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Public Health Nursing Practice Manual

Tuberculosis (TB) Contact Follow-up: Individual

Standard of Practice

Planning

Description

The public health nurse develops a plan that reflects best practices by identifying strategies, action plans, and alternatives to attain expected outcomes.

Minnesota DHS PHN Section’s Public Health Interventions (PH Interventions) are used to determine the plan (See list of interventions in Section A10).

  • Consult and collaborate as needed with:

    • o

      Public Health Nursing Supervisor (PHNS)

      • o

        Nurse Manager (as directed by PHNS)

      • o

        Area Medical Director (as directed by PHNS)

      • o

        TB Control (as directed by PHNS)

      • o

        TB Clinician and Clinic Staff

      • o

        Private/Public Health Laboratory

      • o

        Health Care Provider

      • o

        Public Health Investigation

      • o

        Agency where possible exposure occurred

      • o

        Client/Contact’s Employer/School/Child Care/ Agency

      • o

        Family/Household

Practice

  • 1.

    PHN Intervention - Disease and Health Event Investigation:

    • Review:

      • o

        Symptoms

        • o

          Incubation period

        • o

          Source

        • o

          Mode of transmission

        • o

          Period of communicability

        • o

          Specific treatment

        • o

          Control measures

(TB Control Program Manual 2003 Chapters 3 and 4)

  • Obtain TB educational and resource materials.

  • Obtain TST supplies, as needed.

  • Review CHS Policy #201 regarding Area Medical Director’s authority over control of communicable disease in the health districts.

  • Consult with PMD/TB Clinician, contact the facility/agency, determine the contact person, if indicated.

  • Elicit epidemiological data from facility/agency or school district representative if applicable.

  • Determine the onset of symptoms and current status of symptoms of the index case.

  • Analyze actual/potential for spread of disease.

  • Assess environmental factors (e.g. indoor, poor ventilation, specific duties, size and location of worksite/classroom).

  • Determine the impact of the diagnosis on cultural beliefs and psychosocial impact on contacts.

  • Assess barriers to adherence and medical history.

© 2007 LAC DPH-Public Health Nursing

C 51

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