NICU CI. Tools For TB Elimination April 22, 2015 Curry International Tuberculosis Center. CI in Healthcare Facilities 1. Case Summary.
|
|
- Coleen Lucas
- 6 years ago
- Views:
Transcription
1 NICU CI Michael Stacey MD, MPH CMO/Dep Health Officer/TB Controller Solano County Public Health Case Summary Index Case: Pregnant 34 yo Filipino descent sent to Sacramento County hospital from a Solano County hospital for high risk delivery on March 13 th March 14 th delivered baby and mother was d/c d March 18 th. Baby stayed in NICU in Sacramento. March 31 st baby was transferred to Solano County hospital to be closer to mother. Case Summary April 21 st mother seen in ER for cough and bloody sputum. Treated for PNA CXR was abnormal. Thought to have pneumonia, but CXR was also concerning for possible recurrence of lymphoma. Seen by oncologist as outpatient with continued cough. Sputums ordered on May 11 th. May 14 th oncologist sent pt to hospital due to concern of a postobstructive PNA. May 15 th sputum results from May 11 th smear positive and NAAT positive. Infectious period? 3 months before symptom onset (February 21 at latest) 1
2 Why Contact Investigation? Find TB Disease: In the case possible transmission in a NICU we want to figure this out as quickly as possible Find TB Infection: Complicated by the decreased reliability of TB diagnostics in infants Crisis Communication 1. Be Right 2. Be First 3. Be Credible Who is in charge? YOU! Getting Organized Quickly set up a teleconference meeting with hospital leadership, public relations, infection control, employee health, Sacramento PH and TBCB. Determined infectious period Got agreement and buy-in on criteria for determining priority of contacts Generated lists of contacts Determined how contacts will be evaluated and treated Agreed on messaging to contacts and to media. Created joint press release Kept index patient informed at all times 2
3 SOLANO COUNTY County Administrator s Office SOLANO COUNTY County Administrator s Office FOR IMMEDIATE RELEASE Contact: Stephen Pierce Health TB Program staff, who receive new active TB disease cases regularly each month. TB is preventable and curable, said Olivia Kasirye, MD, MS, Health Officer for Sacramento County. May 22, 2012 (707) slpierce@solanocounty.com For general TB information, visit During business hours, Solano County residents with questions can call Solano Public Health at Sacramento County Contact: Michael Stacey, MD, Chief Medical Officer/Deputy Health Officer, Solano residents can contact Sacramento County Public Health at County Health & Social Services, Solano Public Health, Laura McCasland, Communication and Media Officer, Sacramento County Public ### Health, Sacramento, Solano Health Officials Work with Local Hospitals on TB Case SOLANO COUNTY Sacramento and Solano County public health agencies are working with NorthBay Medical Center in Fairfield and Sutter Medical Center, Sacramento to investigate potential exposures to an individual with active tuberculosis (TB) who spent time in both facilities. The Solano County resident is currently isolated and receiving treatment to prevent the spread of TB. Health officials are working with both medical centers, in consultation with California Department of Public Health, to assess patients, visitors, and staff to determine who may have been exposed to the TB germ. There were periods of exposure in the Sacramento neonatal intensive care unit (NICU) from March 14-March 31 and the Solano NICU from March 31 to April 2 and from April 11 to April 19 of Parents of exposed babies will be contacted within 24 hours, while others potentially exposed will be contacted within the next few days. In accordance with State and Federal laws that protect patient confidentiality, no specific information about the individual with active TB will be released. From the medical evidence we have reviewed so far, we believe that the risk of infection with TB in this particular case is low, said Michael Stacey, MD, Chief Medical Officer for Solano County. We will take the necessary measures to ensure that all those with significant levels of exposure are tested and, if necessary, treated with antibiotics. Contact investigations, like this one currently under way, are an important step in stopping the spread of TB. Patients, visitors or staff determined to have TB infection will be given medication to prevent progression to TB disease. Although it may be a new experience for the patients, visitors and staff to the NICU, contact investigations are a regular activity for Solano Public Health and Sacramento County Public EDITORS: ADDITIONAL BACKGROUND INFORMATION Tuberculosis (TB) is a serious, treatable, and slow-growing bacterial lung disease. It is transmitted person-to-person through microscopic droplets that enter the air while coughing, sneezing, talking or singing. The most common way to become infected with TB germs is by spending a lot of time in enclosed air spaces with a person who has active TB disease. TB is a disease that, by law, must be reported to the local Public Health Department. Upon notification of the TB disease diagnosis, public health nurses act immediately working with the patient and family members to list all of the places they have spent time and all people with whom they have been in close contact. Public