WWW.DISSERTATION.XLIBX.INFO
FREE ELECTRONIC LIBRARY - Dissertations, online materials
 
<< HOME
CONTACTS



«10/08/2015 1 Welcome to the Division of Substance Abuse Services TB Training and Examination. Prior to beginning the training, please review the: • ...»

Tuberculosis (TB) Training

and Examination

10/08/2015

1

Welcome to the Division of Substance Abuse Services TB Training and

Examination. Prior to beginning the training, please review the:

• Tuberculosis Control Guidelines for Alcohol and Drug Abuse Prevention

Programs; and/or

• Tuberculosis Control Guidelines for Alcohol and Drug Abuse Treatment

Programs.

The training will go into detail about the Tuberculosis (TB) Symptom

Screening Tool. Once you have completed the training, click on the link to begin the examination.

Thank you!

2

The Purpose:

• To identify and prevent tuberculosis (TB) disease and latent TB infection (TBI) among employees and volunteers who are providing direct prevention services (e.g. Tennessee Prevention Network).

• To provide procedures on administration of the Symptom Screening Tool, testing and education for employees and volunteers.

• To provide the timelines for baseline screening on employees and volunteers.

• To give direction if the symptoms suggested active TB disease.

3

The Purpose:

• To identify and prevent tuberculosis (TB) disease and latent TB infection (TBI) among employees, volunteers, and service recipients in alcohol and drug treatment programs.

• To provide procedures on administration of the Symptom Screening Tool, testing and education for employees, volunteers and service recipients.

• To provide the timelines for baseline screening on employees, volunteers, and service recipients.

• To indicate which treatment levels of care are required to be tested for TB.

• To give direction if the symptoms suggested active TB disease.

• To document that the guidelines and procedures for TB Services (e.g., screening, testing, counseling and referral for treatment) were developed as statutorily required.

4

The Purpose:

• To determine the presence or absence of active TB disease or TB Infection (TBI) in employees and volunteers of alcohol and drug prevention and treatment programs and recipients of alcohol and drug treatment services;

• To provide baseline screening for symptoms of active TB disease and appropriate testing for TBI all new employees and new volunteers prior to employment or provision of volunteer services;

• To ensure that all employees and volunteers who provide direct care services are screened and counseled annually for symptoms of active TB disease and appropriately tested for TBI;

• To ensure that all alcohol and drug prospective service recipients are screened and counseled for symptoms suggestive of active TB disease prior to each admission for alcohol and drug services and appropriately referred for medical assessment; and

• To serve as documentation that TB Services (e.g., screening, testing, counseling and referral for treatment) was provided to new employees and volunteers; annually for employees and volunteers; and service recipients.

–  –  –

If you using the electronic version of the tool, it was created utilizing the Microsoft Word Check Box Control feature. To enable a check box, double click the box you want to check. The Check Box Form Field Options box will open. Go to Default Value and click “Checked”. Click Okay. If the box is not checked, go back to the Check Box Form Field Options box and look at the Field Settings to make sure that “Check box enabled” is marked.

–  –  –

1. NAME: Emphasize to each individual the importance of using the same name for all health visits.

Assure confidentiality and remind the individual that their names are recorded for medical. records only;

2. DATE OF BIRTH: Encourage individual to give- an accurate date. Be sure to capture the month, day and year the individual was born;

3. FACILITY/ADDRESS: The official name of the site and location;

4. CONTACT PERSON/PHONE #/FAX #: This should be the person who can answer questions regarding the information on the screening tool;

5. PROGRAM TYPE: Select the type of program that the individual is being admitted into for services.

If the individual is an Employee or Volunteer, check Personnel.

–  –  –

When completing Section I, you will check yes or no to each symptom according to the individual’s answer. If the individual answers “yes” to any of the symptoms, the interviewer should obtain detailed and descriptive information regarding the symptom. Use open-ended questions in a conversation type discussion to gather the information.

