Nothing Special   »   [go: up one dir, main page]
Scribd Logo
Upload

Welcome to Scribd!

  • 34 views

    Contact Tracing Form

    Uploaded by

    Jam Ebrada Conde
    This document contains forms and reports from Calanaga Elementary School in Albay, Philippines related to COVID-19 monitoring and prevention. It includes a contact tracing form, emergency contact information for students, daily health monitoring tools to track student symptoms, and a weekly summary of health status. The forms allow the school to document symptoms, contacts, and test results to manage potential COVID-19 cases.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Contact Tracing Form

    Uploaded by

    Jam Ebrada Conde
    34 views6 pages
    This document contains forms and reports from Calanaga Elementary School in Albay, Philippines related to COVID-19 monitoring and prevention. It includes a contact tracing form, emergency contact information for students, daily health monitoring tools to track student symptoms, and a weekly summary of health status. The forms allow the school to document symptoms, contacts, and test results to manage potential COVID-19 cases.

    Original Title

    contact tracing form

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document contains forms and reports from Calanaga Elementary School in Albay, Philippines related to COVID-19 monitoring and prevention. It includes a contact tracing form, emergency contact information for students, daily health monitoring tools to track student symptoms, and a weekly summary of health status. The forms allow the school to document symptoms, contacts, and test results to manage potential COVID-19 cases.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    34 views6 pages

    Contact Tracing Form

    Uploaded by

    Jam Ebrada Conde
    This document contains forms and reports from Calanaga Elementary School in Albay, Philippines related to COVID-19 monitoring and prevention. It includes a contact tracing form, emergency contact information for students, daily health monitoring tools to track student symptoms, and a weekly summary of health status. The forms allow the school to document symptoms, contacts, and test results to manage potential COVID-19 cases.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 6

    Republic of the Philippines

    Department of Education
    Region V - Bicol
    SCHOOLS DIVISION OFFICE OF ALBAY
    Calanaga Elementary School
    Calanaga Rapu-Rapu Albay

    CONTACT TRACING FORM


    MOBILE TRAVEL
    DATE NAME TIME IN TIME OUT TEMPERATURE SIGNATURE
    NUMBER HISTORY

    Calanaga Rapu-Rapu Albay


    09993084384
    112024@deped.gov.ph
    Republic of the Philippines
    Department of Education
    Region V - Bicol
    SCHOOLS DIVISION OFFICE OF ALBAY
    Calanaga Elementary School
    Calanaga Rapu-Rapu Albay

    PUPILS’ EMERGENCY CONTACT


    GRADE 4-FREESIA
    SY 2022-2023

    LEARNERS WITH
    NAME OF PARENTS/ MODE OF
    NAME OF PUPILS ADDRESS EXISTING CONTACT NUMBERS
    GUARDIANS TRANSPORTATION
    COMMORBIDITIES

    Calanaga Rapu-Rapu Albay


    09993084384
    112024@deped.gov.ph
    Republic of the Philippines
    Department of Education
    Region V - Bicol
    SCHOOLS DIVISION OFFICE OF ALBAY
    Calanaga Elementary School
    Calanaga Rapu-Rapu Albay

    Prepared by:

    JERAMIE E. CONDE Noted:


    Class Adviser
    CESAR M. DELA RAMA
    School Head

    Calanaga Rapu-Rapu Albay


    09993084384
    112024@deped.gov.ph
    Republic of the Philippines
    Department of Education
    Region V - Bicol
    SCHOOLS DIVISION OFFICE OF ALBAY
    Calanaga Elementary School
    Calanaga Rapu-Rapu Albay

    CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19


    School: CALANAG ELEMENTARY SCHOOL Grade Level: GRADE 4 Section:

    Instruction: Write under each column date, the code(s) of the symptom(s) observed in the learner during the routine inspection, during the conduct of the class, or as reported by the learner or their classmates. Refer
    to the list of symptoms below and their respective codes:
    Fv Fever F/T Fatigue/Tiredness ST Sore Throat LoA Loss of Appertite D Diarrhea R Rashes Others (Please specify)
    C Cough HA Headache C/RN Colds/Runny Nose N Nausea LoS Loss of Smell EN Essentially Normal
    GW General Weakness MJBP Muscle/Joint/Body Pain DB Difficulty of breathing V Vomiting LoT Loss of Taste A Absent

    FREESIA
    SYMPTOMS OBSERVED/REPORTED
    NAME __/__/____ __/__/____ __/__/____ __/__/____
    Monday Tuesday Wednesday Thursday
    1.
    2.
    3.
    4.
    5.
    6.
    7.
    8.
    9.
    10.
    11.
    12.
    13.
    Note: As soon as any of the listed symptoms is observed among any of the learners, the teacher is expected to send the learner to the School Clinic immediately for the proper management by the School Clinic Teacher or health
    personnel.
    \

    Calanaga Rapu-Rapu Albay


    09993084384
    112024@deped.gov.ph
    Republic of the Philippines
    Department of Education
    Region V - Bicol
    SCHOOLS DIVISION OFFICE OF ALBAY
    Calanaga Elementary School
    Calanaga Rapu-Rapu Albay

    Submitted by: Noted:


    JERAMIE E. CONDE CESAR M. DELA RAMA
    Class Adviser School Head
    WEEKLY SUMMARY OF HEALTH STATUS OF PERSONNEL AND LEARNERS
    Inclusive Dates: ________________________
    School: CALANAGA ELEMENTARY SCHOOL

    NO. OF PUPILS WITH COVID-19 Status per


    NUMBER OF ACTION TAKEN
    GRADE LEVEL/SECTION DATE REPORTED SYMPTOMS Follow-Up REMARKS
    LEARNERS (Referred to)
    Observed/Reported (Positive/Negative)

    Submitted by: Noted by:

    __________________________________________ _____________________________________________

    Calanaga Rapu-Rapu Albay


    09993084384
    112024@deped.gov.ph
    Republic of the Philippines
    Department of Education
    Region V - Bicol
    SCHOOLS DIVISION OFFICE OF ALBAY
    Calanaga Elementary School
    Calanaga Rapu-Rapu Albay

    Clinic Teacher School Head

    Calanaga Rapu-Rapu Albay


    09993084384
    112024@deped.gov.ph

    You might also like