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Rubella Surveillance Worksheet NAME (Last, First)Hospital Record No. Address (Street and No.) CityCountyReporting Physician/Nurse/Hospital/ClinicAddressZipPhone Phone DETACH HERE and transmit only
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How to fill out rubella surveillance worksheet
How to fill out rubella surveillance worksheet
01
Obtain a copy of the rubella surveillance worksheet
02
Fill in the patient's demographic information, including name, age, and date of birth
03
Record the patient's rubella vaccination history
04
Document any symptoms the patient is experiencing
05
Note any relevant medical history or risk factors
06
Submit the completed rubella surveillance worksheet to the appropriate health department
Who needs rubella surveillance worksheet?
01
Healthcare professionals who are treating patients with suspected or confirmed cases of rubella
02
Health departments conducting surveillance on rubella cases
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What is rubella surveillance worksheet?
The rubella surveillance worksheet is a document used to track and monitor cases of rubella in a specific population.
Who is required to file rubella surveillance worksheet?
Healthcare facilities, public health agencies, and healthcare providers are typically required to file rubella surveillance worksheets.
How to fill out rubella surveillance worksheet?
The rubella surveillance worksheet should be filled out by reporting information about suspected or confirmed cases of rubella, including patient demographics, symptoms, and test results.
What is the purpose of rubella surveillance worksheet?
The purpose of the rubella surveillance worksheet is to help track the spread of rubella, identify outbreaks, and inform public health responses.
What information must be reported on rubella surveillance worksheet?
Information such as patient demographics, symptoms, test results, vaccination history, and potential exposure to rubella must be reported on the rubella surveillance worksheet.
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