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Public Health Nursing Practice Manual

Acute Communicable Disease: Outbreak in a Non-Healthcare Facility

Standard of Practice

Description Practice

Planning (Cont.)

© 2007 LAC DPH-Public Health Nursing

      • o

        Staff/client ratio

        • o

          Number of employees and clients

        • o

          Total capacity

    • Review and institute appropriate control measures.

    • Document on epidemiological form.

    • Complete line listing of cases involved.

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

    • Initiate 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/contacts until cleared/closed.

    • Submit specimens as indicated.

    • Monitor facility for further outbreaks.

  • 4.

    PHN Intervention – Health Teaching/Counseling:

    • Educate the staff, clients, and/or families regarding the symptoms, source, incubation period, mode of transmission, period of communicability, and precautions needed to prevent the spread of infection per the B-73.

    • Discuss the need for case/contacts to have evaluation/clearance and explain procedures.

    • Provide instruction on appropriate specimen collection (if applicable).

C 17

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