BC Drug and Poison Information Centre - Poison Control Service 1.800.567.8911

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Guidelines & Forms

Forms
Guidelines and Manuals

Forms

Completion Treatment with TB Medications June 3, 2011 [PDF, 49 KB]
REVISED. Form for completion treatment of tuberculosis infection.

Health 8771 Tuberculin Monthly Report Form June 3, 2011 [PDF, 72 KB]
Health 8771Tuberculin Monthly Report Form

Health 939 Tuberculosis Form June 3, 2011 [PDF, 669 KB]
REVISED: Health 939 Tuberculosis Form updated as of February 2011. This is a fill-in form.

DCV Customer Order Instructions for Forms May 23, 2011 [PDF, 26 KB]
REVISED. These are the instructions for ordering health forms (939s, etc.) from the Distribution Centre in Victoria.

Mycobacteriology TB Requisition December 3, 2010 [PDF, 208 KB]
Mycobacteriology TB Requisition

ZoonoticsandEmergingPathogensRequisition.pdf December 3, 2010 [PDF, 237 KB]
Zoonotics and Emerging Pathogens Requisition

TB Skin Testing Consent Form October 22, 2010 [PDF, 22 KB]
This is a consent form for TB skin testing.

Doctor Referral Form to TB Control Clinic July 22, 2010 [PDF, 124 KB]
Form to be used by doctors to refer clients to the TB Control Clinic.

Medication Reconciliation Form June 30, 2010 [PDF, 71 KB]
Medication Reconciliation Form

Order Form for TB Control Brochures June 16, 2010 [PDF, 25 KB]
Order Form for TB Control Brochures

Tuberculosis Medication Reorder Form June 3, 2010 [PDF, 280 KB]
Tuberculosis Medication Reorder Form

PharmaNet Patient Consent to Access Form April 1, 2010 [DOC, 28 KB]
PharmaNet Patient Consent to Access Form

Follow-up Contact Assessment TB Control HLTH 836(S) March 26, 2010 [PDF, 235 KB]
Follow-up Contact Assessment TB Control HLTH 836(S)

Record of Supervised TB Medications HLTH 832 March 26, 2010 [PDF, 292 KB]
Record of Supervised TB Medications HLTH 832

Storage and Handling of PPD March 25, 2010 [DOC, 46 KB]
Guidelines for the Storage and Handling of PPD.

Tuberculosis Starter Unit Drug Order Form March 10, 2010 [PDF, 27 KB]
This document is used by health units to reorder tuberculosis starter units.

Biologicals Return and Redistribution Requirements Form December 4, 2009 [PDF, 41 KB]
Note: A Field Return Form must be submitted to the biologicals desk first. The desk will then contact you to advise on the completion of this form.

Vaccine Temperature Form October 7, 2009 [PDF, 260 KB]
Temperature log form for tracking vaccine refrigerator temperature twice daily.

What is TB not TV Video Order Form September 25, 2009 [DOC, 9 MB]
This is the order form for the video What is TB not TV?

TB - Notification of Abnormal AST form.pdf September 22, 2009 [PDF, 51 KB]
Prophylaxis: notification of abnormal AST levels.

TB - Request for Preventative Therapy form September 22, 2009 [PDF, 57 KB]
Request for preventative therapy form.

PPD Antigen and BCG Vaccine Order Form August 11, 2009 [PDF, 42 KB]
PPD Antigen and BCG Order Form

Guidelines and Manuals

Tuberculosis Control Manual May 15, 2012 [PDF, 14 MB]
Tuberculosis Control Manual

Guidelines for Field Operations IGRA Process (Combined) October 21, 2011 [PDF, 74 KB]
This is a TB guideline for the Field Operations for the Interferon Gamma Release Assay Process (IGRA) process.

Tuberculosis Decision Support Tool, Chest x-ray for Tuberculosis Screening May 23, 2011 [PDF, 119 KB]
REVISION. Decision Support Tool, Chest X-ray for Tuberculosis Screening

Infection Control Minutes and Manual December 13, 2010 [PDF, 4 MB]
Infection Control Minutes and Manual

DOT MANUAL June 2, 2010 [PDF, 2 MB]
This is the manual for Directly Observed (DOT) Therapy for Tuberculosis.

Decision Support Tool, Tuberculin Skin Testing for Tuberculosis Screening April 9, 2010 [PDF, 183 KB]
Decision Support Tool, Tuberculin Skin Testing for Tuberculosis Screening

Registered Nursing Competencies for Tuberculosis Screening, Chest X-ray and Tuberculin Skin Test April 9, 2010 [PDF, 31 KB]
Registered Nursing Competencies, X-ray and Tuberculin Skin Test

Communicable Disease Control Manual May 29, 2009 [HTML]
BC Communicable Disease Manual.

NOTE: Documents referenced on this page require Adobe Reader.

Last Updated: May 24, 2011