Public Health Nursing Practice Manual
Acute Communicable Disease: Outbreak in a Healthcare Facility
Standard of Practice
© 2007 LAC DPH-Public Health Nursing
Number of employees and patients
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-
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.
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.
PHN Intervention – Surveillance:
Monitor case/contact(s) until cleared/closed.
Submit specimens as indicated.
Monitor facility for further outbreaks.
PHN Intervention – Health Teaching/Counseling:
Educate the staff, patients, and/or families regarding the symptoms, source, incubation period, mode of