health staff will identify and test individuals who may have come in contact with the TB germ. Infection with TB can occur with prolonged indoor contact in an enclosed air space with the person who has active TB. There is a difference between TB infection and active TB disease. Most people who test positive for TB have TB infection. People with TB infection: Do not have disease and are not sick because the germ is inactive Do have the TB germ in their body Cannot spread the germ to others Over their lifetime, adults with TB infection have about a 10% risk of developing active TB disease if untreated. The risk of developing active TB is much higher in infants and immunocompromised persons. People with Active TB disease: Develop active TB from untreated TB infection Are ill from the germs that are active in their body May cough a lot, feel weak, have a fever, lose weight, cough up blood, or sweat a lot at night Are contagious and are capable of giving the infection to others, until they are treated, have repeated tests, and are cleared for public contact by a doctor Tuberculosis: 25 Babies in California Possibly Exposed to TB ABCNews Health officials: TB patient had reason to be in NICUs KCRA Solano Health Officials Work With Local Hospitals On TB Case A unidentified Solano County resident is being treated for tuberculosis. Suisun City Patch Calif. babies tested for TB exposure in neonatal ICU NBCNews Person visited neonatal units before TB diagnosis Washington Times CA health officials testing 35 babies for TB CBSNews NICU Infant Exposure Sacramento: March Solano: March 31- April 2; April Pt stopped visiting NICU because she was sick and worried about exposing infants. 3
4 4
5 Baby Contacts NB NICU CONTACT LIST Note A Contact remains in NICUremains in NICU * Exposure likely over 240 minutes Index's Baby MRN Admission Discharge Factors for Exposure >240 or + 3 Non Contact DOB Date Date exposure minutes + visits visits Letters Date of Visit 1 4/17/2012 4/17/2012 4/17/2012 No exposre 0 needs 2 3/23/2012 4/16/2012 isolette only MD contacted 3 4/14/2012 4/14/2012 4/25/2012 open crib /13/2012 4/13/2012 4/16/2012 open crib 95 1 needs 3/14/2012 3/31/2012 Mother index /21/2012 3/21/2012 4/10/2012 open crib /22/ /21/2012 3/21/2012 4/10/2012 open crib /22/ /23/2012 3/23/2012 4/11/2012 open crib /23/ /11/2012 4/11/2012 4/14/2012 open crib 23 2 needs 10 3/27/2012 3/31/2012 4/3/2012 open crib /22/2012 3/22/2012 4/8/2012 open crib /23/ /29/2012 3/29/2012 4/2/2012 open crib /12/2012 4/17/ MD contacted 14 4/12/2012 4/17/ MD contacted 15 4/7/2012 4/7/ /13/2012 4/13/2012 5/12/2012 open crib /19/2012 4/19/2012 No exposre 0 MD contacted 18 4/11/2012 4/11/2012 4/11/2012 No exposre 0 needs 19 3/31/2012 3/31/2012 4/16/2012 open crib /14/2012 4/14/2012 4/27/2012 open crib /13/2012 3/13/2012 4/26/2012 open crib /18/2012 2/7/2012 4/3/2012 open crib /10/2012 4/3/2012 unknown isolette only needs 20 5 Contacting Parents SCRIPT FOR PARENTS OF EXPOSED INFANTS You are being contacted today because your baby was exposed to an active case of TB, tuberculosis, while in the neonatal intensive care unit in NorthBay Medical Center. If it is determined that you or other family members also have been exposed, then you will be contacted in the next few days by someone with the Solano County TB Program. TB is serious, but curable. So it is very important that you contact your provider right away to schedule an appointment no later than the end of the week. Your baby will need to be evaluated with a chest x-ray, skin test, a physical exam to determine what medication your baby will need and for how long. Once you have set the appointment, please immediately call the NICU at NorthBay Medical Center, , and let them know the time and date you have scheduled with your primary care doctor. Solano County health officials are working very closely with your healthcare provider to coordinate care for your baby. You can expect a phone call from Solano County Public Health in the next few days. Window Prophylaxis TST less reliable for infants under 6 months Initial TSTs done on infants regardless of age Window prophylaxis (INH) started and repeat TST done at 8 weeks post exposure or 6 months, whichever came last If > 6 month TST was < 5mm then INH was stopped Adult TST data was useful for determining how infectious the index case was 5
6 CI Data Cohort Solano NICU Sac NICU Solano Employe es Sac Employe es Total Total Number Number of Number of Number Number Number Comments Number Contacts Not TB ll New Prior Started Started Complet of Evaluated Infected Positives Positives on LTBI ed LTBI Contacts Window * *Neg TST/QFT Index case s baby * 2* *neg TST/QFT Family ( 7 new, US Born =7 2 All 0 mm converters) CI Outcomes Fortunate in this situation not to have any secondary cases Strengthened partnerships with local hospitals Confidentiality of patient was maintained Patient successfully completed treatment Baby of index case was not able to complete full INH treatment due to ongoing GI problems in NICU Monitored baby Media messaging was successful Summary General principles of CI apply to all situations For example: Determining period of infectiousness, prioritizing contacts, evaluation of contacts, etc. Certain CIs may require working closely with community partners Certain situations are likely to attract media attention and this needs to be considered from the beginning and it is important to be proactive Public Health official is usually the most qualified to be the primary media contact 6
