Get the free EBOLA DGMQ NOTIFICATION - epi publichealth nc

EBOLA DEMO NOTIFICATION N.C. Traveler Risk Assessment Questionnaire J Date of Interview Traveler: DEMO # First Name Last Name Address Telephone Email Instructions to Local Health Department Staff:

How to fill out ebola dgmq notification

How to fill out the Ebola DGQM notification:

1. Gather the necessary information: Start by collecting all relevant information for the notification form, such as the patient's personal details, travel history, symptoms, and any potential contacts.
2. Complete the patient's personal information: Fill in the required fields such as the patient's name, age, gender, and contact information. Provide accurate details to ensure proper identification.
3. Include the patient's travel history: Indicate the countries the patient has visited recently, with precise dates of departure and return. Note any high-risk areas or potential exposure to Ebola.
4. Document the patient's symptoms: Describe the symptoms experienced by the patient in detail. This may include fever, fatigue, muscle pain, vomiting, or bleeding.
5. Specify potential contact with Ebola: If the patient has had direct contact with Ebola, such as exposure to bodily fluids or close contact with someone infected, provide this information in the notification form.
6. Note any diagnostic tests conducted: Include information about any diagnostic tests performed on the patient, such as blood tests or laboratory investigations, indicating the results if available.
7. Provide additional details: Provide any relevant additional information or observations that could assist in assessing the situation, such as the patient's medical history or any potential risk factors.

Who needs Ebola DGQM notification?

1. Healthcare professionals: Hospitals, clinics, and healthcare providers need to fill out the Ebola DGQM notification to report any suspected or confirmed cases of Ebola. This helps in tracking and monitoring the spread of the disease and implementing appropriate control measures.
2. Public health authorities: Local and national public health authorities must receive the Ebola DGQM notification to ensure a coordinated response to potential outbreaks and to take necessary actions to protect public health.
3. Laboratory facilities: Laboratories involved in the testing and diagnosis of Ebola cases should also complete the Ebola DGQM notification, enabling them to notify public health authorities and contribute to surveillance efforts.

Remember to follow the specific guidelines provided by your country's health authorities to accurately fill out the Ebola DGQM notification.

For pdfFiller’s FAQs

What is ebola dgmq notification?

Ebola DGQM notification is a mandatory report that must be filed to notify relevant authorities about cases of Ebola Virus Disease.

Who is required to file ebola dgmq notification?

Healthcare facilities and professionals who diagnose or suspect cases of Ebola Virus Disease are required to file Ebola DGQM notification.

How to fill out ebola dgmq notification?

Ebola DGQM notification can be filled out electronically or manually, providing detailed information about the patient, symptoms, and test results.

What is the purpose of ebola dgmq notification?

The purpose of Ebola DGQM notification is to alert public health authorities about Ebola cases, enabling them to take appropriate measures to prevent further spread of the disease.

What information must be reported on ebola dgmq notification?

Information such as patient demographics, symptoms, travel history, laboratory test results, and contact information must be reported on Ebola DGQM notification.

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