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Public Health Nursing Practice Manual

Acute Communicable Disease: Outbreak in a Non-Healthcare Facility

Standard of Practice

Description Practice

Planning

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

        Other Regulatory Agencies

      • o

        Public Health Registrar

      • o

        Facility Administrator or Designee

      • o

        Case/Contact Employer or School/Child Care

      • o

        Family/Household

  • 1.

    PHN Intervention – Disease and Health Event Investigation:

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

      • 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 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).

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

    • Develop case definition.

    • Conduct environmental assessment (hand washing facilities, bathrooms, laundry, trash, kitchen, etc.).

    • Review staffing:

        • o

          Staff assignment/case relationship

© 2007 LAC DPH-Public Health Nursing

C 16

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