Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska
Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska
SUPPLIES AND SERVICES PROVIDED BY THE ALASKA TUBERCULOSIS PROGRAM Item Who May Order/Use Purified Protein Derivative (PPD) *When funding is available. PHN Centers Schools Small clinics TB Medications PHNs (Health care providers order through PHNs) Cost to Patient How to Obtain Contact Pharmaceuticals No cost Fax PPD Order Form (18.1) to Epi Drug Room No cost Fax TB/LTBI Medication Request (18.1) to the AK TB Program Pill crushers PHNs No cost Indicate “pill crusher” on TB/LTBI Medication Request (18.1) Sputum Collection Containers Lab specimen packaging materials TB Screening and Clearance cards Incentives and Enablers* Chest Radiograph (CXR) Single view** (CPT 71010) Lab Supplies Health care providers No cost Fax ASPHL Supply Request Form (18.1) to ASPHL- Anchorage Health care providers No cost Fax ASPHL Supply Request Form (18.1) to ASPHL-Anchorage Other Supplies **The Municipality of Anchorage provides TB clinical services, CXRs, and medical consultations within the Municipality of Anchorage, 825 L Street, Anchorage, AK 99501. Call 907-343-4799 to obtain these services. ALASKA TUBERCULOSIS PROGRAM MANUAL SUPPLIES, MATERIALS, AND SERVICES 16 Revised November 2012 Epi Drug Room 907-341-2207 (f) 907-341-2228 AK TB Program 907-269-8000 (f) 907-563-7868 AK TB Program 907-269-8000 (f) 907-563-7868 ASPHL-Anchorage 907-334-2100 (f) 907-334-2161 ASPHL-Anchorage 907-334-2100 (f) 907-334-2161 Health care providers No cost Call AK TB Program AK TB Program 907-269-8000 (f) 907-563-7868 PHNs only No cost Contact Regional Nurse Manager Health care providers caring for noninsured/underinsured patients outside of Anchorage Services AK TB Program reimburses up to $125 per CXR Call an Epi Nurse for a CXR authorization number. Use the Referral and Authorization for TB Screening and Follow-up Services (18.1). CXR interpretation As above No cost Automatic on any submitted CXR. Use the Tuberculosis Screening Questionnaire /CXR Interpretation Liver Function Tests –AST, ALT, bilirubin (CPT 80076) Venipuncture (CPT 36415) Medical Consultations** IGRA testing Health care providers caring for noninsured/underinsured patients outside of Anchorage Reimbursement up to $110 for LFTs and up to $40 for venipuncture Request (18.1). Call an Epi Nurse for a LFT authorization number. Use the Referral and Authorization for TB Screening and Follow-up Services (18.1). AK TB Program 907-269-8000 (f) 907-563-7868 AK TB Program 907-269-8000 (f) 907-563-7868 AK TB Program 907-269-8000 (f) 907-563-7868 Health care providers No cost Call AK TB Program AK TB Program 907-269-8000 Health care providers AK TB Program does not provide/ reimburse Limited availability through private providers and labs in Alaska (f) 907-563-7868
Infection Control CONTENTS Introduction ........................................... 17.2 Purpose.............................................................. 17.2 Policy ................................................................. 17.3 Hierarchy of Infection Control Measures ................................. 17.4 Administrative controls ....................................... 17.4 Environmental controls ...................................... 17.6 Personal respiratory protection .......................... 17.7 Who Should Use a Mask or Respirator ............................. 17.10 Employee Health ................................. 17.11 Two-Step Testing ............................................. 17.11 Screening previously positive staff ................... 17.14 Isolation ............................................... 17.15 Estimating infectiousness ................................ 17.16 Determining noninfectiousness ........................ 17.16 Airborne Infection Isolation in a Healthcare Facility ....................... 17.18 When to initiate airborne infection isolation ..... 17.19 A L A S K A T U B E R C U L O S I S P R O G R A M M A N U A L INFECTION CONTROL 17.1 Revised November 2012 When to discontinue airborne infection isolation .......................................................... 17.20 Hospital Discharge ............................. 17.22 Drug-susceptible tuberculosis disease ............ 17.22 Multidrug-resistant tuberculosis disease ......... 17.23 Release settings .............................................. 17.23 Residential Settings ........................... 17.24 Administrative controls in the patient’s home .. 17.24 Environmental controls in the patient’s home.. 17.25 Respiratory protection in the patient’s home ... 17.25 Other residential settings................................. 17.26 Return to work, school, or other social settings......................................... 17.27 Tuberculosis Infection Control in Patient Care Facilities ........................ 17.29 Transportation Vehicles ..................... 17.31 Patient self-transport ....................................... 17.31 Transport by healthcare workers ..................... 17.31 Transport by emergency medical services ...... 17.31 Resources and References ................ 17.32
