Paper forms for SCI ETC

Owned by Aram Harrow
Last updated: Nov 17, 2014Version comment
1 min read

Paper forms for the Kerry Town Ebola Treatment Centre run by Save the Children.

The "patient and work flow" file [pptx, pdf] gives an overview.  The other files are forms.  They are:

  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.