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Public Health Nursing Practice Manual

Sexually Transmitted Disease

Standard of Practice

Outcomes Identification

Description

The public health nurse identifies expected outcomes for a plan that is based on population diagnoses and priorities.

Outcome Objectives:

  • Prevent the spread of sexually transmitted diseases in Los

Angeles County.

  • Case and contacts are free of STD.

1.

Practice

Determine and document specific health needs/goals for client/contact situation.

  • Determine appropriate timeline for attainment of the outcomes according to the assessment and diagnoses.

  • Ensure that client’s treatment is completed and partner(s) is referred for follow up as indicated.

o o o

Public Health Nursing Supervisor (PHNS) Nurse Manager (as directed by PHNS) Area Medical Director (as directed by PHNS)

o o o

Public Health Investigator (as directed by PHNS) STD Clinician and Clinic Staff Sexually Transmitted Disease Program (as directed

o o o o o o

by PHNS) DCFS SCAN Team Law Enforcement Family/household Private/Public Health Laboratory Health Care Provider

Planning

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

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

  • Consult and collaborate as needed with:

  • 1.

    PHN Intervention – Disease and Health Event Investigation:

    • Review:

      • o

        Symptoms

      • o

        Incubation period

      • o

        Source

      • o

        Period of communicability

      • o

        Specific treatment

      • o

        Control measures

      • o

        Sexually Transmitted Disease Procedure Manual

    • Obtain STD educational and resource materials.

    • Analyze actual/potential for spread of disease.

    • Determine psychosocial, socioeconomic and cultural influences and attitudes.

    • Determine risk factors for infection/re-infection.

    • Client visit:

      • o

        Provide identification and explain the purpose of the visit to the client

      • o

        Secure private setting for interview

      • o

        Ensure client confidentiality

      • o

        Elicit epidemiological data

© 2007 LAC DPH-Public Health Nursing

C 32

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