Nurse Practitioner Led Emergency Clinic for Nosocomial Tuberculosis Exposure in a Level 3 NICU.

Neonatal Network : NN
Vidya Catherine Persad

Abstract

This article describes the nurse practitioner (NP) led management of a possible nosocomial exposure of tuberculosis (TB) in a level 3 NICU in Toronto, Canada. 26 babies, premature and term, were identified as being at risk and multiple emergency clinics were set up to diagnose possible infection, prescribe window prophylaxis, and monitor for adverse effects to the medication. The NICU NPs were chosen to organize, co-ordinate, and manage these emergency clinics because of their skills in leadership, diagnosing, therapeutic management, and client relationship building. The clinic was able to achieve 100 percent follow up with each at risk baby, from initial assessment through to completion of window prophylaxis with negative tuberculin skin test. Some insight in to the decision making surrounding possible TB outbreak management is provided, and special considerations around therapeutic management specific to this population are discussed. This incident demonstrates how nurse practitioners can be utilized to provide high quality care, across multiple clinical situations, to meet the needs of the health care system.

References

Jul 16, 2010·Journal of Clinical Psychology in Medical Settings·Debra S LefkowitzJacquelyn R Evans
Jan 23, 2016·American Journal of Perinatology·Ravi Mangal Patel
Aug 2, 2018·The New England Journal of Medicine·Thierno DialloDick Menzies

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