SUSPECT CASES OF SALMONELLA RELATED TO PET TREATS 2009

ACTUAL OR SUSPECTED FRAUD IMPROPER OR CORRUPT CONDUCT POLICY
ADMINISTRATIVELY RESTRICTED [TYPE TEXT] SUSPECTED CHILD ABUSENEGLECT REPORT (SCAN)
ADOPTED 02112005 GENERAL ORDER SUBJECT RECORDING OF SUSPECTS IN

ANNEX TO INTERVIEW REPORT OF A SUSPECTACCUSED DATED …………………
CIOMS FORM SUSPECT ADVERSE REACTION REPORT I REACTION INFORMATION
CLEANING AFTER A CONFIRMEDSUSPECTED COVID19 CASE APPROVED BY KFOSTER

Suspect cases of Salmonella related to pet treats 2009



Suspect cases of Salmonella related to Pet Treats 2009

Report Form


Reporting Veterinary Clinic________________________

Clinic Telephone_______________

Client Name _____________ Telephone_______________


Patient:

Name____________ Species_______________

Age _____ Sex _____ Breed _______________


Symptoms:

Fever _______ Lethargy Anorexia,

Vomiting Vomiting blood Dehydration

Diarrhea, (3 or more bowel movements in 24 hours)

Diarrhea with mucus or blood

Abdominal pain (infection is often associated with mesenteric lymphadenitis)

Peanut butter Treat Consumption (Aug 08-Jan 09)

Type of treat ______________Brand ____________

Where purchased____________________________

Is the package and treats available? Y N

If yes, please call us or fax the above information right away


Stool sample collection:

Cultured for Salmonella Y N

Lab_______________ Results __________________




Fax form to Emilio DeBess, Oregon Department of Human Services

971-673-1100


CORRECTIONS TB CASESUSPECT STATUS REPORT TB CASE SUSPECT
CROSSCUTTING TOOL 2 TB CASESUSPECT QA REVIEW FORM
EFFECTIVE DATE 5 JULY 2019 AP015 CIOMS FORM SUSPECT


Tags: cases of, cases, treats, related, suspect, salmonella