Outbreak screening

An outbreak is defined as more cases of a disease than expected in a specific location over a specific time period. Often, these outbreaks are the result of either failures in infection control practices or contaminated equipment or medications. Suspicion must be maintained that an outbreak may be due to non-infectious causes such as poisoning or nutritional deficiencies.

Screening involves broad-scale testing of a population to see who may be infected. This type of testing can help identify infected individuals before they have a chance to spread the contagion to many others. And, if infected individuals quickly undergo a temporary quarantine, use of screening can decrease the likelihood of large outbreaks.

1. (If you have not done so already) Access the EHR module in the ESO Suite.

   1. Do one of the following.

      • (If you are already working in the ESO Suite) Click the Home icon in the upper left corner of the screen.

        

      • (If you have not yet logged in) Log in to the ESO Suite.

        1. In a web browser, go to https://www.esosuite.net/EsoSuite.

           The ESO Suite login screen appears.

        2. Enter your user name, password, and agency name, then click Let's Go.

           If MFA multi-factor authentication is enabled, the Multi-factor authentication dialog box appears, displaying one or more methods you can use to verify your login credentials. The number of methods that appear in the dialog box depends on what MFA methods your ESO Suite administrators enabled in the Admin module.

           Click graphics to open them.

           Information on enabling MFA and specific MFA methods is available in the Admin module online help, in Configure multiple-factor authentication.

           Note: If your ESO Suite administrators have disabled MFA ("opted-out"), this dialog does not appear.

        3. (If the Multi-factor authentication dialog box appears) Depending on which buttons appear in the dialog box, verify your login in one of the following ways.

           With an authenticator application.

           1. Click MFA verification via authenticator app.

              The dialog box updates with boxes for entering the numbers of the authentication code, and the ESO Suite sends an authentication code to the authenticator application installed on your device.

              

           2. Open your authenticator application and note the authentication code currently displayed.

           3. Enter the authentication code displayed in the authenticator application.

           4. Click Log In.

           With a text message (SMS short message service).

           1. Click MFA verification via SMS.

              The dialog box updates with boxes for entering the numbers of the authentication code, and the ESO Suite sends an authentication code to the phone number recorded in your PM records and identified with MFA codes.

              

           2. Enter the authentication code sent to your MFA-registered phone number.

           3. Click Log In.

           With an email message.

           1. Click MFA verification via email.

              The dialog box updates with boxes for entering the numbers of the authentication code, and the ESO Suite sends an authentication code to your agency or department email address, recorded in your PM records.

              

           2. Enter the authentication code sent to your agency or department email address.

           3. Click Log In.

      The ESO Suite landing screen appears.

      Click graphics to open them.

      Note: If MFA multi-factor authentication is enabled, you can access and manage your MFA options through the PM module, on the Settings > Account page, as described in Manage a user account. If your agency or department has enabled MFA but has not purchased the full-featured version of the PM module, you can access your own MFA settings by clicking Change my Multi-Factor Authentication settings on the landing screen, then using the Settings > Account page that appears. If your agency has not enabled MFA, the Change my Multi-Factor Authentication settings link does not appear on the landing screen.

   2. On the top side of the home screen, click EHR.

      Tip: If your screen or browser window is too narrow to display all your agency's ESO Suite module icons, an options icon appears on the right side of the icon bar. If you click the options icon, a menu appears containing additional module icons.

      The EHR screen appears, displaying a list of patient records in the EHR module. The most-recent records appear at the top of the list.

      

      Different record status icons can appear in the list.

      Icon	Status
      	Unlocked/Draft The patient record exists in the ESO Suite database, and all crew members listed in the patient record may edit all fields in the record. ESO Suite administrators and personnel with security roles of either EHR Supervisor or EHR Manager can edit non-clinical fields.
      	Mobile The patient record exists on the mobile device, and has not been synchronized with the ESO Suite database. ESO Suite administrators, personnel with security roles of either EHR Supervisor or EHR Manager, and all crew members listed in the patient record can only access a print view of the record. Once the Mobile record synchronizes with the ESO Suite database. the record reflects its current status.
      	Locked The patient record exists in the ESO Suite database, and is locked. Only non-clinical fields can be edited by crew members listed in the patient record, ESO Suite administrators and personnel with security roles of either EHR Supervisor or EHR Manager.

2. (If you have not done so already) Add a new patient record, or search for the existing patient record you want to work with.

   Information on adding or opening a patient record is available in Add a patient record and Search for a patient record.

