the Northeastern Regional Training and The Indiana State Department of Health and medical consultation consortium Present:

TB Case Management

and

Contact Investigation for Nurses

April 18-19, 2007

8:00 am–4:00 pm

Indianapolis, IN

Northeastern Regional Training and

Medical Consultation Consortium

COURSE DESCRIPTION

This is an interactive workshop designed to enhance TB case management and contact interviewing skills of the nurses who attend.

OBJECTIVES

Upon completion of this course participants will be able to:

·  Identify the concepts of tuberculosis (TB) case management

·  Describe the essential components of a contact investigation for tuberculosis

·  Apply the elements of TB nurse case management to the contact investigation process

·  Describe how the concepts of TB nurse case management can be put into practice

COURSE REQUIREMENTS

Enrollment is limited to Registered Nurses who have TB case management as part of job responsibilities. Participants must read Tuberculosis Case Management for Nurses: Self-Study Modules prior to attending the workshop.

COURSE LOCATION

Pecar Center

Indianapolis, IN

REGISTRATION PROCESS

Please complete the attached application, and return it to:

NJMS Global Tuberculosis Institute

PO Box 1709

225 Warren Street

Newark, NJ 07079-1709

Attention: DJ McCabe

A collaborative effort of the Charles P. Felton National Tuberculosis Center at Harlem Hospital, the Massachusetts Department of Public Health Division of Tuberculosis Prevention and Control and the New Jersey Medical School Global Tuberculosis Institute.

CONTINUING EDUCATION CREDITS

The University of Medicine and Dentistry of New Jersey- Center for Continuing and Outreach Education is an approved provider of continuing nursing education by NJSNA, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is awarded 13.8 contact hours. (60 minute CH)

Provider approved by the California Board of Registered Nursing, Provider Number CEP 13780.

Application

Tuberculosis Case Management & Conact Investigation for Nurses April 16-17, 2007

Background Information
Name: / Degree(s) used after name:
Job Title: / Agency:
Department: / Preferred name for name tag:
Mailing Address / Other Contact Information
Street: / Work Phone: Ext.
Work Fax:
City: State: / Alternate Phone:
Zip Code: / Email Address:
Job History and Responsibilities
Percentage of work time devoted to TB: Years of experience in the field of TB:
I manage patients with TB  yes  no I manage patients with LTBI yes  no
On average, How many patients with TB do you see in one year? ______With LTBI? ______
Please describe your workplace setting (e.g., health department, hospital, long-term care facility, other.

Needs and Expectations for Course

What specific knowledge and skills do you hope to gain from this course?
Please specify any special accommodations you may need to attend this course.