Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska
Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska
Use the TB Medication Dose Monitoring forms to help count each DOT dose. Regimen Two (2) is often used in Alaska. Forms to assist in counting drugs for all four regimens can be found in the Forms section of this manual 18.1. Contact the Alaska TB Program at 907-269-8000 to determine the end of treatment date based upon the number of DOT doses consumed during the number of weeks of treatment. If unable to locate a patient despite many attempts, call the Alaska TB Program at 907-269-8000 to review the case. Documenting Completion of Treatment and Follow-up Recommendations The case manager should insure that the patient understands when TB treatment is complete and provide written documentation to the patient of an adequate course of treatment. General and individualized specific follow-up recommendations should also be provided in writing to the patient. All individuals completing treatment for active tuberculosis should also be educated about the symptoms of tuberculosis and be advised to be re-evaluated should they occur in the future. Use the End of Treatment Letter and Summary to provide written TB treatment and follow-up information to the patient. It can be found in the Forms section of this manual 18.1. A L A S K A T B P R O G R A M M A N U A L Case Management 10. 30 R e v i s e d N o v e m b e r 2 0 1 2
Case Closures Other than Completion of Therapy Moved: All attempts should be made by the case manager to obtain the new or forwarding address. If this new address is within the original jurisdiction, the case should be transferred, as per the local public health agency protocol. If the new address is in another jurisdiction, the Alaska TB Program should be notified and procedures followed as described in the Transfer Notifications section. Cases should be closed as “moved” only if a new address is obtained. For information on who to alert when a case will move or has moved, refer to the Transfer Notifications section 15.1. Not TB: If the completed diagnostic evaluation determined that the diagnosis of TB is not substantiated and another diagnosis is established, the case is closed as “Not TB.” If unable to locate a patient despite many attempts, call the Alaska TB Program at 907-269-8000 to review the case. Died: If the patient expired prior to completion of therapy, the case is closed as “Died.” 62 Ensure that the contact investigation on the case is also completed. For more information, see the Contact Investigation section 11.1. A L A S K A T B P R O G R A M M A N U A L Case Management 10. 31 R e v i s e d N o v e m b e r 2 0 1 2
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Case Closures Other than Completion <strong>of</strong> Therapy<br />
Moved: All attempts should be made by the case manager to obtain the new or<br />
forwarding address. If this new address is within the original jurisdiction, the case<br />
should be transferred, as per the local public health agency protocol. If the new<br />
address is in another jurisdiction, the <strong>Alaska</strong> TB <strong>Program</strong> should be notified and<br />
procedures followed as described in the Transfer Notifications section. Cases<br />
should be closed as “moved” only if a new address is obtained.<br />
For information on who to alert when a case will move or has moved, refer<br />
to the Transfer Notifications section 15.1.<br />
Not TB: If the completed diagnostic evaluation determined that the diagnosis <strong>of</strong><br />
TB is not substantiated and another diagnosis is established, the case is closed<br />
as “Not TB.”<br />
If unable to locate a patient despite many attempts, call the <strong>Alaska</strong> TB<br />
<strong>Program</strong> at 907-269-8000 to review the case.<br />
Died: If the patient expired prior to completion <strong>of</strong> therapy, the case is closed as<br />
“Died.” 62<br />
Ensure that the contact investigation on the case is also completed. For<br />
more information, see the Contact Investigation section 11.1.<br />
A L A S K A T B P R O G R A M M A N U A L Case Management 10. 31<br />
R e v i s e d N o v e m b e r 2 0 1 2
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