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Tuberculosis Infection Control Plan Template For Jails

Directory Files

Use this list as a reference when selecting files to view, print, or copy from the CD-ROM.
  • "Plan Template" indicates customizable files that are a part of the plan document: .doc at the beginning of the list and .rtf at the end of the list; for an explanation of .doc and .rtf files, see the page Using the CD-ROM.

  • "Appendix" indicates a form or instructions that may be either in modifiable .doc/.rtf formats or in nonmodifiable, read-only .pdf format

  • "Tab" indicates non-modifiable text and graphics preprinted on the binder's tabs; the tab files can be printed also on regular paper

  • "Flowchart" indicates a non-modifiable flowchart graphic.
Descriptions
 
File Link
 
  Introduction & Instructions        
    Introduction to the template and instructions on how to customize it     PDF            
    Using This CD-ROM     Word  RTF  
    TB ICP Overview     Word  RTF  
    Print Instructions     Word  RTF  
    Binder Cover     PDF            
  TB ICP Template        
    Tab: TB ICP at a Glance     PDF            
    Tab: TB ICP Index     PDF            
    TB ICP Complete Template     Word           
  Introductory Materials        
    Plan Template: Section includes cover page, table of contents, terminology, approval charts, common goals     Word  RTF  
  P&P 1: Assessing Risk        
    Tab: P&P 1 at a Glance     PDF            
    Plan Template: P&P 1     Word  RTF  
  P&P 2: Screening Staff        
    Tab: P&P 2 at a Glance     PDF            
    Flowchart: Single-Step TST at Baseline (Procedure 2A)     PDF            
    Flowchart: Two-StepTST at Baseline (Procedure 2A)     PDF            
    Flowchart: Periodic Screening (Procedure 2B)     PDF            
    Plan Template: P&P 2     Word  RTF  
    Appendix 2-A: Initial TB Screening Questions for Staff     Word  RTF  
    Appendix 2-B: Periodic TB Screening Questions for TST-Negative Staff     Word  RTF  
    Appendix 2-C: Periodic TB Screening Questions for Staff with Documented Positive TSTs     Word  RTF  
    Appendix 2-D to 2-F: Mantoux TST     Word  RTF  
    Appendix 2-G: Staff TB Summary Record     Word          
  P&P 3: Using Respiratory Protection        
    Tab: P&P 3 at a Glance     PDF            
    Plan Template: P&P 3     Word  RTF  
  P&P 4: Training Staff        
    Tab: P&P 4 at a Glance     PDF            
    Plan Template: P&P 4     Word  RTF  
    Appendix 4-A: Staff Training Acknowledgement Form     Word          
  P&P 5: Keeping Staff Records        
    Tab: P&P 5 at a Glance     PDF            
    Plan Template: P&P 5     Word  RTF  
  P&P 6: Preventing Transmission Prior to/at Booking        
    Tab: P&P 6 at a Glance     PDF            
    Plan Template: P&P 6     Word  RTF  
  P&P 7: Evaluating Inmates        
    Tab: P&P 7 at a Glance     PDF            
    Plan Template: P&P 7     Word  RTF  
    Appendix 7-A: TB Screening at Booking     Word          
    Flowchart: Initial TST (Procedure 7A)     PDF            
  P&P 8: Screening Inmates        
    Tab: P&P 8 at a Glance     PDF            
    Flowchart: Initial TST (Procedure 8A)     PDF            
    Flowchart: Periodic Screening (Procedure 8D)     PDF            
    Plan Template: P&P 8     Word  RTF  
    Appendix 8-A: Initial TB Screening Questions for Inmates     Word  RTF  
    Appendix 8-B: Periodic TB Screening Questions for TST-Negative Inmates     Word  RTF  
    Appendix 8-C: Periodic TB Screening Questions for Inmates with Documented Prior Positive TSTs     Word  RTF  
    Appendix 8-D to 8-F: Mantoux TST     Word  RTF  
    Appendix 8-G: Inmate TB Summary Record     Word          
    Appendix 8-H: Inmate Information for and Consent for Treatment with TB Medicines     Word          
