Checklist for patients before admission to NNU
| 1. The baby is transferred from | |
|
_____ |
|
_____ |
| 2. Did the baby have a recent history of admission to another hospitals/other wards? If yes, | Y / N |
|
_____ |
|
_____ |
| 3. Was there any probable or suspected SARS patients in the above ward(s)? | Y / N |
| 4. Did the baby have any contact (direct/indirect) with probable or suspected SARS patients before transferral? | Y / N |
| 5. Has the mother got signs and symptoms suggestive of SARS? | Y / N |
|
Y / N |
|
|
|
Y / N |
|
Y / N |
|
Y / N |
| 6. Has the baby travelled outside Hong Kong recently? | Y / N |
| If yes, where? | _____ |
| 7. Do any family members have probable or suspected SARS? | Y / N |









