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Public Health Nursing Practice Manual

Tuberculosis (TB) Source Case Finding in a Documented Converter

Standard of Practice

Description

Practice

Assessment

Population Diagnosis and Priorities

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

  • Injury and Violence

  • Immunizations

  • Environmental Quality

  • Access to Health Care

  • Tobacco Use

The public health nurse analyzes the assessment data to determine the population diagnoses and priorities.

Analyze the collected assessment data to determine if there is an identified, actual or potential problem.

  • 1.

    Review referral documents when received from 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 report for:

    • 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

    • Travel History (i.e. time in the United States)

    • Medications for latent TB infection

    • Other medications

  • 3.

    Assess client/household per PHN Assessment criteria.

  • 1.

    Verify the medical diagnosis and determine priority of

action:

  • Review Section/page D7 of the Public Health Nursing Practice Manual and the Source Case/Associate Investigation Standards in the TB Control Program Manual 2003 (Appendix L) for the priority of action or determine priority in consultation with the PHNS as needed. Document priority selected.

© 2007 LAC DPH-Public Health Nursing

C 56

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