- Page 309 and 310: Definitions of abbreviations: AIDS
- Page 311 and 312: elease assay; LTBI = latent tubercu
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- Page 315 and 316: References 1 ATS, CDC, IDSA. Contro
- Page 317 and 318: 44 CDC, NTCA. Guidelines for the in
- Page 319 and 320: Introduction Purpose Use this secti
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- Page 323 and 324: Table 3: PCR Testing Algorithm and
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- Page 369 and 370: For regulations in your area, refer
- Page 371 and 372: Employee Health All employees, phys
- Page 373 and 374: Figure 1: TWO STEP TESTING AND FOLL
- Page 375 and 376: Isolation To reduce disease transmi
- Page 377 and 378: Table 4: CRITERIA FOR PATIENTS TO B
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- Page 401 and 402: INDEX CASE INFORMATION Name: DOB: /
- Page 403 and 404: CONTACT Name: Tuberculosis Contact
- Page 405 and 406: Directly Observed Therapy (DOT) Cal
- Page 407 and 408: B. Documents patient care activitie
- Page 409 and 410: Alaska TB Program Section of Epidem
SUPPLIES AND SERVICES PROVIDED BY THE ALASKA TUBERCULOSIS<br />
PROGRAM<br />
Item Who May<br />
Order/Use<br />
Purified Protein<br />
Derivative (PPD)<br />
*When funding is available.<br />
PHN Centers<br />
Schools<br />
Small clinics<br />
TB Medications PHNs<br />
(Health care providers<br />
order through PHNs)<br />
Cost to<br />
Patient<br />
How to Obtain Contact<br />
Pharmaceuticals<br />
No cost Fax PPD Order Form (18.1) to Epi<br />
Drug Room<br />
No cost Fax TB/LTBI Medication Request<br />
(18.1) to the AK TB <strong>Program</strong><br />
Pill crushers PHNs No cost Indicate “pill crusher” on TB/LTBI<br />
Medication Request (18.1)<br />
Sputum Collection<br />
Containers<br />
Lab specimen<br />
packaging materials<br />
TB Screening and<br />
Clearance cards<br />
Incentives and<br />
Enablers*<br />
Chest Radiograph<br />
(CXR) Single view**<br />
(CPT 71010)<br />
Lab Supplies<br />
Health care providers No cost Fax ASPHL Supply Request Form<br />
(18.1) to ASPHL- Anchorage<br />
Health care providers No cost Fax ASPHL Supply Request Form<br />
(18.1) to ASPHL-Anchorage<br />
Other Supplies<br />
**The Municipality <strong>of</strong> Anchorage provides TB clinical services, CXRs, and medical consultations within the Municipality <strong>of</strong> Anchorage, 825 L Street,<br />
Anchorage, AK 99501. Call 907-343-4799 to obtain these services.<br />
ALASKA TUBERCULOSIS PROGRAM MANUAL SUPPLIES, MATERIALS, AND SERVICES 16<br />
Revised November 2012<br />
Epi Drug Room<br />
907-341-2207<br />
(f) 907-341-2228<br />
AK TB <strong>Program</strong><br />
907-269-8000<br />
(f) 907-563-7868<br />
AK TB <strong>Program</strong><br />
907-269-8000<br />
(f) 907-563-7868<br />
ASPHL-Anchorage<br />
907-334-2100<br />
(f) 907-334-2161<br />
ASPHL-Anchorage<br />
907-334-2100<br />
(f) 907-334-2161<br />
Health care providers No cost Call AK TB <strong>Program</strong> AK TB <strong>Program</strong><br />
907-269-8000<br />
(f) 907-563-7868<br />
PHNs only No cost Contact Regional Nurse Manager<br />
Health care providers<br />
caring for noninsured/underinsured<br />
patients outside <strong>of</strong><br />
Anchorage<br />
Services<br />
AK TB <strong>Program</strong><br />
reimburses up<br />
to $125 per<br />
CXR<br />
Call an Epi Nurse for a CXR<br />
authorization number. Use the Referral<br />
and Authorization for TB Screening<br />
and Follow-up Services (18.1).<br />
CXR interpretation As above No cost Automatic on any submitted CXR.<br />
Use the <strong>Tuberculosis</strong> Screening<br />
Questionnaire /CXR Interpretation<br />
Liver Function Tests<br />
–AST, ALT, bilirubin<br />
(CPT 80076)<br />
Venipuncture<br />
(CPT 36415)<br />
Medical<br />
Consultations**<br />
IGRA testing<br />
Health care providers<br />
caring for noninsured/underinsured<br />
patients outside <strong>of</strong><br />
Anchorage<br />
Reimbursement<br />
up to $110 for<br />
LFTs and up to<br />
$40 for<br />
venipuncture<br />
Request (18.1).<br />
Call an Epi Nurse for a LFT<br />
authorization number.<br />
Use the Referral and Authorization for<br />
TB Screening and Follow-up Services<br />
(18.1).<br />
AK TB <strong>Program</strong><br />
907-269-8000<br />
(f) 907-563-7868<br />
AK TB <strong>Program</strong><br />
907-269-8000<br />
(f) 907-563-7868<br />
AK TB <strong>Program</strong><br />
907-269-8000<br />
(f) 907-563-7868<br />
Health care providers No cost Call AK TB <strong>Program</strong> AK TB <strong>Program</strong><br />
907-269-8000<br />
Health care providers AK TB <strong>Program</strong><br />
does not<br />
provide/<br />
reimburse<br />
Limited availability through private<br />
providers and labs in <strong>Alaska</strong><br />
(f) 907-563-7868
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