7 QUESTIONS Michael Stacey, MD, MPH 7
Administrative Without, TB control fails. TB Infection Control What s New? Early disease prevention Modern cough etiquette
Early disease prevention Modern cough etiquette TB Infection Control What s New? Mark Lobato, MD Division of TB Elimination CDC TB Intensive Workshop Global TB Institute, Newark, NJ September 16, 2010
More informationPractical Aspects of TB Infection Control
Practical Aspects of TB Infection Control Sundari Mase, MD Division of TB Elimination, CDC TB Intensive Workshop October 1, 2014 National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division
More informationTB Elimination. Respiratory Protection in Health-Care Settings
TB Elimination Respiratory Protection in Health-Care Settings Introduction All health-care settings need an infection-control program designed to ensure prompt detection, airborne precautions, and treatment
More informationTUBERCULOSIS TABLE OF CONTENTS TUBERCULOSIS CONTROL PLAN...2 ADMISSIONS...3 PROSPECTIVE EMPLOYEES...5
TUBERCULOSIS TABLE OF CONTENTS TUBERCULOSIS CONTROL PLAN...2 ADMISSIONS...3 PROSPECTIVE EMPLOYEES...5 ANNUAL PERSONNEL SCREENING...5 EXPOSURE INCIDENTS...5 DOCUMENTATION OF OCCUPATIONAL EXPOSURE...5 PRE-PLACEMENT
More informationInitiating a Contact Investigation
Initiating a Contact Investigation Jessica Quintero, M.Ed. September 14, 2017 TB Nurse Case Management September 12 14, 2017 San Antonio, Texas EXCELLENCE EXPERTISE INNOVATION Jessica Quintero, M.Ed. has
More informationTuberculosis Prevention and Control Protocol, 2018
Ministry of Health and Long-Term Care Tuberculosis Prevention and Control Protocol, 2018 Population and Public Health Division, Ministry of Health and Long-Term Care Effective: January 1, 2018 or upon
More informationFlorida Tuberculosis System of Care
Table of Contents I. Introduction... 4 II. Florida s Charge... 5 III. Florida Tuberculosis System of Care... 5 IV. Florida Department of Health Tuberculosis Program... 7 V. Florida Department of Health
More informationHello. Welcome to this webinar titled Preventing and Controlling Tuberculosis in Correctional Settings.
Hello. Welcome to this webinar titled Preventing and Controlling Tuberculosis in Correctional Settings. This webinar was produced by the Minnesota Department of Health Tuberculosis Program. This is the
More informationEducation Specialist Credential Program Application Full or Part Time. Student Information. Program Information. Field Placement (EHD 178)
Item 1 Education Specialist Credential Program Application Full or Part Time Semester of Application Semester/Year Student Information Last Name First Name Former Name (If applicable) Student ID Undergraduate
More informationNumber: Ratio of the airflow to the space volume per unit time, usually expressed as the number of air changes per hour.
POLICIES & PROCEDURES Number: 40 175 Title: Tuberculosis (TB) Management Program Authorization: [X] SHR Infection Control Committee [ ] Facility Board of Directors Source: Infection Prevention & Control
More informationPrevent the transmission of tuberculosis (TB) and cure individuals with active TB disease
Tuberculosis (TB) Control and Prevention Program Program Purpose Program Information PHD/CHPB Evelyn Poppell, x5600 Nga Nguyen, x5663 Prevent the transmission of tuberculosis (TB) and cure individuals
More informationTUBERCULOSIS INFECTION CONTROL
OBJECTIVES TUBERCULOSIS INFECTION CONTROL At the end of this presentation, you will be able to: List infection control approaches to TB prevention and control Describe the type of protective equipment
More informationInfection Prevention and Control Annual Education 2010
Infection Prevention and Control Annual Education 2010 Authored by: Cathy Clark, RN MPH CIC Mary Whitaker, RN CIC Bola Ogundimu, RN MPH Marie Commiskey, RN CCRN CIC Modified for affiliated schools students
More informationCommunicable Disease Control Manual Chapter 4: Tuberculosis
Provincial TB Services 655 West 12th Avenue Vancouver, BC V5Z 4R4 www.bccdc.ca Communicable Disease Control Manual July, 2018 Page 1 TABLE OF CONTENTS APPENDIX B: INFECTION PREVENTION AND CONTROL... 2
More information2/8/2017 TB RISK ASSESSMENT OVERVIEW. To identify adults with infectious tuberculosis (TB) to prevent from spreading TB HISTORY
RISK ASSESSMENT PURPOSE TB RISK ASSESSMENT OVERVIEW Tuberculosis Control and Refugee Health County of San Diego Health and Human Services Agency To identify adults with infectious tuberculosis (TB) to
More informationHow Do We Define Adherence? Improving Adherence to TB Treatment. Broad View of Adherence. What is adherence?
How Do We Define Adherence? Improving Adherence to TB Treatment Lillian Pirog, RN, PNP Nurse Manager, Waymon C. Lattimore Practice NJMS Global Tuberculosis Institute What is adherence? A. Taking medication
More informationInfection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases
Infection Prevention Infection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases to yourself, family members,
More informationAIRBORNE PATHOGENS. Airborne Pathogens: Microorganisms that may be present in the air and can cause diseases in exposed humans.
