Hi all,

We do not carry EpiPens, except when administering TSTs. I did want to make sure everyone knows about the 340b pricing for government agencies. Through McKesson we are able to get epinephrine auto injectors (generic EpiPens) for $0.01. That is correct $0.01. Sometimes they are $0.05. Currently they are back ordered. And the price does fluxuate. The most we have paid is $40, but it is still hundreds less than the EpiPen.

If anyone has questions about how to enroll in 340b, I am happy to help.

Thanks!

Katie Kelsch, BSN, RN, PHN

Senior Public Health Nurse

Yolo County Health and Human Services Agency

137 N. Cottonwood Street

Woodland, CA 95695

Office: 530-666-8339 (direct)

Fax: 530-669-1549 (confidential)

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From: TB nurse communication [mailto:nobody@simplelists.com]
Sent: Tuesday, October 23, 2018 5:27 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com

(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Goodbody, Angela K V (23 Oct 2018 11:59 EDT)
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Goodbody, Angela K V (30 Aug 2018 15:47 EDT)
Welcome to new members! - Lorna Will (23 Oct 2018 16:42 EDT)

Re: Daily digest for tbnurses@ntca.simplelists.com by Goodbody, Angela K V (23 Oct 2018 11:59 EDT)
Reply to list

We keep epinephrine in vials wherever we give injectable antibiotics. Epipens have become too expensive and seem to have short expiration dates

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From: TB nurse communication <nobody@simplelists.com>
Sent: Friday, October 12, 2018 2:27 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com

(Previous discussion continued) Re: Daily digest for tbnurses@ntca.simplelists.com - Scarpita - CDPHE, Ann (12 Oct 2018 09:49 EDT) Re: Daily digest for tbnurses@ntca.simplelists.com by Scarpita - CDPHE, Ann (12 Oct 2018 09:49 EDT)
Reply to list

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

ann.scarpita@state.co.us

www.colorado.gov/cdphe/tb

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

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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

"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
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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,

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

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/

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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,

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

Re: Daily digest for tbnurses@ntca.simplelists.com by Goodbody, Angela K V (30 Aug 2018 15:47 EDT)
Reply to list

Peace,

Angie

Angela Goodbody, RN

Nursing Supervisor

State of Hawaii, Dept of Health

TB Control Branch

1700 Lanakila Avenue, Ground Floor

Honolulu, HI 96817

Ph (808) 832-5623

Fax (808) 832-3538

Don't walk in front of me, I was not born to follow;

Don't walk behind me, we were all born to lead;

Don't walk without me, I might need you tomorrow;

Walk right beside me, be the real friend I need.

(lyrics from song "Walk Beside Me", Celtic Women)

From: TB nurse communication <nobody@simplelists.com>
Sent: Wednesday, August 29, 2018 2:26:49 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com

Seeking sample RN protocol for LTBI treatment - Raftery, Ann (29 Aug 2018 16:29 EDT) Seeking sample RN protocol for LTBI treatment by Raftery, Ann (29 Aug 2018 16:29 EDT)
Reply to list

Hello nurse colleagues,

Another “Rather than re-inventing the wheel” request from a nurse here in CA, Jennie Brown, who is looking for an example of an RN protocol for monitoring patients on treatment for LTBI. Her setting is a student health clinic setting but any examples would be helpful. We’d be very appreciative if you have something already available and are willing to share if you would forward to us.

Thanks in advance for any examples you may have to share!

Ann Raftery, PHN

Curry International Tuberculosis Center

Attachment: 2.019 LTBI TX -Nurse Assessment and Management of Adverse Drug Reactions.pdf (application/pdf)

Welcome to new members! by Lorna Will (23 Oct 2018 16:42 EDT)
Reply to list

I've updated the membership list for the listserv, using the most up-to-date 2018 membership list. We've had several new members join, so I wanted to welcome them and let them know how to use this listserv.

Everyone is receiving the daily digest; in WI it appears in the late afternoon. This is a compilation of all messages sent in the last 24 hours. If you would rather receive the responses as they come, please let me know, and I'll switch you to real-time delivery.

All messages and attachments are kept on the archive, so you can go back and find protocols, flow sheets, etc. that colleagues have sent. The archive is available at http://ntca.simplelists.com/tbnurses .

All messages go to all list members. To start a thread, just send an email to tbnurses@ntca.simplelists.com. To reply, just reply as usual.

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