Chapter 9 Part 3 and Clinical PowerPoints
Class B: Report by when?
the end of the next business day
THE NURSE HAS TO FOLLOW UP WITH WHO after the patient's appointment?
the healthcare provider
Class B: Disease of public health concern needing _ response because of potential for _ spread - report by the _ of the _ _ _ after the existence of a _, a _ _ , or a _ laboratory result is known
timely; epidemic; end; next business day; case; suspected case; positive
Who investigate outbreaks?
epidemiologists
Class A, B, or C communicable Diseases: healthcare associated
c
Class A, B, or C communicable Diseases: histoplasmosis
c
Class A, B, or C communicable Diseases: institutional
c
Class A, B, or C communicable Diseases: outbreaks
c
Class A, B, or C communicable Diseases: pediculosis
c
Class A, B, or C communicable Diseases: scabies
c
Class A, B, or C communicable Diseases: staphylococcal infections
c
Class A, B, or C communicable Diseases: waterborne
c
Class A, B, or C communicable Diseases: zoonotic
c
Pandemic: What does "pan" mean?
all
What should HEALTHCARE PROVIDERS report about people with communicable diseases? (8)
1. name 2. diagnosis 3. date of birth 4. sex 5. phone number 6. address 7. supplementary surveillance information 8. healthcare provider name, phone number, and address
Why should we report communicable diseases?: 1. _ _ and _ 2. _ of the _ of disease in Ohio 3. Identification of _
1. Disease control; prevention 2. documentation; distribution 3. outbreaks
Who reports?: 1. _ _ with knowledge of a _ or _ _ of a disease which is required to be reported 2. _ that examine _ of _origin with evidence of diseases which are required to be reported 3. _ _ having knowledge of a person suffering from a disease suspected of being _
1. Healthcare providers; case; suspected case 2. Laboratorians; specimens; human 3. Any individual; communicable
What do laboratories report? (6)
1. Specimen identification number 2. Specimen collection date 3. Specimen type 4. Test name 5. Test result 6. Organism and serotype
If a nurse is working in the ED and you have someone with ebola, what happens? (4)
1. You tell charge nurse 2. you go to the infectious disease control manual 3. find the infectious disease control person in the hospital by the end of the day 4. infectious disease control person will call the health department
Class C: Report what about these diseases? (3)
1. an outbreak 2. unusual incident 3. epidemic
You, the nurse, have a patient in the ED with ebola: 1. You tell the _ _ 2. you go to the _ _ _ _ 3. find the _ _ _ person in the hospital by the end of the day 4. _ _ _ person will call the health department
1. charge nurse 2. infectious disease control manual 3. infectious disease control 4. infectious disease control
What are the 6 types of CLASS C outbreaks?
1. community 2. foodborne 3. healthcare-associated 4. institutional 5. waterborne 6. zoonotic
Who reports communicable diseases? (3) SHORT
1. healthcare providers 2. laboratorians 3. anyone
Who reports communicable diseases? (3)
1. healthcare providers with knowledge of a case or a suspect case 2. laboratorians that examine specimens of human origin with evidence of diseases 3. any individual having knowledge of a person suffering from a disease suspected of being communicable
Class C: Report an epidemic of what 4 diseases?
1. histoplasmosis 2. pediculosis 3. staphylococcal infections 4. scabies
What do laboratories report?: 1. specimen _ _ 2. Specimen _ _ 3. Specimen _ 4. Test _ 5. Test _ 6. _ and _
1. identification number 2. collection date 3. type 4. name 5. result 6. organism; serotype
Healthcare Providers and Laboratories: 1. To the _ _ _ in which the _ or _ _ resides 2. If residence is unknown, report to the _ _ _ in which the _ _ or _ is located
1. local health jurisdiction; case; suspected case 2. local health jurisdiction; healthcare provider; laboratory
Health Care Providers 1. _ of case or suspect case 2. _ or _ diagnosis 3. _ _ _ of case or suspect case 4. _ of case or suspect case 5. _ _ of case or suspect case 6. _ of case or suspect case 7. _ _ information 8. _ _'s _, _ number and street _
1. name 2. diagnosis; suspected 3. Date of birth 4. sex 5. phone number 6. address 7. Supplementary surveillance 8. healthcare provider's name; phone; address
Case investigation: . For COVID-19, a close contact is anyone who was within _ _ of an infected person for at least _ _
6 feet; 15 minutes
Class A, B, or C communicable Diseases: Any unexpected pattern of cases, suspected cases, deaths or increased incidence of any other disease of major public health concern, because of the severity of disease or potential for epidemic spread, which may indicate a newly recognized infectious agent, outbreak, epidemic, related public health hazard or act of bioterrorism.
