Contact tracing is time-consuming, repetitive, and its success can potentially depend on the efficiency of the contact tracer. STEP 3. fever, cough, shortness of breath, diarrhea/GI, headache, muscle ache, chills, sore throat, vomiting, abdominal pain, nasal congestion, loss of smell, loss of taste, malaise, fatigue, other with description. Each jurisdiction will develop specific guidance on symptom monitoring and reporting, and what to do if symptoms get worse; the patient should be given local resources and referrals. APP and username? Interviewers should ask for the names of all employees, visitors or vendors they had close contact with in the workplace starting from 48 hours before symptoms appeared through the time of the interview. Where do they work? Medical: hospital (inpatient); acute care facility, skilled nursing facility, long-term medical care facility, etc. Family gatherings, Social residential gatherings, exercise/workout buddies, hiking or camping, hunting or fishing trips, cooking class, yoga class, dance class, other enrichment classes, book club meeting, birthday party, baby shower, wedding, funeral, barbecue, weekend getaway, block party, holiday pot-luck, vacation, visited family or friends at nursing home/group home, etc. •Discuss and address contact concerns about being notified or interviewed. Video surveillance can provide visual evidence and confirmation throughout the four steps of contact tracing. Hospital, Emergency Room, physician offices, dialysis centers, laboratories, dentist offices, pharmacies, ambulance transport, physical therapy, etc. 2. guidelines for TB contact tracing (6), which recommend that a contact investigation be conducted when a patient has confirmed or suspected pulmonary, laryngeal, or pleural TB, and a sputum smear or chest radiograph indi-cates TB. •Explain the rationale for each section included in the Contact Tracing Questionnaire. In 1984, contact tracing provided the first direct evidence that AIDS may be spread by an infectious agent during sexual contacts. I am calling on behalf of agency name. Cell number? *Please note this list is not inclusive of all possible type of, potluck birthday celebration in the living room, 25 people overall, but lengthy conversation with 2 council members, Residential Street Address, City, State, Zip Code, Date of interview, including any dates of interview attempts, Ask about all symptoms listed in health department’s case interview form and include date of onset, Date and results of first and last SARS-CoV-2 tests, if applicable. When did you see them last? h�bbd```b``~"W�H�� ��X�D2��O�ɯ`���&�I ��"0�6�)X�f� �� �r:X6LV�H߫`]�A�EX|3�d�u�? Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. You Speak Validate Feelings. h�b``�b``�f```Y��0�D8�ż��������\�X�VA�z�@�zV1��� In the beginning of the interview, it will be important that the interviewer establish a trust and rapport with the patient, reassure any concerns about confidentiality, and convey the intent to support the patient during the isolation period. Generally, contact tracing includes the following steps: • Case investigation: Public health staff work with a patient to help them recall everyone with whom they have had close contact during the time when they may have been infectious. ����S ��w`�i�V"u��lM�9�`�$ɞ"��$?3�ڇ�J �)v]��;�� !.���{�� . 176 0 obj <>/Filter/FlateDecode/ID[]/Index[100 116]/Info 99 0 R/Length 246/Prev 315592/Root 101 0 R/Size 216/Type/XRef/W[1 3 1]>>stream This survey looked at Americans’ views of three key steps of contact tracing related to the coronavirus outbreak that would be initiated by a public health official. The information gathered on demographic variables will help to monitor the patient and to better understand the patient’s living situation so that appropriate support is offered. What is their date of birth? Can patient self-isolate (explain what this means)? Contact tracers use clear protocols to notify, interview, and advise close contacts to patients with confirmed or probable COVID-19. The 4 steps of contact tracing Contact tracing for COVID-19 can be broken down into four main steps: The first Assess for the presence of symptoms and provide contacts with guidelines on quarantine to prevent potential spread of infection. Who old are they? In addition, the interviewer will assess if the patient understands the COVID-19 diagnosis and their ability to infect others. Here are the key contact-tracing steps attorneys say employers should take when following CDC guidelines. This lesson will provide information on how to use effective communication techniques, prepare for and conduct an interview, and approach your interactions with cultural humility. Contact tracing may sound like taking your contacts out of your eyes and then drawing circles around them. After carefully determining the contact elicitation window, the interviewer will ask a series of questions to ensure all close contacts (within 6 feet for a total of 15 minutes or more) are identified. 215 0 obj <>stream What name do they go by? The contact tracing process starts with the contact tracer calling or contacting the case's contacts, informing them of their exposure, asking about symptoms, and giving them instructions about quarantine. When did you last spend time with them? Help Your Contact Understand Public . 100 0 obj <> endobj Update policies and procedures. • Notify close contacts within one business day of the potential COVID-19 exposure and provide COVID-19 Quarantine Instructions: Wellness 360 or the Infection Control Nurse will report Positive Case to San Antonio Metropolitan Health District (employee, student, faculty) if case was diagnosed at Wellness 360 or other UT Health Physician group. Contact tracing for COVID-19 includes four key steps: Identify and notify cases of their confirmed or probable COVID-19 status. Determine start and end date of contact elicitation window Date of contact elicitation Total number of household contacts CT Interview Script Version 11/04/2020 Page 3 of 20 CONTACT TRACING INTERVIEW Select Contact to call: If you receive voice mail, leave the following message: “Hi, this is interviewer name. The contact tracing process includes two distinct processes: 1) to notify individuals who test positive and need to isolate; and, 2) to notify individuals who are exposed to a COVID-positive individual and discuss next steps which may include quarantine. Where is that located? 