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Public Health Nursing Practice Manual

Tuberculosis (TB) Source Case Finding in a Documented Converter

Standard of Practice

Planning (Cont.)

Description

  • o

    Agency where possible exposure occurred.

    • o

      Client/family/household

Practice

  • 2.

    PHN Intervention – Case Finding:

    • Initiate source case finding per Source Case/Associate Investigation Standards in the TB Control Program Manual 2003 (Appendix L).

    • Initiate evaluation of client and associates per LTBI guidelines (TB Control Program Manual 2003 page 2-

      • 6)

        .

    • Explain to the associate that the identity of the client is confidential.

    • Administer TST as indicated.

    • Refer suspected source case(s) for evaluation/treatment.

    • Initiate forms: H-289 and H-304.

  • 3.

    PHN Intervention – Health Teaching/Counseling:

    • Educate client/caretaker and associates regarding the disease process, necessary follow-up and medication prescribed.

    • Provide educational information as needed regarding TB infection vs. disease.

  • 4.

    PHN Intervention – Referral and Follow-up:

    • Refer associates to provider for evaluation and follow- up as needed.

    • If client was born in Mexico, has a family in Mexico or may be visiting there, provide the client with the “Cure TB” Binational Referral Program Wallet Card to facilitate continuity of care in the event of an unplanned trip or move.

© 2007 LAC DPH-Public Health Nursing

C 58

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