A
Class A, B, or C communicable Diseases: Diseases of major public health concern because of the severity of disease or potential for epidemic spread
A
Class A, B, or C communicable Diseases: Diseases of major public health concern because of the severity of disease or potential for epidemic spread - report immediately via telephone upon recognition that a case, a suspected case, or a positive laboratory result exists. Any unexpected pattern of cases, suspected cases, deaths or increased incidence of any other disease of major public health concern, because of the severity of disease or potential for epidemic spread, which may indicate a newly recognized infectious agent, outbreak, epidemic, related public health hazard or act of bioterrorism.
A
Class A, B, or C communicable Diseases: report immediately via telephone upon recognition that a case, a suspected case, or a positive laboratory result exists.
A
Class A, B, or C communicable Diseases: Disease of public health concern needing timely response because of potential for epidemic spread
B
Class A, B, or C communicable Diseases: Disease of public health concern needing timely response because of potential for epidemic spread - report by the end of the next business day after the existence of a case, a suspected case, or a positive laboratory result is known.
B
Class A, B, or C communicable Diseases: report by the end of the next business day after the existence of a case, a suspected case, or a positive laboratory result is known
B
Where should local health jurisdictions report?
ohio department of health
Class A, B, or C communicable Diseases: report by the end of the next business day
B and c
What is consulted for disease specific information regarding monitoring, treatment of communicable diseases?
Infectious Disease Control Manual
Outbreak: _ _ _ _ of a particular disease, in a _ _ , or among a specific _ _ _ , over a particular _ _ _
More cases than expected; given area; group of people; period of time
The communicable disease PHN receives a report from a healthcare provider or laboratory (or both). The information received is entered into a statewide data entry and monitoring system called what?
Ohio Disease Reporting System
Where should the reports be made by healthcare providers and laboratories?
To the local health jurisdiction in which the case or suspected case resides
Where should reports be made by healthcare providers and laboratories if the residence is unknown?
To the local health jurisdiction in which the healthcare provider or laboratory is located
Class A, B, or C communicable Diseases: by the end of the next business day.
b and c
Class A, B, or C communicable Diseases: Outbreaks: Community, foodborne, healthcare-associated, institutional, waterborne, zoonotic
c
Class A, B, or C communicable Diseases: Report an outbreak, unusual incident or epidemic of other diseases
c
Class A, B, or C communicable Diseases: Report an outbreak, unusual incident or epidemic of other diseases (e.g. histoplasmosis, pediculosis, scabies, staphylococcal infections) by the end of the next business day. Outbreaks: Community, foodborne, healthcare-associated, institutional, waterborne, zoonotic
c
Class A, B, or C communicable Diseases: community
c
Class A, B, or C communicable Diseases: foodborne
c
Class C: Report an outbreak, unusual incident or epidemic of other diseases (e.g. histoplasmosis, pediculosis, scabies, staphylococcal infections) when?
by the end of the next business day
When should class b and c diseases be reported?
by the end of the next business day
Case investigation: During the case investigation, the_ _ works with a patient who has COVID-19 to help them recall everyone they had close contact with during the time when they may have been infectious.
health department
Case investigation vs contact tracing: An infected person can spread COVID-19 starting 48 hours (or 2 days) before the person had any symptoms or tested positive for COVID-19.
case investigation
Case investigation vs contact tracing: During this, the health department works with a patient who has COVID-19 to help them recall everyone they had close contact with during the time when they may have been infectious.
case investigation
Case investigation vs contact tracing: For COVID-19, a close contact is anyone who was within 6 feet of an infected person for at least 15 minutes.
case investigation
Case investigation vs contact tracing: Part of the process of supporting patients with suspected or confirmed infection.
case investigation
Case investigation vs contact tracing: Part of the process of supporting patients with suspected or confirmed infection. Public health staff work with a patient to help them recall everyone with whom they have had close contact during the timeframe while they may have been infectious.
case investigation
Case investigation vs contact tracing: Public health staff work with a patient to help them recall everyone with whom they have had close contact during the timeframe while they may have been infectious.
case investigation
Case investigation vs contact tracing: The identification and investigation of patients with confirmed and probable diagnoses of COVID-19.
case investigation
Case investigation vs contact tracing: The identification and investigation of patients with confirmed and probable diagnoses of COVID-19. During this, the health department works with a patient who has COVID-19 to help them recall everyone they had close contact with during the time when they may have been infectious. For COVID-19, a close contact is anyone who was within 6 feet of an infected person for at least 15 minutes. An infected person can spread COVID-19 starting 48 hours (or 2 days) before the person had any symptoms or tested positive for COVID-19.
