X hits on this document

433 views

0 shares

0 downloads

0 comments

176 / 193

MET

NOT MET

N/A

MET

NOT MET

N/A

MET

NOT MET

N/A

MET

NOT MET

N/A

MET

NOT MET

N/A

MET

NOT MET

N/A

STANDARD ELEMENTS

RECORD #

RECORD #

RECORD #

(1)

(2)

(3)

Year

PLANNING

Documents client specific plan that is selected from the PHN Practice Manual (pp. C51-C53).

COMMENTS:

IMPLEMENTATION

  • 1.

    Completes and documents disease and health event investigation per PHN Practice Manual (p. C53).

  • 2.

    Initiates contact investigation (p. C53).

  • 3.

    Documents health teaching/counseling

    • (p.

      C53).

  • 4.

    Refers client as needed (p. C53).

  • 5.

    Conducts surveillance of client as indicated (p. C54). (Surveillance describes & monitors health events through ongoing & systematic collection, analysis, & interpretation of health data).

COMMENTS:

© 2007 LAC DPH-Public Health Nursing

COMMENTS

F 55

April- Sept

Tuberculosis (TB) Contact Follow-up Standard of Practice Evaluation Form: Individual

Circle appropriate period

Oct-March

PHN

__________________________

Document info
Document views433
Page views433
Page last viewedTue Dec 06 09:41:16 UTC 2016
Pages193
Paragraphs8231
Words44235

Comments