MARICOPA COUNTY SHERIFF S OFFICE POLICY AND PROCEDURES Subject Related Information CRITICAL POLICY PURPOSE AIRBORNE PATHOGENS Supersedes CP-7 (8-14-15) Policy Number CP-7 Effective Date 01-04-17 The Office
More informationOverview: TB Case Management and Contact Investigation
Overview: TB Case Management and Contact Investigation Karen A Martinek, RN, MPH Alaska DHSS, DPH, Section of Epidemiology Overview Define tuberculosis (TB) case management Describe the roles and responsibilities
More informationObjectives. Clinic Scenario. Addressing TB in Our Communities November 19, 2015 Curry International Tuberculosis Center
Addressing TB Infection Prevention in our Healthcare Settings Lana Kay Tyer, RN MSN TB Nurse Consultant WA State DOH Objectives Describe droplet precautions and circumstances when personal N95 respirators
More informationPublic Health/Primary Care Collaboration: Success Strategies in Denver
Public Health/Primary Care Collaboration: Success Strategies in Denver Randall Reves, M.D., M.Sc. Carolyn Bargman, R.N.-C., M.A. Denver Metro Tuberculosis Control Program Denver Public Health Department
More informationFAST. A Tuberculosis Infection Control Strategy. cough
FAST A Tuberculosis Infection Control Strategy FIRST EDITION: MARCH 2013 This handbook is made possible by the support of the American people through the United States Agency for International Development
More informationTuberculosis: Surveillance and the Health Care Worker
Tuberculosis: Surveillance and the Health Care Jo Fagan Director Public Health PHAC Delivering a Healthy WA Overview 1. Pre-employment assessment 2. Post-exposure follow-up 3. Routine follow up testing
More informationTuberculosis Case Management for Removable Alien Inmates/Detainees in Federal Custody
Background Tuberculosis Case Management for Removable Alien Inmates/Detainees in Federal Custody Federal Bureau of Prisons (Department of Justice) United States Marshals Service (Department of Justice)
More informationGuidelines for Coordination of TB Prevention and Control by Local and State Health Departments and California Correctional Health Care Services 2015
Guidelines for Coordination of TB Prevention and Control by Local and State Health Departments and California Correctional Health Care Services 2015 These guidelines are intended to be used as an educational
More informationWhat You Need to Know
What You Need to Know 1 Bacteria and viruses are most commonly transmitted on the hands of health care workers 2 The single most important way to prevent the spread of these organisms is good hand hygiene.
More informationDepartment of Infection Control and Hospital Epidemiology. New Employee Orientation
Department of Infection Control and Hospital Epidemiology New Employee Orientation Infection Control Contact Information Office 350 Parnassus Ave, Suite 510 Main Office Phone: 353-4343 Practitioner On-Call:
More informationTB PREVENTION AND CONTROL: WORKING WITH THE HOMELESS
CASE MANAGEMENT AND CONTACT INVESTIGATION INTENSIVE TB PREVENTION AND CONTROL: WORKING WITH THE HOMELESS OBJECTIVES Upon completion of this session, participants will be able to: 1. Explain the responsibilities
More informationTB in the Correctional Setting Florence, Arizona October 7, 2014
TB in the Correctional Setting Florence, Arizona October 7, 2014 Vincent Gales, RN, BSN, CCHP October 7, 2014 Vincent Gales, RN, BSN, CCHP has the following disclosures to make: No conflict of interests
More informationNEW TEACHER/TEACHING ASSISTANT PHYSICAL EXAM PACKET
Page 1 of 6 NEW TEACHER/TEACHING ASSISTANT PHYSICAL EXAM PACKET Dear Teacher/Assistant: Physical exams performed by a licensed provider are required by Head Start Performance Standards Region 7 ESC Head
More informationCDPH - CTCA Joint Guidelines Guidelines for the Follow-Up and Assessment of Persons with Class A/B Tuberculosis
CDPH - CTCA Joint Guidelines Guidelines for the Follow-Up and Assessment of Persons with Class A/B Tuberculosis These guidelines are intended to be used as an educational aid to help clinicians make informed
More informationTUBERCULOSIS INFECTION CONTROL PROGRAM
TUBERCULOSIS INFECTION CONTROL PROGRAM TB Infection Control Program for (Health Department Name) I. Assignment of Responsibility. A. (PersonIPosition) has overall responsibility for TB infection control
More informationData Management Benita Cook, RN, BS
TB Contact Investigation Albuquerque, New Mexico April 22-23, 23 2010 Data Management Benita Cook, RN, BS April 23, 2010 Contact Investigation Data Management Benita Cook, RN, BS Region 5 TB Nurse Coordinator
More informationClinical Guidance on the Identification and Evaluation of Possible SARS-CoV Disease among Persons Presenting with Community-Acquired Illness Version 2
GUIDANCE AND RECOMMENDATIONS Clinical Guidance on the Identification and Evaluation of Possible SARS-CoV Disease among Persons Presenting with Community-Acquired Illness Version 2 This document provides
More informationGUIDELINE FOR VISITORS
GUIDELINE FOR VISITORS TABLE OF CONTENTS Visiting Hours...2 Allergy Alert...2 Outpatients...3 Clergy...3 Children...3 Self-Screening...3 Mask...4 Hand Washing Our Best Defense!...4 Permanent Guidelines...4
More informationPartnerships for Success: Laboratories and Programs Meeting the Challenge. Partnerships During a TB Outbreak
Partnerships for Success: Laboratories and Programs Meeting the Challenge Partnerships During a TB Outbreak 2015 National TB Conference Atlanta, GA David Warshauer, PhD., D(ABMM), Deputy Director, Communicable
