COVID-19 CONTACT TRACERS

PERFORMANCE MONITORING OF WEEKLY ACCOMPLISHMENTS

Name of Contact Tracer: JOVEN A. DIRAIN

Field Assignment: NEW ILALIM, OLONGAPO CITY Province : ZAMBALES Region : III COVERED PERIOD: MAY 1-7, 2021

WORK/ACTIVITY DATES (mm/dd/yy) REMARKS

(1) (3)
(2)
Conducted case interview/profiling/initial public health risk assessments of COVID-19
cases and their identified close contacts 05/02/21 05/05/21 Asinan _x000D_Confirmed Case - 2

New Ilalim
Suspect Case - 1_x000D_
__17__ (Number) of close and general contacts traced, profiled and referred to LESO 1st Gen CC - 1
and/or isolation facilities 05/01/21 05/02/21 05/06/21 05/07/21 _x000D_East Bajac-Bajac_x000D_
1st Gen CC - 13_x000D_
Suspect - 2

____ (Number) of challenging/complex cases/incidents/outbreaks reported to Team

Leader (TL) None for this week
Conducted daily monitoring of close and general contacts for at least 14 days 05/01/21 05/02/21 05/03/21 05/04/21 05/05/21 05/06/21 05/07/21 Conducted morning and afternoon monitoring
Encoded reports in the authorized application/system 05/01/21 05/02/21 05/03/21 05/04/21 05/05/21 05/06/21 05/07/21 Manual and written reports submission
Submitted accomplished prescribed form for close contacts/contact tracing 05/01/21 05/02/21 05/03/21 05/04/21 05/05/21 05/06/21 05/07/21
____ (Number) Laboratory samples collected (if applicable or authorized) Not Authorized
Reported surveillance activities on violation of the minimum health standards i.e.
physical distancing, wearing of face masks &/shields, etc.
___7_ (Number) queries on COVID-19 responded 05/01/21 05/02/21 05/03/21 05/04/21 05/05/21 05/06/21 05/07/21 Answered queries regarding safety measures for quarantine.
Conducted relevant health education/instructions to confirmed COVID-19 cases and
contacts per DOH protocols 05/01/21 05/02/21 05/03/21 05/04/21 05/05/21 05/06/21 05/07/21
Attended relevant Briefings/Seminars/Meetings and provided inputs to May 7 - Re-hired Contact Tracers Olongapo Monthly Assessment virtual meeting
protocols/guidance and standard operating procedures 05/07/21
Collaborated with other government agencies/private sector for enhanced contact
tracing
Completed and submitted accurate, up-to-date records of contacts/action and
accomplished relevant records and compliance with team handover procedures 05/01/21 05/02/21 05/03/21 05/04/21 05/05/21 05/06/21 05/07/21

May 3- submission of WPR for the period April 24-30, DTR and Reimbursements (hard
Performed other instructions/tasks provided by LESO/TL/CLGOO or MLGOO 05/03/21 05/07/21 copy)
May 7 - submission of WPR for the period April 1-7 for TL review and consolidation
May 3-7
Assisted the nurse taking blood pressure.
Assisted the nurse with the distribution of maintenance and medicines.
Others 05/03/21 05/04/21 05/05/21 05/06/21 05/07/21 Assisted the nurse in profiling of senior citizen for vaccination program.
Assisted the nurse for the issuance of medical certificate and health certificate.

Prepared and submitted by: Verified by: Noted by:

JOVEN A. DIRAIN ____________________________________________ ____________________________________________
Name and Signature of LESO/Team Leader Name & Signature of C/MLGOO
Name & Signature

Receiving Officer ______________________________________ Date: ________________________________

* LESO - Local Epidemiological Surveillance Officer
Instructions:
Column 1. Indicate the relevant contact tracing activity conducted per TOR
Columns 2. Write the dates when the activity/report was conducted/submitted.
Column 3. Write the patients' number/s, significant observations/clarifications, etc.

Notes: 1. Add additional rows to capture other activities conducted other than those listed.
2. The form will be submitted weekly to the DILG C/MLGOO but the entries will reflect daily record of accomplishments.