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Public Health Nursing Practice Manual

Acute Communicable Disease: Outbreak in a Healthcare Facility

Standard of Practice

Description

Assessment

The public health nurse collects comprehensive data pertinent to the health status of populations.

The most pertinent Healthy People 2010 Leading Health Indicators are:

  • Environmental Quality

  • Mental Health

  • Immunization

  • Responsible Sexual Behavior

  • Access to Health Care

Practice

  • 1.

    Review outbreak form or referral when received from Public Health Nursing Supervisor (PHNS) and on the Nursing Practice Management System (NPMS). Document Date/Time/Signature on referral when received from PHNS.

  • 2.

    Analyze report for:

    • Lab data

    • Disease

    • Symptoms (duration)

    • Date of onset

    • Incubation period

    • Source

    • Mode of transmission

    • Period of communicability

    • Specific treatment

    • Control measures

    • Number of staff/patients affected

    • Size/type of facility

    • Name of facility liaison

  • 3.

    Assess for other facility needs or concerns unrelated to the outbreak.

Population Diagnosis and Priorities

The public health nurse analyzes the assessment data to determine the population diagnoses and priorities.

Analyze the collected assessment data to determine if there is an identified, actual or potential problem.

  • 1.

    Verify the medical diagnosis and determine the priority of action:

    • Review Section/page D1-D2 of the Public Health Nursing Practice Manual for priority per Acute Communicable

© 2007 LAC DPH-Public Health Nursing

C7

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