Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska
Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska
I. Overview Directly Observed Therapy (DOT) Aide Job Description Under the direct supervision of the local Public Health Nurse (PHN), acts a representative of the Alaska TB Program in the community to provide directly observed therapy (DOT) for patients with tuberculosis. The DOT Aide reinforces the importance of following medical advice, taking TB medications according to the prescribed schedule and regimen, and completing treatment to the patient. DOT Aides also monitor patient treatment and adverse reactions and report regularly to the local Public Health Nurse. II. Duties and Responsibilities A. Helps provide patient care. 1. Obtains TB medications from the PHN and ensures that they are stored safely and out of the reach of children at all times. Dose packs are NOT child proof and must be stored securely. PHNs can assist with safe storage options as needed. 2. Delivers directly observed therapy (DOT) following medical and nursing direction to ensure that the patient takes their TB medications according to the prescribed schedule. DOT means that the Aide watches while the TB patient swallows their medication. Doses that are NOT observed are not counted. 3. Reviews and instructs patient and family regarding possible medication side effects. 4. Interviews and observes patient for signs/symptoms of TB and/or medication side effects with each DOT dose. 5. STOPS TB drugs and reports any signs/symptoms of TB medication side effects as soon as possible to the PHN. These include: nausea; vomiting; stomach pain; decreased appetite; jaundice (yellow eyes or skin); fever; dark urine; rash or itching; fatigue; tingling or burning in hands or feet; or visual changes. 6. Locates patient when patient misses appointment with the DOT Aide. Encourages patient cooperation with therapy. 7. Reports 2 or more missed DOT doses to the PHN. 8. Keeps PHN informed of patient’s progress, whereabouts, and any patient travel plans. Rev 11/12
B. Documents patient care activities and fills out required forms. 1. Documents all medications and dosages given on the DOT Calendar. 2. Records each dose on the DOT Calendar on the day it is provided to the patient. The Alaska TB program will only reimburse DOT Aides for up to 5 doses per patient per week unless approved by the Program before the doses are given. 3. Submits completed DOT Calendar and Monthly Invoice for Payment to the supervising PHN at the end of each month. C. Organizes workload 1. Provides patient care and TB medications according to the plan agreed upon by the DOT Aide, PHN, and the patient. 2. Makes a plan with the PHN, in case DOT Aide needs time off. III. Supervision Received The DOT Aide will be recruited, trained, and supervised by a DOT supervisor who will be the local or itinerant PHN. IV. Qualifications and Requirements A. Must be able to deal tactfully and communicate effectively with patient(s). Must feel comfortable meeting patient(s) in unconventional settings such as work sites, homes, schools, and other places. B. Prior training in health care, health education, social work, or public health is desirable, but not required. Must be mature and dependable and have the ability to complete written forms. C. It is very important for DOT Aides to maintain the privacy of patients and their families. The patient’s diagnosis, treatment, and related issues are confidential and should only be discussed with the supervising PHN and the patient’s health care provider. Rev 11/12
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B. Documents patient care activities and fills out required forms.<br />
1. Documents all medications and dosages given on the DOT Calendar.<br />
2. Records each dose on the DOT Calendar on the day it is provided to the<br />
patient. The <strong>Alaska</strong> TB program will only reimburse DOT Aides for<br />
up to 5 doses per patient per week unless approved by the <strong>Program</strong><br />
before the doses are given.<br />
3. Submits completed DOT Calendar and Monthly Invoice for Payment to<br />
the supervising PHN at the end <strong>of</strong> each month.<br />
C. Organizes workload<br />
1. Provides patient care and TB medications according to the plan agreed<br />
upon by the DOT Aide, PHN, and the patient.<br />
2. Makes a plan with the PHN, in case DOT Aide needs time <strong>of</strong>f.<br />
III. Supervision Received<br />
The DOT Aide will be recruited, trained, and supervised by a DOT supervisor who will<br />
be the local or itinerant PHN.<br />
IV. Qualifications and Requirements<br />
A. Must be able to deal tactfully and communicate effectively with patient(s). Must feel<br />
comfortable meeting patient(s) in unconventional settings such as work sites, homes,<br />
schools, and other places.<br />
B. Prior training in health care, health education, social work, or public health is<br />
desirable, but not required. Must be mature and dependable and have the ability to<br />
complete written forms.<br />
C. It is very important for DOT Aides to maintain the privacy <strong>of</strong> patients and their<br />
families. The patient’s diagnosis, treatment, and related issues are confidential and<br />
should only be discussed with the supervising PHN and the patient’s health care<br />
provider.<br />
Rev 11/12