Step 1 of 4

TB-DOTS PROGRAM: TB CASE WITH POSITIVE CHEST X-RAY CONSULTATION

External Services

Program of the national government that involves a combination of technical and managerial components to quickly make infectious cases non-infectious and break the cycle of transmission, thus preventing the development of drug-resistant strains of TB that are often fatal and almost 100 times more expensive to cure.

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Details

OFFICE/UNIT

MUNICIPAL HEALTH SERVICES OFFICE

CLASSIFICATION

Complex

TYPE OF TRANSACTION

G2C – Government to Citizen

WHO MAY AVAIL

Walk-in patients, active case finding patients, and referral patients from other facilities.

Requirements

# Checklist Item Where to Secure
1 None None

5 STEPS

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Go to Cough Center for assessment

1. Take vital signs and accomplish individual treatment record

 

2. Interview the patient for signs & symptoms of TB

 

3. Issue chest x-ray voucher to patient and instruct to go to partner X-ray facility (Citilife Diagnostic Center)

None

 

 

 

None

 

 

 

None

5 minutes

 

 

 

5 minutes

 

 

 

5 minutes

 

GRACE L. MENDOZA, RN

Nurse

 

GRACE L. MENDOZA, RN

Nurse

 

GRACE L. MENDOZA, RN

Nurse

2. Go to partner X-ray Facility (Citilife Diagnostic Center)

2.1. Provide Chest X-ray service to patient

 

2.2. Send the result back to Cough Center once available

None

(just present X-ray Voucher)

 

None

 

15 minutes

 

 

 

3 hours

ROMMEL G. TUMANGDAY, RRT

X-ray Technician

 

ROMMEL G. TUMANGDAY, RRT

X-ray Technician

3. Go back to Cough Center for result reading

3.1. Read the result of Chest X-ray. If POSITIVE or WITH FINDINGS, ask to collect sputum sample

 

None

 

 

 

5 minutes

 

 

 

GRACE L. MENDOZA, RN

Nurse

 

4. Collect sputum sample for Gene Xpert Test

4.1. Give the patient properly labeled specimen bottle and instruct proper sputum collection

 

4.2. Send specimen to testing facility and instruct the patient to wait for the call to go back for results

None

 

 

 

 

 

None

5 minutes

 

 

 

 

 

2 days

GRACE L. MENDOZA, RN

Nurse

 

 

 

GRACE L. MENDOZA, RN

Nurse

5. Go back to Cough Center once called

5.1. Enroll patient to TB treatment regimen; issue appropriate TB medications and instruct on how to properly take them

 

5.2. Instruct patient on dates of sputum submission for follow-up testing (depending on result of initial sputum test)

None

 

 

 

 

 

 

 

None

15 minutes

 

 

 

 

 

 

 

5 minutes

GRACE L. MENDOZA, RN

Nurse

Health Office

 

 

 

 

GRACE L. MENDOZA, RN

Nurse

Health Office

 

TOTAL:

None

2 days and 4 hours

 

Finish