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The aim of this doc is to offer key info that ought to be lined within the case interview. The targets of the affected person interview are to evaluate the affected person’s medical situation, collect info for continued monitoring and help, and acquire the names and placement info for contacts who could have been uncovered to COVID-19.

Introduction

To start with of the interview, it is going to be vital that the interviewer set up a belief and rapport with the affected person, reassure any issues about confidentiality, and convey the intent to help the affected person throughout the isolation interval.  The interviewer ought to introduce themselves, clarify the explanation for calling (e.g., laboratory or supplier report), clarify the interview course of, and start with the gathering of primary info.

  • Full identify
  • Date of beginning
  • Main language
  • Use of interpreter (if wanted)

Demographic and Finding Data

The knowledge gathered on demographic variables will assist to observe the affected person and to raised perceive the affected person’s dwelling scenario in order that applicable help is obtainable.

  • Most well-liked Title
  • Gender
  • Residential Avenue Handle, Metropolis, State, Zip Code
  • Tribal Affiliation
  • Cellphone quantity
  • E mail deal with
  • Alright to textual content
  • Alright to e-mail
  • Race
  • Ethnicity
  • Finest method to attain affected person for follow-up
  • Date of interview, together with any dates of interview makes an attempt

Well being Data

The aim of this part is to collect info on the affected person’s signs, medical course, and pre-existing circumstances.  As well as, the interviewer will assess if the affected person understands the COVID-19 analysis and their potential to contaminate others.  The interviewer will present well being training as wanted.

Danger Elements

The aim of assessing threat components is to find out the affected person’s publicity historical past, and any high-risk occupation (e.g. well being care personnel (HCP)) and/or congregate dwelling or work settings (e.g. meals processing vegetation, correctional services, long-term care services).

  • Identified shut contact (inside 6 toes for a complete of quarter-hour or extra) with a confirmed COVID case
  • Occupation and office, if employed
  • If the affected person is an HCP or first responder collect identify and deal with of setting and whether or not it’s a hospital, ambulatory care, pressing care, long-term care, hospice, ambulance firm, hearth division, legislation enforcement, and so forth.
  • If the affected person lives or works in a congregate setting, collect identify and deal with of setting and whether or not it’s correctional facility, dorm, group dwelling, nursing dwelling, homeless shelter, meals processing plant, multi-family family, multi-generational or excessive occupancy family, and so forth.

Contact Elicitation

Identification of shut contacts uncovered to the virus is among the vital parts of the case interview. After rigorously figuring out the contact elicitation window, the interviewer will ask a collection of questions to make sure all shut contacts (inside 6 toes for a complete of quarter-hour or extra) are recognized.

  • Decide begin and finish date of contact elicitation window
  • Date of contact elicitation
  • Complete variety of family contacts
  • Complete variety of intimate companions (that don’t reside with affected person)
  • Another individuals in shut contact, together with coworkers
  • For every shut contact, question the next:
    • Full identify and different names that also they are often known as (AKA)
    • Cellphone quantity
    • E mail deal with
    • APP and username
    • Handle
    • Setting the place publicity occurred (dwelling, college, day care, office, place of worship, shelter, hospital/medical care, journey or transit, retail setting)
    • Date of most up-to-date publicity and length of publicity in minutes
    • If family contact, underlying circumstances which place them at greater threat for transmission and problems (if identified)
      • Can embrace persistent lung illness, diabetes, extreme weight problems, heart problems (CVD), persistent renal illness, persistent liver illness, immunocompromised, pregnant (if feminine)
    • If contact is an HCP or first responder, collect identify and deal with of setting and whether or not it’s a hospital, ambulatory care, pressing care, long-term care, hospice, ambulance firm, hearth division, legislation enforcement, and so forth.
    • If contact lives or works in a congregate setting, collect identify and deal with of setting and whether or not it’s correctional facility, dorm, group dwelling, multi-family family, multi-generational family, manufacturing unit, homeless shelter, long run care facility, meals processing plant, and so forth.
  • Ask affected person about any neighborhood settings the place could have uncovered others
    • Can embrace public transportation, retail, giant neighborhood social occasion, leisure exercise, and place of worship and lots of others
    • For every reply, ask the next:
      • Title and deal with of website or facility
      • Particular space inside facility (e.g., Room 208, front room)
      • Date onsite
      • Length of time spent in every space inside the facility
      • Shut contacts in every space

Well being Monitoring and Responding to Modifications in Well being Standing

Every jurisdiction will develop particular steering on symptom monitoring and reporting, and what to do if signs worsen; the affected person ought to be given native sources and referrals.

Reviewing Isolation Suggestions and Sources

The interviewer will clarify to the affected person the significance of self-isolation, present isolation directions, and assess the affected person’s potential to self-isolate and want for any social help.  The factors for discontinuing self-isolation ought to be defined.

  • Can affected person self-isolate (clarify what this implies)?
  • Does affected person want help to self-isolate?

Conclusion

A profitable case interview permits for the gathering of essential details about the case and probably uncovered contacts, whereas offering help, referrals, and solutions to questions the case could have.  Creating a trusting understanding with the affected person is the important thing to offering the simplest help, whereas gathering essentially the most correct info to tell the following steps within the contact tracing investigation.



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