Case study: (at least 250 words)

Jane is an 18-year-old college student. She lives in the dorm with her roommate, Sally. Shortly after Jane returned from Christmas vacation, she developed a fever and a rash. She didn't feel too bad, but Sally persuaded her to see a doctor. Because it was Saturday, Jane went to the emergency department (ED) of the local hospital. The physician there made a diagnosis of rubella. Later that night, he and the nurses in the ED became very busy with victims of a multivehicle accident. As a result, no one completed the health department form reporting Jane's rubella until 2 days later.

By the time a community health nurse contacted Jane to complete a rubella case report, Sally and several other girls in Jane's dorm had also developed rubella. Sally gave it to her boyfriend, who exposed those in his classes. One of the women in his English class is pregnant.

What primary preventive measures could have been employed to prevent this situation? What primary prevention measures are appropriate at this point?

What secondary and tertiary measures by the community health nurse are appropriate at this time?

What roles will the community health nurse perform in dealing with this situation? What other public health personnel might the community health nurse collaborate with in addressing the situation?