November 14 15, :00am 4:00 pm. 225 Warren Street Newark, NJ

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THE NORTHEASTERN REGIONAL TRAINING AND MEDICAL CONSULTATION CONSORTIUM PRESENTS: TB INFECTION CONTROL IN HEALTHCARE SETTINGS November 14 15, 2006 8:00am 4:00 pm 225 Warren Street Newark, NJ

COURSE DESCRIPTION This course provides an overview of infection control measures to prevent healthcare associated transmission of M. tuberculosis to patients and healthcare workers. Course content is based on recent recommendations from the Centers for Disease Control and Prevention. The format includes lectures, exercises, and skills demonstration. OBJECTIVES Upon completion of this course, participants will be able to: Identify changes in the new CDC infection control guidelines Describe the epidemiology, transmission, and pathogenesis of TB List the steps in implementation of a TB infection control program Explain the TB screening procedures for healthcare workers Discuss the use of precautions to prevent and control the spread of TB Describe the strategies for identifying and managing persons who have TB infection or TB disease COURSE REQUIREMENTS Enrollment is limited to 30 healthcare workers who are responsible for implementing and enforcing TB infection control measures within a healthcare setting. Participants must read the CDC Self Study Modules on Tuberculosis. APPLICATION PROCESS Due to limited class size, all applicants must complete an application form which will ensure that course is appropriate for attendees. Please complete the application, including payment information, and return to NJMS Global Tuberculosis Institute. Submission of application is not a guarantee of registration; receipt of confirmation letter and pre course assessment guarantees registration. Payment must accompany application form to ensure processing.

FACULTY Centers for Disease Control & Prevention Lauren Lambert, MPH New Jersey Department of Health & Senior Services Dave Loughlin NJMS Global Tuberculosis Institute Alfred Lardizabal, MD Mark Wolman, MPH University of Medicine & Dentistry of New Jersey Lawrence Budnick, MD Beverly Ann Collins, RN, MS, CIC CONTINUING EDUCATION CREDITS UMDNJ Center for Continuing and Outreach Education (CCOE) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing education for physicians. UMDNJ CCOE designates this educational activity for a maximum of 8.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. UMDNJ CCOE certifies that this continuing education activity meets the criteria for up to 0.85 Continuing Education Units (CEUs), as defined by the National Task Force on the Continuing Education Unit, provided the activity is completed as designed. One CEU is awarded for 10 contact hours of instruction. UMDNJ CCOE is an approved provider of continuing education by the New Jersey State Nurses Association, Provider Number P173 9/2003 2006. Provider Approval is valid through September 30, 2006. NJSNA is accredited by the ANCC Commission on Accreditation. This activity is approved for 9.6 contact hours. Provider approved by the California Board of Registered Nursing, Provider Number CEP 13780 for 9.6 contact hours. For additional information about the course, please contact Anita Khilall at (973) 972 9102 or khilalan@umdnj.edu

TB Infection Control in Healthcare Settings Background Information Name: Job Title: Application Form November 14 15, 2006 Newark, NJ Degree(s) used after name: Department: Organization: Preferred Mailing Address: Home Work Mailing Address Other Contact Information Address 1: Work Phone: Ext. Address 2: Work Fax: City: State: Alternate Phone: Zip Code: Job History and Responsibilities Length of time in current position: Email Address: Years of experience in TB: Please check the item that best describes your organization / workplace. State or territorial TB control program Federal agency Hospital Managed care organization Correctional facility Long term care setting Local (city or county) TB control program University / educational institution / school Laboratory HIV / AIDS service organization Non profit / non governmental organization Other Please provide a brief description of your job responsibilities as they relate to TB infection control. Are personal respirators used in your setting? Does your setting currently have a respiratory protection program? Would you be interested in learning how to perform fit testing for respirators?

Needs and Expectations for Course What specific knowledge and skills do you hope to learn at this course? Please specify any special accommodations you may need to attend this course. How did you learn about this course? Payment Method (Please check one method) Course Fee: $35.00 Please make payable to: NJMS Global Tuberculosis Institute Check or Money Order Purchase Order Check #: Money Order #: Purchase Order #: Payment (check, money order, or PO) must accompany application form. Return this application with payment to: Arlene Robinson NJMS Global Tuberculosis Institute P.O. Box 1709 225 Warren Street, 1 st Fl., West Wing Newark, NJ 07101 1709 Phone: (973) 972 9101