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Public Health Nursing Practice Manual

Tuberculosis (TB) Cases and Suspects

Standard of Practice

Planning (Cont.)

Description

  • o

    Agency where possible exposure occurred

    • o

      Client/contact’s employer/school/child care/agency

    • o

      Family/household

Practice

    • Elicit epidemiological data.

    • Determine the onset of symptoms and current status of symptoms.

    • Analyze actual/potential for spread of disease.

    • Determine the probability of adherence.

    • Determine the impact of the diagnosis on cultural beliefs and psycho/social impact.

    • Provide instruction on appropriate specimen collection, if applicable.

    • Institute appropriate control measures, if applicable.

    • Document all consultations, collaborations, interventions and client encounters in the medical record.

  • 2.

    PHN Intervention – Case Finding:

    • Initiate contact investigation per Contact Investigation Standards in the TB Control Program Manual 2003 (Appendix L).

    • Explain to the client that confidentiality will be safeguarded.

    • Administer TST, if applicable.

    • Refer contacts for evaluation/treatment (PHN TB Contact Investigation Standard C49-C55), if applicable.

    • Initiate appropriate forms: H-289 and H-304, if applicable.

    • Initiate source case finding for children who are Class 3/5 (Source Case/Associate Investigation Standards in the TB Control Program Manual 2003 Appendix L).

© 2007 LAC DPH-Public Health Nursing

C 42

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