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Public Health Nursing Practice Manual

Tuberculosis (TB) Contact Follow-up: Individual

Standard of Practice

Description

Assessment

The public health nurse collects comprehensive data pertinent to the health status of populations.

The most pertinent Healthy People 2010 Leading Health Indicators:

  • Substance Abuse

  • Responsible Sexual Behavior

  • Mental Health

  • Environmental Quality

  • Access to Health Care

  • Tobacco Use

Practice

  • 1.

    Review referral documents when received from the Public Health Nursing Supervisor (PHNS) and on the Nursing Practice Management System (NPMS). Document Date/Time/Signature on referral when received from PHNS.

  • 2.

    Analyze referral for:

  • Contact information

    • o

      TST status

      • o

        CXR results

      • o

        Date of last contact to index case

      • o

        Any medical and/or previous TB history

  • Status of source case and the risk to transmit (high or low)

  • Site of disease

  • Date of onset

  • Diagnosis

  • Source of referral – (if under private provider care, contact provider prior to home visit if contact was not already made by TB Control)

  • Tuberculin skin test (TST) results and BCG status

  • Chest X-Ray results

  • Bacteriology/laboratory results (i.e., pathology report, CSF chemistry, etc.) of index case

  • Any medical and/or previous TB history

  • Symptoms and probable communicability status

  • Medications for TB start date

  • Other medications

  • Number of persons potentially exposed

  • Description of site where exposure occurred, e.g. high school, skilled nursing facility, etc.

© 2007 LAC DPH-Public Health Nursing

C 49

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