Sample Case Log to Track Staff with Gastrointestinal Illness Staffing Illness Description Laboratory Identification Illness Assignment Confirmation Complications at N) of Y (Y/N) (Y/N) ( (Y/N) (Y/N) time (Y/N Sample (Y/N) illness & Collected illness Title location (M/F) Name Age Date Nausea Diarrhea Date Collected Date Norovirus Hospitalized Sex onset Fever Vomiting Stool Positive Employment healthcare Job and/or another and resolved (Y/N) facility
Sample Case Log to Track Staff with Gastrointestinal Illness Identification Staffing Assignment Illness Description Laboratory Confirmation Illness Complications Name Age Sex (M/F) Job Title and/or location Date & time of onset illness Fever (Y/N) Nausea (Y/N) Vomiting (Y/N) Diarrhea ( Y N) Date illness resolved Stool Sample Collected (Y/N) Date Collected Norovirus Positive (Y/N) Hospitalized (Y/N) Employment at another healthcare facility (Y/N and