Long-Term Care Manual

A guide for long-term care providers, nursing and assisted living facilities staff.


This online manual was developed by Spokane Regional Health District as a communicable disease guide for long-term care providers, nursing and assisted living facilities staff.



This section includes policies, procedures and forms for disease reporting.

Reporting Resources
HIPAA & Disease Reporting VAERS (Vaccine Adverse Event Reporting System)
Communicable Disease Reporting Form


The following fact sheets include information about hepatitis A, B and C.

Hepatitis Resources
Hepatitis A Fact Sheet Hepatitis B Fact Sheet Hepatitis C Fact Sheet


This section includes influenza-related fact sheets, vaccination policies and report forms.

Influenza Resources
Influenza Outbreak Report Form
Influenza in LTC Facilities FAQs
Seasonal Influenza Fact Sheet
Influenza Vaccination Policies for Healthcare Personnel


Find information about tuberculosis, diagnosing tuberculosis, drug regimen recommendations and tuberculosis-related laws and regulations pertaining to nursing homes.

Tuberculosis Resources
TB Suspect/Disease Report Form
Diagnosis of TB in Adults & Children
TB Fact Sheet
TB Drug Regimen Recommendations
How is 2-Step TB Testing Done?
TB Laws & Regulations for Nursing Homes
TB Skin Test Interpretation

Norovirus & Other Enteric Diseases

This section includes fact sheets, reporting forms and a toolkit for norovirus and gastroenteritis.

Norovirus & Other Enteric Diseases Resources
Gastroenteritis Daily Report Form
Gastroenteritis in Residential Facilities
Gastro/Noro Case Report Worksheet
Norovirus Outbreak Control Resource Toolkit
Norovirus Fact Sheet

Antibiotic Resistance

Learn about the implications of living with MRSA.

Antibiotic Resistance Resources
Moving to a Hospital or Skilled Nursing Facility - What to Expect When You Have MRSA


This section provides immunization schedules and personnel vaccination recommendations.

Immunizations Resources
Adult Immunization Schedules
Healthcare Personnel Vaccination Recommendations

Other SRHD Programs & Services

SRHD provides disease prevention and response-related services to the communities of Spokane County, including the following:

Other SRHD Programs & Services
Substantial Exposure to Bloodborne Pathogens
Stay Independent-Fall Prevention

Communicable Disease Fact Sheets

These fact sheets provide information about communicable diseases and associated ramifications for care facility settings and can be distributed to healthcare professionals as needed.

Communicable Disease Fact Sheets
Clostridium difficile
Pertussis Mosquitoes and West Nile Virus
Scabies for Institutional Settings
Zoster Algorithm/Transmission-Based Precautions
Communicable Disease Reporting & Resource Manual
Communicable Disease Reporting & Resource Manual

Manual containing disease information, reporting, immunization and county services listing for providers.

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