    Appendix 8-I: Inmate Information for and Consent for Treatment with LTBI Medicines     Word          
    Appendix 8-J: TB Identity Card     Word          
  P&P 9: Masking Inmates        
    Tab: P&P 9 at a Glance     PDF            
    Plan Template: P&P 9     Word  RTF  
  P&P 10: Isolating Inmates        
    Tab: P&P 10 at a Glance     PDF            
    Plan Template: P&P 10     Word  RTF  
    Appendix 10-A: Isolation Room Occupant Monitoring Form     Word          
    Appendix 10-B: What Are the Ventilation Criteria of a TB Isolation Room?     Word          
    Appendix 10-C: Monitoring Isolation Rooms under Negative Pressure     Word          
    Appendix 10-D: Isolation Room Pressure Monitor Checklist     Word          
  P&P 11: Treating Inmates with TB Disease        
    Tab: P&P 11 at a Glance     PDF            
    Plan Template: P&P 11     Word  RTF  
    Appendix 11-A: Inmate TB Summary Record     Word          
    Appendix 11-B: TB Identity Card     Word          
    Appendix 11-C: Inmate Information for and Consent for Treatment with TB Medicines     Word          
  P&P 12: Treating Inmates with LTBI        
    Tab: P&P 12 at a Glance     PDF            
    Plan Template: P&P 12     Word  RTF  
    Appendix 12-A: Inmate TB Summary Record     Word          
    Appendix 12-B: TB Identity Card     Word          
    Appendix 12-C: Inmate Information for and Consent for Treatment with LTBI Medicines     Word          
    Appendix 12-D: Inmate Information on LTBI Medication     Word          
  P&P 13: Transporting Inmates        
    Tab: P&P 13 at a Glance     PDF            
    Plan Template: P&P 13     Word  RTF  
    Appendix 13-A: Transportation Checklist     Word          
  P&P 14: Planning Transfers/Releases        
    Tab: P&P 14 at a Glance     PDF            
    Plan Template: P&P 14     Word  RTF  
    Appendix 14-A: TB Plan of Care for Transfer or Release     Word          
    Appendix 14-B: Release Planning Form     Word          
  P&P 15: Keeping Inmate Records        
    Tab: P&P 15 at a Glance     PDF            
    Plan Template: P&P 15     Word  RTF  
  P&P 16: Conducting a Contact Investigation        
    Tab: P&P 16 at a Glance     PDF            
    Flowchart: Conducting a Contact Investigation for TB (Procedures 16A to 16 F)     PDF            
    Flowchart: Testing, Evaluating, and Treating Staff Contacts (Procedure 16E)     PDF            
    Flowchart: Testing, Evaluating, and Treating Inmate Contacts (Procedure 16E)     PDF            
    Plan Template: P&P 16     Word  RTF  
    Appendix 16-A: Sheet for Contact Investigation     Word          
    Appendix 16-B: TB Contact Record     Word          
  P&P 17: Using and Maintaining Environmental Controls        
    Tab: P&P 17 at a Glance     PDF            
    Plan Template: P&P 17     Word  RTF  
    Appendix 17-A: Isolation Room Pressure Monitor Checklist     Word          
  P&P 18: Reporting        
    Tab: P&P 18 at a Glance     PDF            
    Plan Template: P&P 18     Word  RTF  
  P&P 19: Analyzing TB Screening Data        
    Tab: P&P 19 at a Glance     PDF            
    Plan Template: P&P 19     Word  RTF  
    Appendix 19-A: Examples of Calculations to Evaluate Your TB Screening Program     Word  RTF  
  P&P 20: Monitoring and Evaluating the TB ICP        
    Tab: P&P 20 at a Glance     PDF            
    Plan Template: P&P 20     Word  RTF  
  Support Resources        
    Plan Template: Glossary     Word  RTF  
    Plan Template: Organizations     Word  RTF  
    Plan Template: Performance and Learning Resources     Word  RTF  
    Plan Template: References     Word  RTF  
    Plan Template: Directory and File List     Word  RTF  




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