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Public Health Nursing Practice Manual

Tuberculosis (TB) Cases and Suspects

Standard of Practice

Description

Practice

Implementation (Cont.)

Consultation – The public health nurse provides consultation to various community groups and officials to facilitate the implementation of programs and services.

Regulatory Activities – The public health nurse identifies, interprets, and implements public health laws, regulations, and policies.

2. Document all consultations, collaborations, interventions, and client/caretaker encounters on the investigation forms, and/or in the medical record/NPMS

Evaluation

The public health nurse evaluates the health status of the population (all affected by the case).

The PHN examines the effectiveness of the interventions, including the need for modification of the interventions in relation to outcomes.

© 2007 LAC DPH-Public Health Nursing

  • 1.

    Evaluate the effectiveness of the interventions on the health of the client/contact(s); e.g. document client understands the disease process and prevention of transmission:

  • 2.

    Determine and document action for the non-adherent client and/or if client cannot be located:

  • Consult with the TB clinician for non-adherent clients.

  • Make 2 home visit attempts to verify the client’s residence. If client cannot be found, consult with the PHNS for review and recommendations.

  • Attempt to locate the client via postal clearance and calling emergency numbers or other contact numbers listed in the client record.

  • If the client is referred for district PHI follow up, contact the assigned PHI every 2 weeks until final disposition and document the client’s status in the medical record.

  • If the client is referred for TBC PHI follow up and a Legal Order was initiated, contact the assigned TBC PHI monthly until final disposition and document the client’s status in the medical record.

C 47

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