–  –  –

Examples of open-ended discussion questions to ask if individual's response to this

question is “yes":

1. Tell me about the last time you remember having a cough?

2. How long have you had this cough?

3. When do you have this cough (morning, night, all day long, etc.)?

4. What type of cough is it...dry, hacking, nagging, croupy, productive;





5. What color is the phlegm that you produce?

6. Have you noticed blood or pink tinged sputum/phlegm?

7. Have you seen a doctor about this cough?

–  –  –

Examples of open-ended discussion questions to ask if individual's response to

this question is “yes":

1. Describe this pain. Is it a sharp pain or dull, aching type of pain?

2. How long have you been having this pain?

3. How long does the pain last?

4. Does it mainly occur with breathing or coughing?

5. What makes the pain stop?

6. Have you seen a doctor about this pain?

–  –  –

Examples of open-ended discussion questions to ask if individual's response to

this question is “yes":

1. When did this shortness of breath start?

2. How often are you short of breath?

3. Does anything trigger this shortness of breath?

4. Are you able to do your activities of daily living with this shortness of breath?

5. Have you seen a doctor about this shortness of breath?

–  –  –

Examples of open-ended discussion questions to ask if individual's response to

this question is “yes":

1. What degree has your temperature been registering?

2. How long have you been running fevers?

3. Are your fevers also causing chills?

4. How many times per day are you having chills/fevers?

5. Have you seen a doctor about these fevers/chills?

–  –  –

Examples of open-ended discussion questions to ask if individual's response to

this question is “yes":

1. How long have you had a loss of appetite? Is this something unusual for you?

2. Have you lost any weight? Are your clothes still fitting?

3. Have you seen a doctor about this?

–  –  –

Examples of open-ended discussion questions to ask if individual's response to

this question is "yes":

1. How much weight have you lost;

2. Over what period of time have you lost this weight;

3. Are you eating routine meals and the usual amounts; and

4. Have you seen a doctor about this weight loss?

–  –  –

Examples of open-ended discussion questions to ask if individual's response to

this question is "yes":

1. How long have you been having these night sweats?

2. Do you have these night sweats every night?

3. Do you have to change your nightclothes or sheets?

4. Is anyone else in the home having night sweats?

5. Do you have air conditioning?

6. What temperature is your home at night?

7. Have you seen a doctor about these night sweats?

–  –  –

Examples of open-ended discussion questions to ask if individual’s response to this

question is “yes":

1. How long have you had hoarseness and when did it start?

2. Do you also have pain or a sore throat or difficulty swallowing?

3. Describe your difficulty swallowing. When did you first notice this?

4. How long have you had difficulty swallowing?

5. How long have you had a sore/painful throat? When did it start?

6. Have you seen a doctor about these symptoms?

–  –  –

Examples of open-ended discussion questions to ask if individual's response to

this question is 'yes":

1. How long have you noticed being tired/weak?

2. When did this tiredness/weakness start?

3. Describe your day in relation-to work and activities of daily living?

4. Have you seen a doctor about this tiredness/weakness?

–  –  –

Section II determines if the individual has documentation of a previous positive TB test or has been evaluated for TBI within the past 12 months with documentation of a negative TB test.

• There is no benefit in retesting individuals who have already been treated for TB or TBI. In general, individuals with documented positive test results, in millimeters, do not need to be retested.

• Retesting can safely be performed in most individuals for whom the test results are questionable if further evaluation for TB disease or possible TBI treatment is being considered.

• Questionable results include a history of a positive test without documented results, in millimeters, or when there is suspicion of improper testing technique or measurement.

• There is no contraindication to repeating the test for individuals with a prior positive result unless a significant adverse reaction to the test has previously occurred.

–  –  –

1. Check “yes” if the individual has brought documentation of a previous positive TB test, recorded in millimeters. Attach a copy of test results to the screening tool.

2. Check “no” if the individual does not have a history of a previous positive TB in test or if he did not bring documentation in millimeters.

3. Check “yes” if the individual has brought documentation of a previous negative TB test, recorded in millimeters within the last 12 months. If an individual has documentation of a previous negative chest X-ray (CXR) the individual does not need another CXR at the time or in the future unless the individual develops symptoms consistent with active TB.

