COVID-19 Products

COVID-19 Incident Report for Patient or Visitor

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Did the patient have direct contact with the environment where the confirmed COVID- 19 patient was cared for? E.g. bed, linen, medical equipment, bathroom, personal effects etc. • Yes • No • Unknown During the period of interaction with a COVID-19 infected patient, did the patient have any episode of exposure with biological fluid/respiratory secretions? • Yes • No • Unknown If yes, which type of exposure? • Splash of biological fluid/respiratory secretions in the mucous membrane of eyes • Splash of biological fluid/respiratory secretions in the mucous membrane of mouth/nose • Splash of biological fluid/respiratory secretions on non-intact skin • Puncture/sharp accident with any material contaminated with biological fluid/respiratory secretions Exposure event description:

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