TB Information and Resources

Forms

See the Forms Page for these resources:

• Case Forms

• Contact Investigation Forms
• LTBI Screening and Treatment Forms
• Transfer Forms (Case, Contact, LTBI, B-waiver)
• Reimbursement forms  

Investigative Guidelines

• Oregon Investigative Guidelines (pdf) [Updated January 2012]  

Lab

Per OARS 333-018-0018 culture positive isolates must be submitted to the OPHL for susceptibility and genotyping.

• Nucleic Acid Amplification Test for TB (pdf)  

Case Management and Contact Investigation Tools

• Timeline for the Management of TB Suspects/Cases (pdf) provides a month by month summary medications and lab follow-up needed for typical TB suspects and cases.
• TB Case Monitoring (pdf)
• Visual Acuity and Test for Color Discrimination Template (Word)
• Pill Count Form (pdf)
• Contact Investigation Assessment Tool (pdf) can be used to assist the nurse in interviewing the TB Suspect or Case to elicit contacts and TB exposures.
• Tuberculosis Drug Information Guide (pdf) from the Curry International Tuberculosis Center.

Directly Observed Therapy (DOT) Tools

• DOT Counting Log (pdf version) or  DOT Counting Log (excel version) 
• DOT Log - Example of Initial Phase (pdf) 
• DOT Log - Example of Continuation Phase (pdf)   

Directly Observed Therapy (DOT) Trainings

• DOT Training for Outreach Workers (from the Curry Center)
• DOT Training: Essentials (ppt) and  DOT Training Post Test (doc)   

Information on B Waiver Notifications and Follow-Up

• EDN TB Follow-up Guide (pdf) 
• B Waiver Frequently Asked Questions (pdf)
• B Waiver Reporting Guidelines Webinar 

Incentives and Enablers

Incentives and enabler funding is available to all local health departments to assist with case management. Requests will be prioritized as indicated in the below protocol.

• Incentive and Enabler Protocol and Request Form 
• Ideas from CDC for using incentives and enablers  

Videophones

Videophones may be used by Nurse Case Managers for DOT.

• Videophone Request Form (pdf) 
• Videophone DOT Policy (pdf) 
• Videophone Consent Form (pdf) 
• Videophone Release of Liability (pdf) 
• Videophone DOT Tracking Form (pdf)

Patient Education

Check out our patient education materials for these resources:

• Fact Sheets in 17 Languages
• LTBI Treatment Regimens
• TB Training and Education Materials Site--allows you to search a variety of sources for patient education materials

Patient Community Resources

Housing

• Oregon Housing and Community Services, Emergency Shelter
• HUD Oregon

Substance Abuse

• Oxford House
• Service Providers 

Food

• Oregon Food Bank
• Supplemental Nutritional Assistance Program (SNAP) 

Legal Interventions

This resource is a basic guide to understanding the process involved with implementing legal orders for TB suspects, cases and contacts. Sample letters and documentation is included.

•  Implementing Legal Interventions for the Control of Tuberculosis (pdf)  

TB Training

There are many excellent web based TB trainings available on a variety of topics from the CDC and regional TB training centers.

• CDC Self Study Modules  
• Centers for Disease Control
• Curry International Tuberculosis Center
• New Jersey Medical School Global TB Institute
• Heartland National TB Center  

Consultation Services

The TB Program offers consultation services to all local health departments on contact investigations; the medical management of TB suspects, cases and those infected with TB; nurse case management and infection control. Contact us for details.

The Curry International Tuberculosis Center in San Francisco offers a "Warmline" for TB case consultation. All calls are returned within 24 hours.