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A4: CBS Initial Reporting Form of Suspect Acute Flaccid Paralysis CaseCommunity Based Surveillance for AFP cases, South Sudan Section A:Reporting by Key Informant (filled by PA) Date of reporting

How to fill out cbs-initial-reporting--for-suspected-afp-cases template

How to fill out cbs-initial-reporting-form-for-suspected-afp-cases

1. To fill out the CBS Initial Reporting Form for Suspected AFP Cases, follow these steps:
2. Start by entering the date of the report and the name of the reporting facility.
3. Provide the patient's personal information, including their full name, date of birth, and contact information.
4. Indicate the patient's gender and ethnicity.
5. Specify the date of onset of symptoms and the date of hospital admission, if applicable.
6. Enter the patient's medical history, including any previous illnesses or conditions.
7. Describe the signs and symptoms observed in the patient.
8. Provide information about any laboratory tests conducted and their results.
9. Indicate the treatment given to the patient, if any.
10. Mention any contact the patient may have had with other AFP cases.
11. Include any additional comments or observations.
12. Finally, sign and date the form to complete the reporting process.

Who needs cbs-initial-reporting-form-for-suspected-afp-cases?

1. The CBS Initial Reporting Form for Suspected AFP Cases is required by healthcare facilities and medical professionals who encounter individuals suspected of having Acute Flaccid Paralysis (AFP) or related conditions. This form helps in reporting and monitoring AFP cases to ensure timely intervention and public health measures.

What is CBS-Initial-Reporting--for-Suspected-AFP-Cases. ... Form?

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What is cbs-initial-reporting-form-for-suspected-afp-cases?

The CBS Initial Reporting Form for Suspected AFP Cases is a standardized document used for reporting suspected cases of acute flaccid paralysis (AFP) to relevant health authorities.

Who is required to file cbs-initial-reporting-form-for-suspected-afp-cases?

Healthcare providers and facilities that encounter suspected AFP cases are required to file the CBS Initial Reporting Form.

How to fill out cbs-initial-reporting-form-for-suspected-afp-cases?

To fill out the CBS Initial Reporting Form, one must provide detailed patient information, clinical findings, vaccination history, and any other relevant observations related to the suspected AFP case.

What is the purpose of cbs-initial-reporting-form-for-suspected-afp-cases?

The purpose of the form is to ensure timely and accurate reporting of suspected AFP cases to facilitate monitoring, response, and potential public health interventions.

What information must be reported on cbs-initial-reporting-form-for-suspected-afp-cases?

The form must report the patient's demographics, clinical symptoms, onset date, vaccination status, and any other pertinent medical history.