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  • Paper forms for SCI ETC

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Comment: added note about ward assessment forms

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  1. Triage [word, pdf] (info collected by a medic with partial PPE behind plexiglass with a laptop)
  2. Assessment [word,pdf] (info collected by doctor and/or nurse in full PPE probably using tablet)
  3. Inpatient [word, pdf] (collected in wards with full PPE and tablet)
  4. Drug request form [word, pdf] (sent from wards or assessment using PPE+tablet)
  5. Lab request form [word, pdf] (sent from wards or assessment using PPE+tablet)
  6. Discharge/death form [word, pdf] (from wards using PPE+tablet)
  7. Exit form [word, pdf] (in exit tent, no PPE, laptop or tablet, probably not medical staff)
  8. Ward Assessment form [word, pdf]: A combination of 1+2 for transfer patients who enter with confirmed cases of Ebola, and with a CIF (case investigation form) filled out from the holding centre that transferred them.  For now, this is not being used because many patients arrive without CIFs.

Nov 5 update:  Forms have been recently updated, and now are starting to be used.  As we get feedback from clinicians, we expect further changes.

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