Interim operational considerations for public health management of healthcare workers exposed to or with suspected or confirmed COVID-19:  non-U.S. healthcare settings. Appendix 2: Self-monitoring form for asymptomatic healthcare workers with low-risk exposure

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Interim operational considerations for public health management of healthcare workers exposed to or with suspected or confirmed COVID-19: non-U.S. healthcare settings. Appendix 2: Self-monitoring form for asymptomatic healthcare workers with low-risk exposure

July 8, 2020
By Centers for Disease Control and Prevention (U.S.)

[PDF-125.59 KB]

English

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Corporate Authors:

Centers for Disease Control and Prevention (U.S.)
Description:

Appendix for: Interim operational considerations for public health management of healthcare workers exposed to or with suspected or confirmed COVID-19: non-U.S. healthcare settings.

Instructions: Healthcare workers (HCWs) should monitor their temperature and symptoms twice daily for 14 days after the date of last known exposure. This form has two rows per day. Complete the form by checking the appropriate boxes for each day and time. If a HCW reports subjective fever, measured temperature 38.0°C/100.0°F or higher, or any of the following symptoms, the HCW should be separated from others and should notify the appropriate public health authority or healthcare facility. HCWs must ensure absence of fever and symptoms before leaving home and reporting to work.

appendix-2-monitoring-form-templates.pdf
Subjects:

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Coronavirus Infections/prevention & Control COVID-19 Health Personnel Infection Control Pandemics
Document Type:

Pamphlet (or booklet)
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Forms
Collection(s):

Stephen B. Thacker CDC Library collection
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urn:sha256:ccd952582d7444f0b35c15532f863372b94612b9018883df77e0ff9b1ebea411
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https://stacks.cdc.gov/view/cdc/90295/cdc_90295_DS1.pdf
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Interim operational considerations for public health management of healthcare workers exposed to or with suspected or confirmed COVID-19: non-U.S. healthcare settings. Appendix 2: Self-monitoring form for asymptomatic healthcare workers with low-risk exposure

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