More informationTuberculosis. Leader s Guide
4550 Tuberculosis Leader s Guide INTRODUCTION This program is intended to inform and update the participants about TB, how it is transmitted, diagnostic tests, medications for treatment and how to control
More informationKentucky TB Prevention & Control Program. Special Edition
Kentucky TB Prevention & Control Program Welcome... To our Special Edition 2016. - Kentucky TB Program staff Special Edition In this issue TB Regulations: Highlights p.1 Fact Sheet: LTC Regulation p.2-4
More informationCatalina Navarro, RN, BSN March 17, TB Nurse Case Management March 17 19, 2015 San Antonio, Texas
Principles of TB Nurse Case Management: Why are We Here? Catalina Navarro, RN, BSN March 17, 2015 TB Nurse Case Management March 17 19, 2015 San Antonio, Texas EXCELLENCE EXPERTISE INNOVATION Catalina
More informationNORTHERN ZONE SAN MATEO COUNTY FIRE AGENCIES (Brisbane, Colma, Daly City, Pacifica and San Bruno) EMS - POLICY MANUAL
POLICY STATEMENT Purpose: To provide a comprehensive exposure control plan which maximizes protection against occupational exposure to tuberculosis/respiratory conditions for all members of the Northern
More informationTB Outbreak Experience in British Columbia. Shelley Dean TB Control BC Centre for Disease Control
TB Outbreak Experience in British Columbia Shelley Dean TB Control BC Centre for Disease Control CVI TB Outbreak Introduction Early Cases Challenges Contact Tracing TB Incidence in BC by Origin and Year
More informationNSW HEALTH SPECIAL REQUIREMENTS FOR NURSING & MIDWIFERY STUDENTS
NSW HEALTH SPECIAL REQUIREMENTS FOR NURSING & MIDWIFERY STUDENTS Before a student can commence clinical placement in a NSW Health facility, students must complete the mandatory requirements. Please bring
More informationFrequently Asked Questions NONTUBERCULOUS MYCOBACTERIUM (NTM) INFECTIONS IN PATIENTS WHO HAVE HAD OPEN HEART SURGERY WITH CARDIOPULMONARY BYPASS
Frequently Asked Questions NONTUBERCULOUS MYCOBACTERIUM (NTM) INFECTIONS IN PATIENTS WHO HAVE HAD OPEN HEART SURGERY WITH CARDIOPULMONARY BYPASS What is the possible connection between NTM infections and
More informationFrequently Asked Questions about TB Protocols at Duke Hospital and Clinics ( Revision)
Frequently Asked Questions about TB Protocols at Duke Hospital and Clinics (7-2018 Revision) A. PAPRs B. Portable HEPAs C. N95 Respirator Masks D. Tuberculin Skin Testing (TST) E. Negative Pressure Isolation
More informationCureTB Binational Tuberculosis Referral Training
CureTB Binational Tuberculosis Referral Training (CureTB Enhancement Project) CureTB Kathleen Moser, MD, MPH Alberto Colorado Carlos Vera Training Objectives By the end of the training, participants will:
More informationDirectly Observed Therapy for Active TB Disease and Latent TB Infection
Directly Observed Therapy for Active TB Disease and Latent TB Infection Policy Number TB-5001 Effective Date (original issue) September 6, 1995 Revision Date (most recent) June 26, 2008 Subject Matter
More informationMEASURE DHS SERVICE PROVISION ASSESSMENT SURVEY HEALTH WORKER INTERVIEW
06/01/01 MEASURE DHS SERVICE PROVISION ASSESSMENT SURVEY HEALTH WORKER INTERVIEW Facility Number: Interviewer Code: Provider SERIAL Number: [FROM STAFF LISTING FORM] Provider Sex: (1=MALE; =FEMALE) Provider
More informationInfection Prevention and Control Annual Education Authored by: Infection Prevention and Control Department
Infection Prevention and Control Annual Education 2013 Authored by: Infection Prevention and Control Department Objectives After you complete this Computer-Based Learning (CBL) module, you should be able
More informationFacility Tuberculosis (TB) Risk Assessment for Correctional Facilities
Facility Tuberculosis (TB) Risk Assessment for Correctional Facilities The various areas within correctional facilities have different levels of risk for TB transmission. Apply this worksheet to assess
More informationAttitudes Toward Managing Latent TB Infection in Primary Care
Attitudes Toward Managing Latent TB Infection in Primary Care Jonathan Carey Jackson, M.D. Harborview Medical Center, WA Attitudes Toward Managing Latent TB Infection in Primary Care Investigators Carey
More information2016 Tuberculosis Management
2016 Tuberculosis Management Why do we make sure that you review this material!.? We care about your health as well as the health of our patients! Training Objectives At the end of this material you will
More informationPrevent the transmission of tuberculosis (TB) and cure individuals with active TB disease
Tuberculosis (TB) Control and Prevention Program Program Purpose PHD/CHPB Evelyn Poppell, x5600 Rachel Kidanne, x5605 Prevent the transmission of tuberculosis (TB) and cure individuals with active TB disease
More informationTuberculosis (TB) Procedure
Tuberculosis (TB) Procedure (IPC Manual) DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Policies Review and Approval Group Date ratified: 4 September 2018 Name of originator/author: RDaSH Community
More informationTricks of the Trade: Strategies for Pediatric TB Case Management
Tricks of the Trade: Strategies for Pediatric TB Case Management Lillian Pirog, RN, BSN, PNP Nurse Manager, Global Tuberculosis Institute Suzanne Tortoriello, RN, MSN, APN Advanced Practice Nurse, Global
More informationWHO policy on TB infection control in health care facilities, congregate settings and households.
