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Public Health Nursing Practice Manual

Tuberculosis (TB) Cases and Suspects

Standard of Practice

Description

Practice

Planning (Cont.)

    • o

      Fax another request to the PMD if the form has not been received and documented in that progress note that this is the second request.

      • o

        Review the case with the PHNS and then the TB clinician if the PMD does not complete the “Request for Tuberculosis Medical Update” form or provide information within one week after the second request.

  • 6.

    PHN Intervention – Surveillance:

    • Monitor adherence to home isolation and “Patient Education Instructions for Home Isolation for Contagious Tuberculosis” H-3070, if applicable.

    • Monitor adherence to recommended medical treatment, if applicable.

    • Monitor client for complications and additional concerns until closure at least monthly and as needed.

  • 7.

    PHN Intervention – Other: Plan interventions needed to assist case/contact(s) with concerns identified in the PHN Assessment.

Implementation

The public health nurse implements the identified plan by partnering with others.

  • Coordination – The public health nurse coordinates programs, services, and other activities to implement the identified plan.

  • Health Education and Health Promotion – The public health nurse employs multiple strategies to promote health, prevent disease, and ensure a safe environment for populations.

  • 1.

    PHN interventions are implemented as stated in the plan:

    • Disease and Health Event Investigation

    • Case Finding

    • Health Teaching/Counseling

    • Referral and Follow-up

    • Case Management

    • Surveillance

    • Other interventions as needed

© 2007 LAC DPH-Public Health Nursing

C 46

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