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1100 San Leandro Blvd, San Leandro, CA 94577 | (510)667-3096
Dr. Amit Chitnis, MD, MP
Tuberculosis Hospital Discharge Planning List
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Patients with active tuberculosis (TB) disease should be discharged only after all of the
following recommendations are addressed. Because TB treatment is complex and long (e.g.,
minimum of 6 months), coordination of TB care with local public health departments and providers
is essential for successful treatment outcomes.
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☐ Complete the Tuberculosis Discharge Treatment Plan, and request discharge approval in
accordance with California Health and Safety Code §121361.
☐ Review patient’s infectiousness and isolation needs in accordance with California Department
of Public Health/CTCA Guidelines
☐ Consult with Alameda County Public Health Department (ACPHD) to determine whether
infectiousness criteria have been met.
☐ Verify insurance and locating information for patient is accurate on Hospital’s Face Sheet.
☐ Obtain correct address and phone number; also, ensure emergency contact information
is correct.
☐ Determine if there are any high co-pays for TB medications or diagnostic tests required
as an outpatient that may be a barrier to completing TB treatment.
☐ Provide 30-day supply of TB medications to the patient prior to discharge.
☐ If prescription is given/ordered for pick-up, ensure family member or support person:
(1) Pick up TB medication from pharmacy
(2) Bring medication to patient’s bedside and
(3) Have RN or pharmacist check accuracy of medication bottles prior to discharge.
☐ Determine, in consultation with ACPHD, if directly observed therapy (DOT) is indicated. If
DOT is needed, fax TB Control a completed and signed DOT order.
☐ Consideration for outpatient follow-up:
☐ Schedule a follow-up appointment with a provider who has experience managing TB
patients.
☐ Verify outpatient TB treating provider accepts patient’s insurance.
☐ If Public Health determines patient is a candidate for discharge to home isolation, call
and confirm with outpatient provider that patient can be seen while infectious.
☐ If patient cannot expectorate sputa and outpatient provider does not have capability to
do sputum induction – schedule appointment for sputa induction at the hospital or at
another facility.
This Discharge Planning List was adapted from the following form used by the Minnestota Department of Public Health