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Public Health Nursing Practice Manual

Acute Communicable Disease: Outbreak in a Healthcare Facility

Standard of Practice

Planning (Cont.)

© 2007 LAC DPH-Public Health Nursing

Description

Practice

      • o

        Number of employees and patients

      • o

        Total capacity

  • Conduct environmental assessment (bathrooms, laundry, trash, kitchen, etc.). Note deficiencies and report to Los Angeles County Department of Public Health, Health Facilities Licensing and Certification Division (800-228-

    • 1019)

      .

  • Review and institute appropriate control measures.

  • Document on epidemiological form.

  • Complete line listing of cases involved.

  • Complete a facility floor plan, noting locations of cases and contacts.

  • Maintain a desk card on outbreaks that require more than one-month follow-up for resolution.

  • Initiate a medical record.

  • 2.

    PHN Intervention – Case Management:

    • Implement a facility management plan based on interpretation of findings.

    • Notify public health laboratory about the outbreak after obtaining outbreak number from the registrar, name of the facility, and number of anticipated specimens.

  • 3.

    PHN Intervention – Surveillance:

    • Monitor case/contact(s) until cleared/closed.

      • o

        Submit specimens as indicated.

    • Monitor facility for further outbreaks.

  • 4.

    PHN Intervention – Health Teaching/Counseling:

    • Educate the staff, patients, and/or families regarding the symptoms, source, incubation period, mode of

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