WHO policy on TB infection control in health care facilities, congregate settings and households. Rose Pray Stop TB, WHO Why should we develop a policy on TB infection control? To guide countries on what
More informationThe environment. We can all help to keep the patient rooms clean and sanitary. Clean rooms and a clean hospital or nursing home spread less germs.
Infection Control Objectives: After you take this class, you will be able to: 1. List some of the reasons why residents and patients are at risk for getting infections. 2. Discuss the cycle of infection
More informationTEENAGE VOLUNTEER (TAV) APPLICATION FORM
Leesburg Regional Medical Center, 600 East Dixie Avenue, Leesburg, FL 34748 (Phone: 352.323.5060) Please return completed application to the hospital or email to: jwoods@centflhealth.org TEENAGE VOLUNTEER
More informationIHF Training Manual for TB and MDR-TB Control for Hospital/Clinic/Health Facility Managers Executive Summary 2
EXECUTIVE SUMMARY International Hospital Federation Immeuble JB SAY, 13, Chemin du Levant, 01210 Ferney Voltaire, France Tel: +33 (0) 450 42 60 00 / Fax: +33 (0) 450 42 60 01 Email: info@ihf-fih.org /
More informationInternal Medicine Curriculum Infectious Diseases Rotation
Contact Person: Dr. Stephen Hawkins Internal Medicine Curriculum Infectious Diseases Rotation Educational Purpose The infectious disease rotation is a required rotation primarily available for PGY, 2 and
More informationSOCIAL AND BEHAVIORAL SCIENCES EXERCISE 1: Explaining Health Behavior with the Health Belief Model- Screening for Latent Tuberculosis Infection
SBS Exercise 1: Explaining Health Behavior with the Health Belief Model (HBM) Estimated time to complete this exercise: 35 minutes LEARNING OBJECTIVES At the completion of this exercise, participants should
More informationInfection Prevention and Control for Phlebotomy
Page 1 of 10 POLICY STATEMENT: It is Sunnybrook s Policy to prevent the spread of infection within the health care institution from patient to patient, patient to staff, staff to patient by: a) providing
More informationNew Jersey Administrative Code Department of Health and Senior Services Title 8, Chapter 57, Communicable Disease
New Jersey Administrative Code Department of Health and Senior Services Title 8, Chapter 57, Communicable Disease SUBCHAPTER 5: MANAGEMENT OF TUBERCULOSIS 8:57-5.1: Purpose and Scope The principle purpose
More information902 KAR 20:200. Tuberculosis (TB) testing for residents in long-term care settings.
0 KAR :0. Tuberculosis (TB) testing for residents in long-term care settings. The final version was copied on April, from the Kentucky Legislative Commission Website, http://www.lrc.ky.gov/kar/0/0/0.htm.
More informationBackground of Initiative
Outline 2 Background of Initiative 3 Development of Recommendations 4 5 6 Development and Recommendations 7 Routine Practices Based on the premise that: All patients are potentially infectious (even if
More information2014 Annual Continuing Education Module. Contents
This self-directed learning module contains information you are expected to know to protect yourself, our patients, and our guests. Content Experts: Infection Prevention Target Audience: All Teammates
More information902 KAR 20:205. Tuberculosis (TB) testing for health care workers.
0 KAR :. Tuberculosis (TB) testing for health care workers. The final version was copied on April, from the Kentucky Legislative Commission Website, http://www.lrc.ky.gov/kar/0/0/.htm. 0 0 0 KAR :. Tuberculosis
More informationCase Study of a Non-compliant TB Patient
Case Study of a Non-compliant TB Patient DENEEN GALLAGHER RN, BSN INGHAM COUNTY HEALTH DEPARTMENT MDCH TB NURSE CERTIFICATION COURSE JULY 24, 2014 Case History 21 year old male from Honduras Known exposure
More informationTo provide a comprehensive, integrated written policy to prevent or minimize employee exposures to tuberculosis (TB).
