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Public Health Nursing Practice Manual

Tuberculosis (TB) Cases and Suspects

Standard of Practice

Description

Assessment

The public health nurse collects comprehensive data pertinent to the health status of populations.

The most pertinent Healthy People 2010 Leading Health Indicators:

1.

Practice

Review referral documents when received from the Public Health Nursing Supervisor (PHNS) and on the Nursing Practice Management System (NPMS). Document Date/Time/Signature on referral when received from PHNS.

  • Substance Abuse

  • Responsible Sexual Behavior

  • Mental Health

  • Environmental Quality

  • Access to Health Care

  • Tobacco Use

Population Diagnosis and Priorities

The public health nurse analyzes the assessment data to determine the population diagnoses and priorities.

Analyze the collected assessment data to determine if there is an identified, actual or potential problem.

© 2007 LAC DPH-Public Health Nursing

  • 2.

    Analyze report for:

    • Site of disease

    • Date of onset

    • Diagnosis

    • Source of referral (if under private provider care, contact provider prior to home visit if contact was not already made by TB Control)

    • Tuberculin skin test (TST) results and BCG status

    • Chest X-Ray results

    • Bacteriology/laboratory results (i.e., pathology report, CSF chemistry, etc.)

    • Any medical and/or previous TB history

    • Symptoms and probable communicability status

    • Medications for TB/Other medications

    • Living situation/psychosocial factors

    • Contact referral source if insufficient/incomplete information given and client is not currently hospitalized

  • 3.

    Assess case/household per PHN Assessment criteria.

  • 1.

    Verify the medical diagnosis and determine the priority of action:

    • Review Section/page D7 of the Public Health Nursing Practice Manual for priority or determine the priority of action in consultation with the PHNS as needed. Document priority selected.

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