X hits on this document

412 views

0 shares

0 downloads

0 comments

145 / 193

MET

NOT MET

N/A

MET

NOT MET

N/A

MET

NOT MET

N/A

MET

NOT MET

N/A

.STANDARD ELEMENTS

RECORD #

RECORD #

(1)

(2)

Year

Acute Communicable Diseases Standard of Practice Evaluation Form: Outbreak in a Non-Healthcare Facility/Agency

Circle appropriate period

Oct-March

April- Sept

PLANNING

Documents specific plan that is selected from the PHN Practice Manual (pp. C16-C18).

COMMENTS:

IMPLEMENTATION

  • 1.

    Completes and documents disease and health event investigation per PHN Practice Manual

    • (p.

      C18).

  • 2.

    Interviews for source (p. C18).

  • 3.

    Documents health teaching/counseling (p. C18).

  • 4.

    Refers facility administrator or designee as

needed (p. C18).

  • 5.

    Conducts surveillance of client as indicated

    • (p.

      C18). (Surveillance describes & monitors health events through ongoing & systematic collection, analysis, and interpretation of health data).

COMMENTS:

COMMENTS

PHN

__________________________

© 2007 LAC DPH-Public Health Nursing

F 24

Document info
Document views412
Page views412
Page last viewedSun Dec 04 23:23:59 UTC 2016
Pages193
Paragraphs8231
Words44235

Comments