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Public Health Nursing Practice Manual

Tuberculosis (TB) Cases and Suspects

2.

Consider the client’s/household’s need for nursing interventions based on the medical diagnosis.

3.

Consider the client’s/household’s need for nursing intervention to promote health, facilitate well being, foster healing, alleviate suffering, and improve quality of life.

1.

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 and per the TB Control Program Manual 2003 (pages 5-4 and 5-14).

Practice

Standard of Practice

Population Diagnosis and Priorities (Cont.)

Description

Outcomes Identification

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

Outcome objectives:

  • Prevent the spread of TB within families, communities,

health facilities, or other populations.

  • Cure the client of TB disease.

Consult and collaborate as needed with:

o o o o o o o

Public Health Nursing Supervisor (PHNS) Nurse Manager (as directed by PHNS) Area Medical Director (as directed by PHNS) TB Control (as directed by PHNS) Private/Public Health Laboratory TB Clinician and clinic staff Health Care Provider

o

Public Health Investigation

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 (PH Interventions) are used to determine the plan (See list of interventions in Section/page A10).

  • 1.

    PHN Intervention – Disease and Health Event Investigation:

    • Review:

      • o

        Symptoms

        • o

          Incubation period

        • o

          Source

        • o

          Mode of transmission

        • o

          Period of communicability

        • o

          Specific treatment

        • o

          Control measures

        • o

          TB Control Program Manual 2003 Chapters 3 and 4

    • Obtain TB education and resource materials.

    • Obtain specimen containers, if applicable.

    • Obtain TST supplies, as needed.

© 2007 LAC DPH-Public Health Nursing

C 41

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