case investigation
Case investigation vs contact tracing: You have a patient with a communicable disease
case investigation
Case investigation: Case investigation is the identification and investigation of patients with _ and _ diagnoses of _
confirmed; probable; COVID-19
Case investigation vs contact tracing: Contacts are encouraged to stay home and maintain social distance from others (at least 6 feet) until 14 days after their last exposure, in case they also become ill. They should monitor themselves by checking their temperature twice daily and watching for cough or shortness of breath
contact tracing
Case investigation vs contact tracing: The infected patient's identity is not discussed with contacts, even if asked.
contact tracing
Case investigation vs contact tracing: The subsequent identification, monitoring, and support of a confirmed or probable case's close contacts who have been exposed to, and possibly infected with, the virus.
contact tracing
Case investigation vs contact tracing: The subsequent identification, monitoring, and support of a confirmed or probable case's close contacts who have been exposed to, and possibly infected with, the virus. The infected patient's identity is not discussed with contacts, even if asked.
contact tracing
Case investigation vs contact tracing: To protect patient privacy, contacts are only informed that they may have been exposed to a patient with the infection.
contact tracing
Case investigation vs contact tracing: by warning these exposed individuals (contacts) of their potential exposure as rapidly and sensitively as possible.
contact tracing
Case investigation vs contact tracing: · Contacts are provided with education, information, and support to understand their risk, what they should do to separate themselves from others who are not exposed, monitor themselves for illness, and the possibility that they could spread the infection to others even if they themselves do not feel ill.
contact tracing
Case investigation vs contact tracing: · To protect patient privacy, contacts are only informed that they may have been exposed to a patient with the infection. They are not told the identity of the patient who may have exposed them.
contact tracing
Case investigation vs contact tracing: · To the extent possible, public health staff should check in with contacts to make sure they are self-monitoring and have not developed symptoms. Contacts who develop symptoms should promptly isolate themselves and notify public health staff. They should be promptly evaluated for infection and for the need for medical care.
contact tracing
Case investigation vs contact tracing: Public health staff then begin doing this by warning these exposed individuals (contacts) of their potential exposure as rapidly and sensitively as possible.
contract tracing
Class A: Diseases of major public health concern because of the severity of disease or potential for _ spread
epidemic
Class B: Disease of public health concern needing timely response because of potential for _ spread
epidemic
outbreak vs epidemic vs pandemic: affecting an atypically large number of individuals
epidemic
outbreak vs epidemic vs pandemic: an outbreak involving large numbers of people, over a wide geographic area, affecting an atypically large number of individuals within a population, at the same time
epidemic
Outbreaks may sometimes lead to _ or _
epidemics; pandemics
If the patient doesn't have insurance, what does the public health nurse do?
drive them to the department of health and family services and get them medicaid insurance
If the public health nurse cannot get in contact with a positive patient by phone, what do they do next?
go to their house
Class A cases should be reported _ _ _
immediately by phone
Class A: Report when/how?
immediately by phone
When should you report class A diseases?
immediately by phone
Class A: d - report _ via _ upon recognition that a _, a _ _, or a _ laboratory result exists.
immediately; phone; case; suspected case; positive
outbreak vs epidemic vs pandemic: Epidemiologists investigate these.
outbreak
outbreak vs epidemic vs pandemic: More cases than expected of a particular disease, in a given area, or among a specific group of people, over a particular period of time.
outbreak
outbreak vs epidemic vs pandemic: More cases than expected of a particular disease, in a given area, or among a specific group of people, over a particular period of time. Epidemiologists investigate these. These may sometimes lead to epidemics or pandemics
outbreak
outbreak vs epidemic vs pandemic: These may sometimes lead to epidemics or pandemics
outbreak
Class C: Report an _, _ incident or _ of other diseases (e.g. histoplasmosis, pediculosis, scabies, staphylococcal infections) by the end of the next business day
outbreak; unusual; epidemic
Epidemiologists investigate what?
outbreaks
outbreak vs epidemic vs pandemic: All
pandemic
outbreak vs epidemic vs pandemic: Pan= All.
pandemic
outbreak vs epidemic vs pandemic: Worldwide or widespread epidemic.
pandemic
outbreak vs epidemic vs pandemic: Worldwide or widespread epidemic. Pan= All.
pandemic
outbreak vs epidemic vs pandemic: worldwide
pandemic
What section of the Infectious Disease Control Manual is particularly helpful because it provides specific instructions of the public health nurse?
public health management
The nurse can't close the case until the patient gets what?
treatment and education
True/False: Often, public health nurses make multiple calls for referrals
true
Do you have to report suspected cases?
yes
