Hello all,

Nurses generally do not carry epi pens. I can only speak for Colorado and WI, having lived, trained and worked there as well. 

Ann Scarpita BSN, MPH
TB Nurse Consultant
Tuberculosis Program
Colorado Department of Public Health and Environment 
4300 Cherry Creek Drive South, Denver, CO 80246
P 303.692.2656|  F 303.759.5538

"Wisdom is knowing the right path. Integrity is taking it." ~M.H. McKee 

Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.



On Thu, Oct 11, 2018 at 6:37 PM TB nurse communication <nobody@simplelists.com> wrote:
(Previous discussion continued)
RE: Daily digest for tbnurses@ntca.simplelists.com - Morse, Darlene (11 Oct 2018 09:30 EDT)
RE: Daily digest for tbnurses@ntca.simplelists.com - Patricia Woods (11 Oct 2018 09:34 EDT)
RE: Daily digest for tbnurses@ntca.simplelists.com - Amy M Hill (11 Oct 2018 10:02 EDT)
RE: Daily digest for tbnurses@ntca.simplelists.com by Morse, Darlene (11 Oct 2018 09:30 EDT)
Reply to list

    Amy,

    Here in NH the nurses don’t carry Epi pens when doing DOT. They do however when they are planting TST’s.

    Darlene

     

    *************************************
    Darlene Morse, MSN, RN, M.Ed., CIC
    Public Health Nurse Program Manager
    Bureau of Infectious Disease Control
    New Hampshire Division of Public Health Services,

    Department of Health and Human Services
    29 Hazen Drive
    Concord, NH 03301

    Phone: 603-271-4494
    Fax: 603-271-0545
    E-mail: Darlene.Morse@dhhs.nh.gov

     

    Follow us on Twitter @NHIDWatch

    "Like" us on Facebook @NH Bureau of Infectious Disease Control

     

    From: TB nurse communication [mailto:nobody@simplelists.com]
    Sent: Wednesday, October 10, 2018 8:34 PM
    To: tbnurses@ntca.simplelists.com
    Subject: Daily digest for tbnurses@ntca.simplelists.com

     

    use of ER kits with DOT in the home - Painter, Amy (10 Oct 2018 12:05 EDT)

    use of ER kits with DOT in the home by Painter, Amy (10 Oct 2018 12:05 EDT)
    Reply to list

    All,

    I am interested to know if your agency policies require the nurses to carry epinephrine while performing DOT of po meds (ie - INH, Rif, EMB, PZA) in the home? Are your nurses carrying epi when giving injectables?

    Amy R. Painter, RN, BSN
    TB Division Director
    S.C. Dept. of Health & Environmental Control
    Mobile: (803) 722-0179

    Office: (803) 898-0644

    Fax: (803) 898-0685
    Connect: www.scdhec.gov  Facebook  Twitter

    This e-mail and any included attachments are intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this e-mail in error, or have reason to believe you are not authorized to receive it, please delete this message and notify the sender by e-mail.

    To reply to a posting, simply reply. To start a new thread, address it to
    tbnurses@ntca.simplelists.com and put in a concise subject line.
    You are on the daily digest setting for the listserve.The archives for
    this list are at http://ntca.simplelists.com/tbnurses.
    If you have problems with the listserve, please contact Lorna
    Will at lwill@tbcontrollers.org

RE: Daily digest for tbnurses@ntca.simplelists.com by Patricia Woods (11 Oct 2018 09:34 EDT)
Reply to list

    Hi Amy,

    In some of the clinics in NJ the DOT is provided by non-medical personnel which cannot administer the epi. And they do not bring an emergency kit. They are all provided with phones in case they need to call 911.

    However, the clinics’  have standing orders to administer epi or Benadryl in clinic if need be.

    Whenever possible, the first few doses of DOT (oral and injectable) are given in the clinic to observe the patient. If a nurse is doing the DOT some clinics will bring an emergency kit especially in the beginning or if they could not be observed in the clinic.

