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 21-25, 2020
WORK/ACTIVITY DATES (mm/dd/yy) REMARKS
(1) (2) (3)
Conducted case interview/profiling/initial public health risk assessments of COVID- There is no positive case of covid-19 at
19 cases and their identified close contacts barangay Dipintin
0 (Number) of close and general contacts traced, profiled and referred to LESO Zero (0) case No positive case of
and/or isolation facilities covid-19 at barangay Dipintin
0 (Number) of challenging/complex cases/incidents/outbreaks reported to Team No reported of complex, incidents and
Leader (TL) outbreaks cases at barangay Dipintin
Conducted daily monitoring of close and general contacts for at least 14 days No close contacts to be monitored at barangay
Dipintin
Encoded reports in the authorized application/system No encoded reports.
Submitted accomplished prescribed form for close contacts/contact tracing No submitted accomplished prescribed form
at barangay Dipintin
0 (Number) Laboratory samples collected (if applicable or authorized) No laboratory samples collected.
Reported surveillance activities on violation of the minimum health standards i.e. There is no violation reported
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 confirmed COVID-19 cases and No conducted relevant health education to
contacts per DOH protocols confirmed covid-19 cases.
Attended relevant Briefings/Seminars/Meetings and provided inputs to No seminars and meetings attended.
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 quarantine period 12/21/20 12/22/20 12/23/20 12/24/20 12/25/20 Daily monitoring of 17 LSI at barangay
Dipintin
Updated the monitoring log book at barangay Dipintin 12/21/20 On December 21, 2020 (1) LSI completed the
14 days quarantine at Barangay Dipintin.
There are 17 LSI 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: ________________________________

 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: NOVEMBER 30 to DECEMBER 01-04, 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 and Zero (0) case No positive case of
referred to LESO and/or isolation facilities covid-19 at barangay Dipintin
0 (Number) of challenging/complex cases/incidents/outbreaks No reported of complex, incidents
reported to Team Leader (TL) and outbreaks cases at barangay
Dipintin
Conducted daily monitoring of close and general contacts for at No close contacts to be monitored
least 14 days at 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 minimum There is no violation reported
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 confirmed No conducted relevant health
COVID-19 cases and contacts per DOH protocols education to confirmed covid-19
cases.
Attended relevant Briefings/Seminars/Meetings and provided No seminars and meetings
inputs to protocols/guidance and standard operating procedures attended.
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 11/30/20 11/01/20 11/02/20 11/03/20 11/04/20 Monitoring of 7 LSI ( 2 male and
quarantine period 5 Female )
Profiling of data of LSI and ROFW at barangay Dipintin 11/03/20 Profiling data of (2) LSI

Updated the monitoring log book at barangay Dipintin 11/30/20 11/02/20 5 LSI AND 1 ROF completed the
14 days of quarantine.

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: ________________________________