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Public Health Nursing Practice Manual

Standard of Practice

Evaluation (Cont.)

© 2007 LAC DPH-Public Health Nursing

Tuberculosis (TB) Cases and Suspects

Description

Practice

  • 3.

    Complete reporting forms:

    • Submit (H-290) registration within 14 days of receipt of the suspect referral or within timeframe agreed upon in consultation with the PHNS.

    • Ensure that the H-304 is dispositioned and submitted, if indicated.

    • Submit TB Patient Clinical Summary (H-513) for closure within 7 days of closure or within time frame agreed upon during consultation with the PHNS.

    • Ensure that the H-290 confirmation is submitted within 7 days of the final culture report from all sites, within 7 days of clinical diagnosis or within timeframe agreed upon in consultation with PHNS.

    • Ensure that the H-289 is submitted to TB Control after the completion of the initial screening process. The initial screening process is completed once the H-304s are dispositioned.

  • 4.

    Assessment::

    • Complete the PHN TB Class 3/5 Assessment Form and file in client’s chart.

    • File a copy of the PHN Assessment Form per the PHN Assessment Form instructions.

  • 5.

    Evaluate client satisfaction:

  • Give client satisfaction form to the client for completion and submission in a pre-addressed, stamped envelope.

C 48

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