   The patient record opens and displays the Incident tab, with the Response bookmark selected in the left pane. Fields appear in the right pane for specifying basic information about the incident

   

   If you manually created a new patient record, the Incident Number and State Tracking Number fields populate automatically with ESO Suite-assigned values. You must enter data in all other required fields.

   If you imported data from a CAD Computer Aided Dispatch system, the Incident Number field populates with the data from that source. Other fields in the EHR module may also populate from these sources, depending on what data was recorded in them before the data was imported into the EHR module.

3. At the top of the page, click the Forms tab.

   The contents of the Forms tab appear, listing all the forms your ESO Suite administrator has enabled in the Admin module.

   

4. Click Outbreak Screening.

   The Outbreak Screening dialog box appears, with the Onset bookmark selected in the left pane.

   

5. Record the treatment data in one of these ways.

   Indicate that you could not obtain the data.

   • In the upper right corner of the dialog box, click UTO, then select the appropriate single option from the menu that appears.

     All sections of the Outbreak Screening dialog box update to remove fields and buttons for data collection, and display the reason you were unable to obtain the data.

     

   Record the outbreak screening data.

   1. For Select the outbreak for which you are screening, click the field or the list icon to the right of the field, then select the appropriate single option from the menu that appears.

      Note: If the name of the outbreak you want to screen for does not appear as a menu option, contact ESO customer support and ask that an administrator add the option.

   2. Collect signs and symptoms onset information.

      1. For Onset Time, click the number pad icon to the right of the field, then enter the appropriate numerical values from the number pad dialog box that appears for the time the screening process began for the outbreak.

      2. For Date, click the calendar icon on the right end of the field and select the appropriate date from the calendar that appears for the date the screening process began for the outbreak.

   3. List the patient's symptoms.

      1. In the left pane, click the Symptoms bookmark.

         The right pane scrolls down to the top of the Symptoms section of the page.

         

      2. For Symptoms, click None, or click the list icon to the right of the field, select all the appropriate options from the menu that appears, then click OK or click outside the menu to identify the symptoms the patient presents with.

         Understand the link between the EHR and Admin modules when selecting outbread symptoms.

         The menu options that appear in the Symptoms dialog box are defined in the Admin module, under EHR > Forms Tab > Configurable Lists > Outbreak Symptoms.

         Example: In the EHR module, for the Symptoms field, you may need options such as Fever, Cough, Sore throat, Shortness of breath, and so forth. Your ESO Suite administrator must add corresponding ADL agency-defined list items in the Admin module, under EHR > Forms Tab > Configurable Lists > Outbreak Symptoms, for these items to appear as menu choices in the EHR module.

         If no options appear, or if the menu does not have an option that meets your needs, contact your ESO Suite administrator and ask them to add the necessary menu choices. You will need to work closely with your administrator to create and maintain these lists, as your department's needs evolve over time.

         Information on building ADL lists for the EHR module is available in the Admin module online help, in Configure tabs.

   4. Document the patient's recent travel and contact history.

      1. In the left pane, click the History bookmark.

         The right pane scrolls down to the top of the History section of the page.

         

      2. Indicate the patient's travel history in the last 30 days.

         1. For the following fields, click Yes or No to indicate the patient's travel history.

            Field	Information needed
            Has the patient traveled outside the community in the last 30 days	An indication of the patient's travel out of the community, but still within the country, in the last month. If you click Yes, the Travel Start Date, Travel End Date, and Travel Locations fields appear.
            Has the patient traveled outside the United States in the last 30 days	An indication of the patient's travel abroad in the last month. If you click Yes, the Travel Start Date, Travel End Date, and Countries fields appear.

         2. (If you clicked Yes) Record the dates and locations of the patient's travels.

            1. For Travel Start Date and Travel End Date, click the calendar icon on the right end of the field and select the appropriate date from the calendar that appears to specify when the patient began and ended their travel.

            2. (If it appears) In Locations, type the names of any locations within your country that the patient has visited in the last month.

            3. (If it appears) In Countries, type the names of any countries abroad that the patient has visited in the last month.

      3. Record the person's contact and possible exposure history.

         • For the following fields, click Yes or No to indicate the patient's travel and contact history.

           Field	Information needed
           Has the patient had household or other close contact with someone with the above travel history and symptoms	An indication of the patient's contact with others who have traveled in the last month.
           Has the patient had household or other close contact with someone with a confirmed diagnosis of the illness for which we are screening	An indication of the patient's contact with others who have been diagnosed with the illness which is being screened for.

      4. In Comments, type any additional information about the patient and their possible contact/exposure to the illness that is relevant to the screening.

6. Click OK.

   The dialog box closes, and a green triangle appears in the upper right corner of the form button, to indicate that data exists in this form.