4. Check “no” if the individual did not bring documentation, in millimeters, of a TB test within the past 12 months.

–  –  –

Step 2: Evaluation for TB Infection (TBI). If the answer to Step 1 is yes, the answer to Documented previous positive test is NA and the answer to Documented negative test within last 12 months is NA. Next, move to Step 3.

Step 3: Action Needed. If the answer to Step 1 is yes and the answer to Step 2 is not applicable, then the action needed is to notify physician immediately. Move to Step 4.

Step 4: Action Taken: You should check the box that is adjacent to the response in Step 3.

–  –  –

1. If all criteria have been met, check No Action Required.

2. If you are waiting on documentation from the individual, check Documentation Required

3. If you are referring the individual to the Health Department for TB testing, check Refer to Health Dept for Testing

4. If you are referring the individual to a healthcare provider, check Referred to Healthcare Provider. Please indicate reason and provide the name, address, phone and fax numbers.

After completing the screening tool, the interviewer must sign his or her name, title and date the form.

–  –  –

25



Similar works:

«DRAFT ENVIRONMENTAL ASSESSMENT GUNNISON RIVER ACTIVITIES Passageway Around the Redlands Diversion Dam and Interim Agreement to Provide Water for Endangered Fish Bureau of Reclamation and Fish and Wildlife Service Grand Junction, Colorado February 1995 Frontispiece Map CONTENTS CHAPTER 1 INTRODUCTION Purpose and Need Background Information Recovery Program Gunnison River Related Projects CHAPTER 2 PROPOSED ACTIONS AND ALTERNATIVES Proposed Actions Fish Passageway Design Fish Passageway...»

«Accepted Manuscript Monitoring the impact of litter in large vertebrates in the Mediterranean Sea within the European Marine Strategy Framework Directive (MSFD): constraints, specificities and recommendations F. Galgani, F. Claro, M. Depledge, C. Fossi PII: S0141-1136(14)00038-5 DOI: 10.1016/j.marenvres.2014.02.003 Reference: MERE 3856 To appear in: Marine Environmental Research Received Date: 20 September 2013 Revised Date: 14 February 2014 Accepted Date: 15 February 2014 Please cite this...»

«GUIA DE PRESTACIONS I SERVEIS A LA FAMÍLIA GUIA DE PRESTACIONS I SERVEIS A LA FAMÍLIA PRESENTACIÓ La Secretaria de Família del Departament de Benestar Social i Família té com a objectiu principal donar suport a totes les famílies oferint acompanyament, formació i informació. En aquest sentit, la Guia de prestacions i serveis a la família que aquí us presentem vol ser una eina pràctica per posar a l’abast de les famílies de Catalunya la màxima informació actualitzada sobre les...»

«BigMemory Max Installation Guide Version 4.2 October 2014 This document applies to BigMemory Max Version 4.2 and to all subsequent releases. Specifications contained herein are subject to change and these changes will be reported in subsequent release notes or new editions. Copyright © 2014 Software AG, Darmstadt, Germany and/or Software AG USA Inc., Reston, VA, USA, and/or its subsidiaries and/or its affiliates and/or their licensors. The name Software AG and all Software AG product names...»

«Wikimaps: Dynamic Maps of Knowledge Reto Kleeb2, 3, Peter A. Gloor2, Keiichi Nemoto1, 2 1 Fuji Xerox Co., Ltd., Tokyo, Japan 2 MIT Center for Collective Intelligence, 5 Cambridge Center, Cambridge MA 02139 3 Northeastern University, Boston, MA {rkleeb, pgloor, nemoto}@mit.edu Abstract We introduce Wikimaps, a tool to create a dynamic map of knowledge from Wikipedia contents. Wikimaps visualize the evolution of links over time between articles in different subject areas. This visualization...»

