Documents facility specific plan that is selected from the PHN Practice Manual (pp. C9-C11).
Completes and documents disease and health event investigation per PHN Practice Manual
Interviews for source (p. C12).
Documents health teaching/counseling
Refers facility administrator or designee as needed (p. C12).
Conducts surveillance of facility as indicated
C12). (Surveillance describes and monitors health events through ongoing and systematic collection, analysis, and interpretation of health data).
© 2007 LAC DPH-Public Health Nursing
Acute Communicable Disease Standard of Practice Evaluation Form: Outbreak in a Healthcare Facility
Circle appropriate period