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Public Health Nursing Practice Manual

Tuberculosis (TB) Contact Follow-up: Individual

Standard of Practice

Implementation (Cont.)

Description

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

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

Practice

    • Surveillance

    • Other interventions as needed

  • 2.

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

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

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.

  • 1.

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

  • 2.

    Determine and document action for the non-adherent contact:

    • Consult with PHNS and the TB Clinician.

  • 3.

    Complete investigation forms:

    • Submit as follows or within timeframe agreed upon in

consultation with PHNS:

  • o

    Higher risk contact within public health nurse’s district: submit within 30 days.

    • o

      Lower risk contact within public health nurse’s district: submit within 45 days.

    • o

      Higher risk contact outside of public health nurse’s district: send a copy of the H-289 and the original H-304 to district of residence within 7 days.

© 2007 LAC DPH-Public Health Nursing

C 54

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