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Public Health Nursing Practice Manual

Standard of Practice

Planning (Cont.)

© 2007 LAC DPH-Public Health Nursing

Tuberculosis (TB) Cases and Suspects

Description

Practice

  • Review chart within 2 working days after each clinic visit or within timeframe agreed upon with the PHNS for:

    • o

      Problems elicited

      • o

        Medication changes

      • o

        Clinical orders

      • o

        Sputum results

      • o

        Drug susceptibility

      • o

        DOT adherence

      • o

        Diagnosis

      • o

        Closure

  • Contact client for broken chest clinic appointments (TB Control Program Manual 2003 page 5-12 and 5-13 and PHN Practice Manual D7).

  • Contact client for broken DOT appointments (TB Control Program Manual 2003 page 5-13 and PHN Practice Manual D7).

  • Request for PMD medical update initially and every month as long as TB case/suspect continues with treatment or until closure.

      • o

        Initiate PMD Cover Letter and the “Request for Tuberculosis Update” form via fax to the PMD and document in progress notes that the medical update has been requested.

      • o

        Review the information provided on the update form received from PMD and route to TB clinician for review.

      • o

        Contact the PMD if the “Request for Tuberculosis Medical Update” form is not returned within one week to determine if the client remains under their care and if the form was received.

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