of potential TB cases and helps in the investigation and monitoring of contacts.

Who is required to file tuberculosis contact investigation worksheet?

Healthcare providers and public health officials are typically required to file the tuberculosis contact investigation worksheet when they identify a case of TB and need to document the contacts for follow-up and investigation.

How to fill out tuberculosis contact investigation worksheet?

To fill out the tuberculosis contact investigation worksheet, one must collect and provide information about the TB patient, including their demographics, details of the infectious period, and a list of contacts, including demographic information for each contact and any follow-up actions taken.

What is the purpose of tuberculosis contact investigation worksheet?

The purpose of the tuberculosis contact investigation worksheet is to ensure that all potential contacts of a TB patient are identified, monitored, and tested for TB infection, thus preventing further transmission of the disease.

What information must be reported on tuberculosis contact investigation worksheet?

The information that must be reported includes the name and contact information of the TB patient, details about the infectious period, names and contact information of all individuals exposed, and any assessment and follow-up actions taken with those contacts.