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Public Health Nursing Practice Manual

Acute Communicable Disease: Outbreak in a Healthcare Facility

Standard of Practice

Planning

Description

The public health nurse develops a plan that reflects best practices by identifying strategies, action plans, and alternatives to attain expected outcomes.

Minnesota DHS PHN Section’s Public Health Interventions (PHN Interventions) are used to determine the plan (See list of interventions in Section/page A10).

  • Consult and collaborate as needed with:

    • o

      Public Health Nursing Supervisor (PHNS)

      • o

        Nurse Manager (as directed by PHNS)

      • o

        Area Medical Director (as directed by PHNS)

      • o

        Public Health Investigation (as directed by PHNS)

      • o

        ACDC (as directed by PHNS)

      • o

        Private/Public Health Laboratory

      • o

        Health Care Provider

      • o

        Environmental Health

      • o

        Public Health Registrar

      • o

        Health Care Facility Administrator/Nursing Director or Designee

      • o

        Health Facilities Division

      • o

        Other Regulatory Agencies

      • o

        Case/Contact, Employer or School/Child Care

      • o

        Family/Household

Practice

  • 1.

    PHN Intervention – Disease and Health Event Investigation:

    • Review Acute Communicable Disease Control Manual (B-73):

      • o

        Symptoms

        • o

          Incubation period

        • o

          Source

        • o

          Mode of transmission

        • o

          Period of communicability

        • o

          Specific treatment

        • o

          Control measures

    • Obtain educational and resource materials.

    • Obtain referral information.

    • Obtain specimen containers if applicable.

    • Elicit epidemiological data.

    • Determine if outbreak exists at initial visit.

    • Request outbreak number from registrar if needed and if there is no outbreak, refer back to PHNS.

    • Establish liaison for facility if not already done.

    • Relate outbreak to time, place, person (when? where? who?).

    • Analyze probable causative factor (how? why?).

    • Analyze actual/potential for spread of disease.

    • Take appropriate action in the event of sensitive occupation or situation (see B-73).

    • Develop a case definition.

    • Evaluate extent of illness in patients/staff/community.

    • Review staffing at the facility.

        • o

          Staff assignment/case relationship

        • o

          Staff/patient ratio

© 2007 LAC DPH-Public Health Nursing

C9

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