Public Health Nursing Practice Manual
Standard of Practice
© 2007 LAC DPH-Public Health Nursing
Tuberculosis (TB) Cases and Suspects
PHN Intervention – Health Teaching/Counseling:
Educate client/contacts using culturally sensitive and age appropriate information (verbal and written).
Educate client/contacts regarding the disease process, necessary follow-up and medication prescribed.
Provide instruction on appropriate specimen collection, if applicable.
Educate about TB and precautions needed to prevent the spread of disease, if client is communicable.
PHN Intervention – Referral and Follow-up:
Refer all contacts for evaluation and follow-up, if applicable (PHN TB Contact Follow-up Individual Standard C49-C55).
Refer client to provider for ongoing follow-up.
Refer client/contacts to community resources as needed according to identified needs.
If the client was born in Mexico, has family in Mexico or may be visiting there, provide the client the “Cure TB” Binational Referral Program wallet card to facilitate continuity of care in the event of an unplanned trip or move.
PHN Intervention – Case Management:
Maintain desk card on the client.
Document all interventions in the medical record.
Notify public health center TB clinician/PMD of changes in status of client, if applicable.
PHN TB Class 3/5 Assessment Form