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