0 You will be subject to the destination website's privacy policy when you follow the link. As a Contact Tracer, you will conduct interviews with persons under investigation (PUIs) and their contacts. Staff will also ask other questions about A successful case interview allows for the collection of critical information about the case and potentially exposed contacts, while providing support, referrals, and answers to questions the case may have. Prepare for the . STEP 2 Make a line list. If anyone asks you one or more of these questions, hang up without providing any information. •Recite the introductory and closing script of the contact tracing interview. health care personnel (HCP)) and/or congregate living or work settings (e.g. To receive email updates about COVID-19, enter your email address: Key Information to Collect During a Case Interview, Centers for Disease Control and Prevention. The Basics of Tracing. Who do they live with? After carefully determining the contact elicitation window, the interviewer will ask a series of questions to ensure all close contacts (within 6 feet for a total of 15 minutes or more) are identified. In the event one of the contacts is later diagnosed, step 3 cycles back to step 1 and the process repeats; in this way, contact tracing is a cascading process. When Contact Tracers conduct interviews, they collect private information that should only be stored and shared for the purposes of contact tracing. This monitoring process is called contact tracing, which can be broken down into 3 basic steps: Contact identification: Once someone is confirmed as infected with a virus, contacts are identified by asking about the person’s activities and the activities and roles of the people around them since onset of illness. COVID-19 Contact Tracing Interview Script. STEP 2. Step 2: Identify and Interview Symptomatic Employees Interview the symptomatic employee as soon as possible after they are identified. The interviewer will explain to the patient the importance of self-isolation, provide isolation instructions, and assess the patient’s ability to self-isolate and need for any social support. The goals of the patient interview are to assess the patient’s medical condition, gather information for continued monitoring and support, and obtain the names and location information for contacts who may have been exposed to COVID-19. Contacts can be anyone who has been in contact with an infected person: … I will be in the office dates and times. •Summarize the sequence of activities involved in conducting a contact tracing interview. Step Four: Interview the index case to … CDC twenty four seven. Lyft, Uber, carpool, bus, commuter van, light rail, train, airline travel, cruise, etc. %%EOF Ask if a patient’s COVID-19 clinical course included any of the following: hospitalization, intensive care unit (ICU), ventilator, extracorporeal membrane oxygenation (ECMO), other clinical management or pneumonia, stroke, myocardial infarction (heart attack), among other complications. Contact tracing is a long relied on public health investigation tool that is intended to help slow the spread of highly contagious diseases by: Interviewing someone with a positive diagnosis and working to identify all of the people they’ve had close contact with during the time they may have been infectious. Steps to Contact Tracing STEP 4 Provide information to the Public Health Unit. The purpose of this section is to gather information on the patient’s symptoms, clinical course, and pre-existing conditions. Dr. Paul Cieslak, Medical Director, Acute and Communicable Disease section, Oregon Health Authority STEP 1 Interview and isolate cases. As with STI partner notification, the first step in a TB con-tact investigation is to gather background information about the patient from the medical record, reporting phy- The interviewer will provide health education as needed. What underlying medical conditions might they have? If you receive voice mail, leave the following message: “Hi, this is interviewer name. A health department official that is trained in contact tracing interviews the person who tested positive in order to find close contacts. Interviews should include a discussion about confidentiality and verification of demographics (e.g., age, sex, race). case investigation/contact tracing sample interview sheet to help determine who may have had COVID-19 exposure. The interview in step 2, for example, can be supported by a review of security camera footage that might reveal a more complete picture of where that … National Center for Immunization and Respiratory Diseases (NCIRD), Contact Tracing Resources for Health Departments, Case Investigation & Contact Tracing Guidance, Prioritizing Case Investigations and Contact Tracing in High Burden Jurisdictions, Prioritizing COVID-19 Contact Tracing Mathematical Modeling Methods and Findings, COVID-19 Contact Tracing Communications Graphics, Criteria for Investigating Suspected SARS-CoV-2 Reinfection, Toolkit for Health Officials Managing Companion Animals with SARS-CoV-2, Disaster Sheltering of Household Pets, Service Animals, & Support Animals, Guidance for Disaster Shelters During COVID-19, Monitoring & Evaluating Community Mitigation Strategies, Institutes for Higher Education Evaluation, Investigating Cases in Non-Healthcare Work Settings, Contact Tracing by Community Health Workers, Communication Resources for Health Departments, U.S. Department of Health & Human Services. What do they do (their job/role)? Steps in Contact Tracing STEP 1. Help identify who needs to be notified. �Z�z����`��y�,�T��;�́q9,�������ѝ�I�>�t�0��Q@��aEҧ���'-�Γ�cX�}Q�`�q��L�8���;�]8����d�1��1a}J+�a�6}�Q4��l��x�= .���r�"�` Y?