«Cystic Fibrosis Association of NZ ANNUAL REPORT 2011 PICTURED ON COVER: Grace Paterson, Kaimata, Expert Bubble Blower and PWCF Our People National Board Jane Drumm – Chairperson John Parsons John Elliott Margaret Nicholls Andrea Miller Lisa Borkus – Adult Representative Staff Kate Russell Chief Executive Julie Clemett Administration Manager Caroline Wagteveld Fundraising and Events Coordinator Sally Carron Northern Region Field Worker Susan Lovelock Southern Region Field Worker Clinical...»

«Atrium: Student Writing from American University’s College Writing Program 2014 Table of Contents § Introduction Entering the Conversation Victoria Donnelly Power in The Wire: A Typical Depiction? Emily Manning Gay Masculinities: The Hegemonic, The Hybrid, and the Homosexual Austin Morgan Synthesis Dialogue Kari M. Lorentson Annotated Bibliography On Culture Greg Heeren Statehood and Legitmacy in The Walking Dead Elle Smiley Hipsters Love Beer, YouTube Sensation Jayne Smyth Glee: A Cultural...»

«Universidad de Lleida Grado en Fisioterapia Efecto de un programa de Fisioterapia Respiratoria Domiciliaria en pacientes con EPOC. Por: Miguel Ángel Omiste Garcés. Tutor: Carles Casanova Gonzalvo Trabajo final de grado (Estudio de investigación) Curso 2014-2015 20 de mayo de 2015 Omiste Garcés, M.A. (junio de 2015). Efecto de un programa de Fisioterapia Respiratoria Domiciliaria en pacientes con EPOC. Universidad de Lleida. Grado de fisioterapia. Trabajo final de grado. Miguel Ángel Omiste...»

«The start ow SHAKESPEARE's FEMALE IcoNs Volume XXXI 2012 Vol. XXXI Digital Facsimile The Upstart Crow: A Shakespeare journal, Volume XXXI, 2012 is published by Clemson Universicy Digital Press. © 2013 Clemson Univcrsicy ISSN: 0886-2168 ~ ·~ EDITOR \ Elizabeth Rivlin CLEMSON UNIVERSITY DIGITAL PRESS ASSOCIATE EDITORS Ray Barfield, Wayne Chapman, Jonathan Field, Martin Jacobi, Michael LeMahieu, Chantelle MacPhee, Brian McGrath, Lee Morrissey, and Will Stockton BOOK REVIEW EDITOR Will Stockton,...»

«Rocky Mountain Goat Re-introduction and Monitoring Plan Central Oregon Cascades Mt. Jefferson and the Confederated Tribes of the Warm Springs Reservation of Oregon Oregon Department of Fish and Wildlife Confederated Tribes of the Warm Springs Reservation of Oregon February 2010 Table of Contents: Pages Goal.. 3 Description of Project Area..3 Mt. Goat Plan Objectives..3 History of Mt. Goats in Oregon..4 Capture and Release Logistics..5 Co-Management of Release and Subsequent Populations.6...»

« The Colonial Moment The Making of French Indochina, – Yes, no matter what happens, a European nation will enter Annam in order to take on a controlling influence there.... It will not last, I am sure of that, but it is necessary to go through it: Annam cannot escape this fate. —paul bert, resident general of France in Annam and Tonkin, letter to the Catholic scholar Truong Vinh Ky [Petrus Ky], June ,  Indochina, a marginal region that was...»

«AMENDED IN BOARD 10/7/14 ORDINANCE NO. 218-14 FILE NO. 140381 1 [Administrative, Planning Codes -Amending Regulation of Short-Term Residential Rentals and Establishing Fee] 2 Ordinance amending the Administrative Code to provide an exception for permanent 3 residents to the prohibition on short-term residential rentals under certain conditions; 4 to create procedures, including a registry administered by the Planning Department, for 5 tracking short-term residential rentals and compliance; to...»





 
<<  HOME   |    CONTACTS
2016 www.dissertation.xlibx.info - Dissertations, online materials

Materials of this site are available for review, all rights belong to their respective owners.
If you do not agree with the fact that your material is placed on this site, please, email us, we will within 1-2 business days delete him.