COVID -19 CONTACT TRACERS

PERFORMANCE MONITORING OF WEEKLY ACCOMPLISHMENTS

Name of Contact Tracer: DENMARK E. SABLAY

Field Assignment: Barangay, DIPINTIN Municipality/City: MADDELA Province QUIRINO Region 2 COVERED PERIOD: DECEMBER 30 to NOVEMBER 07-11,
2020
WORK/ACTIVITY DATES (mm/dd/yy) REMARKS
(1) (2) (3)

Conducted case interview/profiling/initial public health risk There is no positive case of covid-
assessments of COVID-19 cases and their identified close 19 at barangay Dipintin
contacts
0 (Number) of close and general contacts traced, profiled Zero (0) case No positive case of
and referred to LESO and/or isolation facilities covid-19 at barangay Dipintin
0 (Number) of challenging/complex No reported of complex, incidents
cases/incidents/outbreaks reported to Team Leader (TL) and outbreaks cases at barangay
Dipintin
Conducted daily monitoring of close and general contacts No close contacts to be monitored at
for at least 14 days barangay Dipintin
Encoded reports in the authorized application/system No encoded reports.

Submitted accomplished prescribed form for close No submitted accomplished

contacts/contact tracing prescribed form at barangay
Dipintin
0 (Number) Laboratory samples collected (if applicable or No laboratory samples collected.
authorized)
Reported surveillance activities on violation of the There is no violation reported
minimum health standards i.e. physical distancing, wearing
of face masks &/shields, etc.
0 (Number) queries on COVID-19 responded No reported queries of covid-19
Conducted relevant health education/instructions to No conducted relevant health
confirmed COVID-19 cases and contacts per DOH education to confirmed covid-19
protocols cases.
Attended relevant Briefings/Seminars/Meetings and No seminars and meetings attended.
provided inputs to protocols/guidance and standard
operating procedures
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

Performed another instruction/task provided by

LESO/TL/CLGOO or MLGOO

Daily monitoring of LSI and ROFW who’s under 14-day 12/07/20 12/08/20 12/09/20 12/10/20 12/11/20 Monitoring of (2) LSI (1 male, 1
quarantine period female LSI) at barangay Dipintin

Profiling of data of LSI and ROFW at barangay Dipintin 12/07/20 Profiling data of (1) male LSI at
barangay Dipintin

Updated the monitoring log book at barangay Dipintin 12/07/20 On December 05,2020 (2) LSI
completed the 14 days of quarantine
at barangay Dipintin

Prepared and submitted by: Verified by: Noted by:

DENMARK E. SABLAY MARJORIE A. LADIA BALDOVINO BALDWIN M. VALDEZ

Name & Signature Name and Signature of LESO/Team Leader Name & Signature of C/MLGOO

Receiving Officer ______________________________________ Date: ________________________________