Table 1

Checklist for patients before admission to NNU

1. The baby is transferred from

  •     which hospital?

_____

  •     which ward?

_____
2. Did the baby have a recent history of admission to another hospitals/other wards? If yes,Y / N

  •     which hospital(s)?

_____

  •     which ward(s)?

_____
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

  •     fever >38°C,

Y / N

  •         – if yes, when? Date: _____ Time: _____

  •     lymphopenia

Y / N

  •     chest infection

Y / N

  •     diarrhoea

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