     

    Patty

     

     

     

    Patricia Woods, RN, MSN

    Nurse Manager

    NJMS Global Tuberculosis Institute, ICP, 1st Floor, East Wing

    Lattimore Clinic

     

    Rutgers, State University of New Jersey

    225 Warren St, Newark, NJ 07103

    p. 973-972-3830     f. 973-972-3832

    patty.woods@rutgers.edu

     

    Website: globaltb.njms.rutgers.edu

     

     

    From: TB nurse communication [mailto:nobody@simplelists.com]
    Sent: Wednesday, October 10, 2018 8:34 PM
    To: tbnurses@ntca.simplelists.com
    Subject: Daily digest for tbnurses@ntca.simplelists.com

     

    use of ER kits with DOT in the home - Painter, Amy (10 Oct 2018 12:05 EDT)

    use of ER kits with DOT in the home by Painter, Amy (10 Oct 2018 12:05 EDT)
    Reply to list

    All,

    I am interested to know if your agency policies require the nurses to carry epinephrine while performing DOT of po meds (ie - INH, Rif, EMB, PZA) in the home? Are your nurses carrying epi when giving injectables?

    Amy R. Painter, RN, BSN
    TB Division Director
    S.C. Dept. of Health & Environmental Control
    Mobile: (803) 722-0179

    Office: (803) 898-0644

    Fax: (803) 898-0685
    Connect: www.scdhec.gov  Facebook  Twitter

    This e-mail and any included attachments are intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this e-mail in error, or have reason to believe you are not authorized to receive it, please delete this message and notify the sender by e-mail.

    To reply to a posting, simply reply. To start a new thread, address it to
    tbnurses@ntca.simplelists.com and put in a concise subject line.
    You are on the daily digest setting for the listserve.The archives for
    this list are at http://ntca.simplelists.com/tbnurses.
    If you have problems with the listserve, please contact Lorna
    Will at lwill@tbcontrollers.org

RE: Daily digest for tbnurses@ntca.simplelists.com by Amy M Hill (11 Oct 2018 10:02 EDT)
Reply to list

    Hi Amy,

     

    No our DOT providers/nurses don’t carry an emergency kit when providing PO meds. We do carry an emergency kit (injectable Benadryl and Epinephrine) when giving injectable.

     

    Respectfully,

     

    Amy Hill, RN

    Oklahoma State Department of Health

    TB Program Manager

    (O) 405.271.4060

    (F)  405.271.6680

    AmyH@health.ok.gov

    https://www.ok.gov/health/

     

    ****DISCLAIMER****
    PRIVILEGED AND CONFIDENTIAL INFORMATION: The information contained in this electronic transmission, and any documents attached hereto, may contain information that is legally privileged and confidential. The information is intended only for the use of the recipient(s) named above. If you have received this electronic message in error, please notify the sender and delete the message. Any disclosure, copying, distribution, or the taking of any action in reference to the contents of the information contained within this message is strictly prohibited.

     

     

     

     

     

     

     

    From: TB nurse communication <nobody@simplelists.com>
    Sent: Wednesday, October 10, 2018 7:34 PM
    To: tbnurses@ntca.simplelists.com
    Subject: Daily digest for tbnurses@ntca.simplelists.com

     

    use of ER kits with DOT in the home - Painter, Amy (10 Oct 2018 12:05 EDT)

    use of ER kits with DOT in the home by Painter, Amy (10 Oct 2018 12:05 EDT)
    Reply to list

    All,

    I am interested to know if your agency policies require the nurses to carry epinephrine while performing DOT of po meds (ie - INH, Rif, EMB, PZA) in the home? Are your nurses carrying epi when giving injectables?

    Amy R. Painter, RN, BSN
    TB Division Director
    S.C. Dept. of Health & Environmental Control
    Mobile: (803) 722-0179

    Office: (803) 898-0644

    Fax: (803) 898-0685
    Connect: www.scdhec.gov  Facebook  Twitter

    This e-mail and any included attachments are intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this e-mail in error, or have reason to believe you are not authorized to receive it, please delete this message and notify the sender by e-mail.

    To reply to a posting, simply reply. To start a new thread, address it to
    tbnurses@ntca.simplelists.com and put in a concise subject line.
    You are on the daily digest setting for the listserve.The archives for
    this list are at http://ntca.simplelists.com/tbnurses.
    If you have problems with the listserve, please contact Lorna
    Will at lwill@tbcontrollers.org

To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org