Orange County NC Website
Pace 2 of 2 <br /> FY <br /> N.C. Department of Environment, Health, and Natural Resources <br /> Division of Epidemiology <br /> CONTRACT ADDENDUM <br /> =unicable Disease Cant=l S,--Lion 95 45100 0 6 8 <br /> -ice, Section, or Branch Contract Number <br /> Orange Carmmicable Disease <br /> ..tractor Activitv <br /> 5) Staff with sufficient training to:- <br /> a) conduct an investigation to identify the source of infection and those at risk for <br /> spread of all reportable communicable diseases. <br /> b) conduct screening evaluations and examinations for those who present for <br /> service. <br /> C) provide appropriate management of cases and contacts to reportable <br /> communicable diseases including counseling, treatment, monitoring, and follow- <br /> up. <br /> d) evaluate and initiate appropriate action on referrals for services unavailable <br /> through the health department. <br /> e) make appropriate medical and psychosocial referrals for services unavailable <br /> through the health department. <br /> 6) An Infection Control Policy that addresses: <br /> a) management of patients to eliminate airborne disease transmission in the clinic <br /> (measles, TB). <br /> b) universal blood and body fluid precautions with all patients. <br /> C) routine use of aseptic technique to prevent nosocomial infection and infection to <br /> staff. <br /> d) required measles, mumps, rubella, and influenza immunization for all staff with <br /> direct patient contact. <br /> e) required hepatitis B immunization of those at high risk and with direct patient <br /> contact. <br /> f) management of blood exposures for patient or staff. <br /> 7) Coordination and consultation with other providers and institutions to assure appropriate <br /> screening, diagnosis, treatment, and reporting of communicable disease cases or suspected <br /> cases in county jails, nursing homes, rest homes, hospitals, homeless shelters, etc. <br /> 8) Reports are submitted within 30 days of initial report of 90% of foodborne and daycare outbreaks <br /> describing the steps in the outbreak investigations, results, analysis, conclusions, and <br /> interventions to prevent contractors and/or recurrence. <br /> 9) Written policies that outline items 1-8 above, as well as: <br /> a) outreach activities for groups at high risk for STD, TB, HIV, HBV; <br /> b) outreach activities for follow-up of immunization delinquency; <br /> C) confidentiality policies for staff including a written agreement and annual training <br /> for all staff. <br /> Copies of these written policies and activities shall be submitted to the Communicable Disease <br /> Control Section by October 1, 1994. <br /> Reviewed by <br />_EHNIR 3300 (Revised 2/90) <br />:eneral Services Initials Date <br />