Public Health Nursing Practice Manual
Tuberculosis (TB) Source Case Finding in a Documented Converter
Standard of Practice
Regulatory Activities – The public health nurse identifies, interprets, and implements public health laws, regulations, and policies.
The public health nurse evaluates the health status of the population (all affected by the case).
This is done by examining the effectiveness of the interventions, including the need for modification of the interventions, in relation to outcomes.
Evaluate the effectiveness of the interventions on the health of the client(s); e.g. document client/caretaker understands the difference between TB infection and disease:
Determine and document action for the non-adherent client/caretaker:
Consult with PHNS.
Complete investigation forms:
Disposition the H-304 as “closed to PMD”, for clients who will continue with their PMD for medical supervision.
Disposition and submit the H-304 per instructions for clients under county health center supervision.
Complete and submit the H-289 with the dispositioned statistical copies of the H-304s of the associates within 45 days of receipt of the original report or within timeframe agreed upon with the PHNS.
Ensure that H-304 Preventative Treatment Closure copies are dispositioned and submitted, if indicated.
Complete and submit Interjurisdictional TB Notification Form (ITBN), if indicated.
Document in the NPMS:
© 2007 LAC DPH-Public Health Nursing
File a copy of the PHN Assessment per the PHN
Assessment Form instructions.