TUBERCULOSIS EXPOSURE CONTROL PLAN 1. REFERENCES (a) U.S. Department of Labor, OSHA ltr Enforcement Policies and Procedures for Occupational Exposure to Tuberculosis dtd 8 Oct 93 (b) OSHA 2.106, Enforcement
More informationPARTNERSHIP FOR HIV FREE SURVIVAL HEALTH FACILITY COACHING GUIDE: SECOND VISIT (JUNE 2013) BRIEFLY INTRODUCE ASSIST PROJECT AND TEAM
PARTNERSHIP FOR HIV FREE SURVIVAL HEALTH FACILITY COACHING GUIDE: SECOND VISIT (JUNE 2013) BRIEFLY INTRODUCE ASSIST PROJECT AND TEAM The Ministry of Health with financial support from the United States
More informationTuberculosis Indicators Project (TIP) Overview
Tuberculosis Indicators Project (TIP) Overview Anne Cass, MPH TIP Coordinator Melissa Ehman, MPH Lead TIP Epidemiologist California Department of Public Health Tuberculosis Control Branch (TBCB) Careful
More informationTuberculosis Prevention and Control Recommendations For Homeless Shelters in Maine
Tuberculosis Prevention and Control Recommendations March 2005 (STOP Tuberculosis) Maine Department of Health and Human Services Bureau of Health, Division of Disease Control 286 Water Street, Augusta,
More informationManagement of Patients with Known or Suspected Tuberculosis: Infection Control Issues IC/198/10
BASINGSTOKE AND NORTH HAMPSHIRE NHS FOUNDATION TRUST Management of Patients with Known or Suspected Tuberculosis: Infection Control Issues IC/198/10 Supersedes: previous policy IC/198/07 Owner Name Dr
More informationInfection Control in Healthcare. Facilities
Infection Control in Healthcare Basic Principles Facilities Hand Hygiene / Respiratory Etiquette Exclusion of ill staff and visitors Standard and droplet precautions Facility-specific measures Hospitals
More informationInfection Prevention and Control
Infection Prevention and Control Infection Prevention and Control Program IPAC program consists of three healthcare professionals IPAC department is located on the 9 th floor and is available Monday to
More informationErlanger Infection Control Program. Resident Resident Orientation and. and
Erlanger Infection Control Program Resident Resident Orientation Orientation and and Bloodborne Bloodborne Pathogen Pathogen Review Review 2008-2009 2009 1 Outline 1. Healthcare associated infections 2.
More informationSECTION: PATIENT RELATED INFECTION CONTROL NUMBER: 2.1 TRANSMISSION BASED PRECAUTIONS
University of Connecticut Health Center Page 1 of 8 SECTION: PATIENT RELATED INFECTION CONTROL NUMBER: 2.1 TRANSMISSION BASED PRECAUTIONS PURPOSE: Transmission-Based s are designed for patients documented
More informationInternational School Bangkok Instructions for Completion of Returning Students Medical Package
Instructions for Completion of Returning Students Medical Package All returning students must complete the returning students medical package unless a New Student Medical Package has been done in the preceeding
More informationRECUPERATIVE CARE PROGRAM Case Manager Referral Form (TO BE COMPLETED BY SOCIAL SERVICES)
Case Manager Referral Form (TO BE COMPLETED BY SOCIAL SERVICES) PLEASE NOTE: Patient must bring with him/her any needed medications. We share space in facilities that do not allow drug or alcohol use.