� ;$[f�Ʌ�f*��ܪ�,�R6�͓�n�8���@���I�pg���������pf`����� 1� What is the best way to reach them? What do they know about your (the patient’s) COVID status? City, State? Schools, child care, grocery stores, drug stores, shops/shopping malls, restaurants, coffee shops, hardware store, bank, worship centers, movie theaters, sporting events, concerts, bars/brewhouse, night clubs, library, bowling alley, bingo hall, barber shop, hair salon, nail salon, brow or eyelash salon, day spa, tattoo shop, piercing shop, yoga studio, gym, street faire, festival, county/state fair, animal shelter, airport,  etc. STEP 3 Interview contacts and quarantine for 14 days. View The Four Steps of Contact Tracing.docx from SOCL 101 at Loyola University Chicago. endstream endobj startxref Interview. Interview the positive individual Walk through the 3 Interview PUI. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Overview of Contact Tracing. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Supportive Services Introduce the reasons for contact tracing. The criteria for discontinuing self-isolation should be explained. Provide instructions on isolation and treatment. The steps for proper contact tracing sound simple, but can become quite complex depending on the severity of the disease, the number of close contacts, the willingness of the public to participate, and the availability of human capital to undertake these steps: Identify a person with the disease (i.e., a “case”) There are 4 steps involved in contact tracing: Identify a positive case. Steps for Contact Tracing: 1. Contact tracing can help identify the etiology of a disease outbreak. For how long (minutes/hours)? Tips for Contact Tracing Interviews. What is their name? I am calling on behalf of agency name. The infective agent has since been identified as HIV.. Backward and forward tracing. endstream endobj 101 0 obj <>/Metadata 2 0 R/Names 177 0 R/Pages 98 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 102 0 obj <. Inform them of their contact status and what that means. ... “Since you have come in contact with someone who has tested positive for COVID-19, there are some steps you can take to avoid spreading the disease to others. You want to dress appropriately and professionally for the job … Identification of close contacts exposed to the virus is one of the important components of the case interview. Developing a trusting understanding with the patient is the key to providing the most effective support, while collecting the most accurate information to inform the next steps in the contact tracing investigation. 1. Step 1: Tracing If you’re diagnosed with COVID-19, a public health worker called a contact tracer will get in touch with you to help identify your contacts. %PDF-1.6 %���� If the patient lives or works in a congregate setting, gather name and address of setting and whether it is correctional facility, dorm, group home, nursing home, homeless shelter, food processing plant, multi-family household, multi-generational or high occupancy household, etc. 1) Case investigation for individuals who test positive For Coronavirus Disease 2019 (COVID-19) Adapted from the Michigan Department of Health and Human Services, Division of HIV and STD Programs . Total number of intimate partners (that do not reside with patient), Any other people in close contact, including coworkers, Full name and other names that they are also known as (AKA), Setting where exposure occurred (home, school, day care, workplace, place of worship, shelter, hospital/medical care, travel or transit, retail setting), Date of most recent exposure and duration of exposure in minutes, Ask patient about any community settings where may have exposed others, Can include public transportation, retail, large community social event, recreational activity, and place of worship and many others, Specific area within facility (e.g., Room 208, living room), Duration of time spent in each area within the facility. Does patient need assistance to self-isolate? A case and contact tracer will never ask for your immigration status, your social security number, financial information, or tell you who may have exposed you to COVID-19. Please call me back at contact number. The interviewer should introduce themselves, explain the reason for calling (e.g., laboratory or provider report), explain the interview process, and begin with the collection of basic information. Add close contacts to your COVID-19 contact tracing roster. Jurisdictions can use the following steps and considerations as a framework when developing a protocol for the tracing of close contacts . Interview cases and help them identify the people they were in contact with during their infectious period. Health Guidance Link Your Contact to . Email? If a person tests positive for COVID-19, the testing laboratory notifies the local health department of the positive test. The purpose of assessing risk factors is to determine the patient’s exposure history, and any high-risk occupation (e.g. The purpose of this document is to provide key information that should be covered in the case interview. food processing plants, correctional facilities, long-term care facilities). A legitimate call from public health will start with questions about your name, address, and date of birth. Where do they live? Saving Lives, Protecting People. It is important that I talk with you. Address? Can include chronic lung disease, diabetes, severe obesity, cardiovascular disease (CVD), chronic renal disease, chronic liver disease, immunocompromised, pregnant (if female). •List the materials needed to conduct a contact tracing interview. This includes conducting a thorough contact tracing interview, tracking all of the follow-up steps that are needed to ensure the person is following the proper guidelines for isolation, and that they meet the criteria to eventually return to work. If the patient is an HCP or first responder gather name and address of setting and whether it is a hospital, ambulatory care, urgent care, long-term care, hospice, ambulance company, fire department, law enforcement, etc. Dress Appropriately for the Interview. 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