More informationTuberculosis Policy. Target Audience. Who Should Read This Policy. All clinical staff
Tuberculosis Policy Who Should Read This Policy Target Audience All clinical staff Version 1.0 January 2015 Management of Tuberculosis CONTENTS PAGE NUMBER Policy Information 1.0 Introduction 4 2.0 Aim
More informationTUBERCULOSIS CONTROL PLAN (first approved July, 1995)
SECTION VI. Biological Safety Chapter 2 Tuberculosis Control Plan Revision Date 2/2017 TUBERCULOSIS CONTROL PLAN (first approved July, 1995) SCOPE: THIS PLAN APPLIES TO DUKE UNIVERSITY, DUKE HOSPITAL AND
More informationRDA Registered Dental Assisting
Verified by Dawn Brewster, RDA Coordinator: RDA Registered Dental Assisting HEALTH SCIENCES PROGRAM HEALTH REQUIREMENTS To be filled out by Health Care Provider (HCP) STUDENT NAME: DATE OF BIRTH: Applicants
More informationIncident Planning Guide: Infectious Disease
Incident Planning Guide: Infectious Disease Definition This Incident Planning Guide is intended to address issues associated with infectious disease outbreaks. Infectious disease incidents can come from
More informationBig Bend Hospice TUBERCULOSIS EXPOSURE CONTROL PLAN
Big Bend Hospice TUBERCULOSIS EXPOSURE CONTROL PLAN Health Care Workers (HCWs) and CDC, OSHA or NIOSH representatives may review and make copies of this Tuberculosis Exposure at Big Bend Hospice (BBH),
More informationEngaging the Private Sector in Tuberculosis Prevention January 25, 2012
January 25, 2 Improving LTBI Treatment by Telephone Monitoring: Kaiser Santa Clara s Program Ken Purdy, M.D. Pediatric Infectious Diseases Kaiser Santa Clara, California TB Case Rates by Reporting Jurisdictions
More informationDiana Fortune, RN, BSN has the following disclosures to make:
Community TB Prevention Diana Fortune, RN, BSN Barbarah Martinez, RN, BSN September 23, 2015 TB Nurse Case Management September 22 24, 2015 San Antonio, TX EXCELLENCE EXPERTISE INNOVATION Diana Fortune,
More informationHOSPICE of the VALLEY
HOSPICE of the VALLEY Dear Parent/Guardian: Thank you for supporting your teen s participation in Hospice of the Valley s Teen Volunteer Program! Please review this informational packet. If you have any
More informationWhat is TB? Prevention is better than cure. You can get latent or active TB even if you have had a BCG vaccination
What is TB? Tuberculosis (TB) is an illness caused by bacteria. When someone with TB in their lungs coughs or sneezes, they send TB bacteria into the air. If you breathe in these bacteria, one of three
More informationInfection Control Manual. Table of Contents
This policy has been adopted by UNC Health Care for its use in infection control. It is provided to you as information only. Infection Control Manual Policy Name Tuberculosis Control Plan Policy Number
More informationCounty of Santa Clara Emergency Medical Services System
County of Santa Clara Emergency Medical Services System Policy # 700-S01 Ebola Virus Disease Prevention and Control EBOLA VIRUS DISEASE PREVENTION AND CONTROL Effective: December 8, 2014 Replaces: October
More informationFirstName: MiddleInitial: LastName: Student ID# LEHMAN COLLEGE DEPARTMENT OF NURSING READ ME FIRST
FirstName: MiddleInitial: LastName: Student ID# Program: Generic/Accelerated (B.S.) RN-B.S Master s/post-master s Certificate Cohort/Online/Offsite: RN-BS MD-RN Master s ANNUAL HEALTH CLEARANCE REQUIREMENTS
More informationBOV POLICY # 21 (2016) COMMUNICABLE DISEASE PROTOCOL
Policy Title: Communicable Disease Protocol Policy Type: Board of Visitors Policy No.: BOV Policy # 21 (2016) Approved Date: September 23, 2016 Responsible Office: Spartan Health Center Responsible Executive:
More informationMRSA: Help us to help to help you
MRSA: Help us to help to help you Information on MRSA within The Queen Elizabeth Hospital 1 At QE Gateshead we are committed to reducing the risk of infection. What is MRSA? There are many different types
More informationTB Transmission Risk Reduction
TB Transmission Risk Reduction Dr. Grigory Volchenkov Chief Doctor Vladimir Oblast TB Dispensary Center of Excellence for TB Infection Control, Vladimir, Russia Vladimir Region, Russia Population ~ 1.5
More informationNURSING STUDENT HEALTH & IMMUNIZATION RECORDS
NURSING STUDENT HEALTH & IMMUNIZATION RECORDS *********************************** COMPLETE THE ATTACHED HEALTH PACKET AND SUBMIT TO THE NURSING DEPARTMENT NO LATER THAN THE ASN ORIENTATION. **************************************
More informationCorrectional Tuberculosis Screening Plan Instructions
Correctional Tuberculosis Screening Plan Instructions The Correctional Tuberculosis (TB) Screening Plan (Publication # TB-805) is designed for jails and community corrections facilities which meet Texas
More informationQuarantine & Isolation -
Quarantine and Isolation Developed by the Florida Center for Public Health Preparedness 1 Overview The learning objectives for this module are: Awareness of federal and state quarantine and isolation regulations
More informationTuberculosis (TB) risk assessment worksheet
128 Tuberculosis (TB) Risk MMWR Assessment Worksheet December 30, 2005 Tuberculosis (TB) risk assessment worksheet This model worksheet should be considered for use in performing TB risk assessments for
More informationDirect cause of 5,000 deaths per year
HOSPITAL ACQUIRED (NOSOCOMIAL) INFECTION Policies MRSA Policy Meningitis Policy Blood and body fluid Exposure Policy Disinfection Policy Glove Policy Tuberculosis Policy Isolation Policy DEFINITION: ANY
More informationKimberly Harris. Dear Prospective Student Volunteer:
Dear Prospective Student Volunteer: Thanks for your interest in our summer volunteer program at Baylor Scott & White Medical Center White Rock. As a volunteer, you will be providing services and support
More informationSelf-Instructional Packet (SIP)
Self-Instructional Packet (SIP) Advanced Infection Prevention and Control Training Module 4 Transmission Based Precautions February 11, 2013 Page 1 Learning Objectives Module One Introduction to Infection
More information