1. “The Inpatient TB Treatment Experience” Dawn L. Farrell, BSN, RN Texas Center for Infectious Disease February 23, 2012

2. Art and Science of Nursing Nursing is: Caring Sharing Laughing Crying Touching Helping Believing in others Believing in self Trusting Learning Respecting Listening Doing Feeling Accepting

3. Mission Statement Texas Center for Infectious Disease The mission of the Texas Center for Infectious Disease (TCID) is to provide high quality medical care, research, and professional education of providers for patients with tuberculosis (TB), and other related infectious, contagious diseases. Health care and diagnostic services will be provided to all referred patients: Across the age spectrum, except for pediatrics. As part of the Department of State Health Services system supporting preventative and treatment services. Without regard to the ability to pay or other lawfully protected classification.

4. Texas Center for Infectious Disease Yesterday

5. Texas Center for Infectious Disease Today

6. A Patient Room

7. Our Patients

8. Diverse Ethnic Background Hispanic Asian Native American Middle Eastern African European

9. Our Tb Patients All of the Tb cases admitted are “difficult” to manage Patients are admitted for a variety of reasons: Drug intolerance Drug resistance Hepatoxicity Safety Co morbidity Non-compliance Social Issues: Homelessness Substance abuse Foreign born Residency requirements: Both in state and out of state residents

10. Admission Day Admission to Unit Assigned a negative pressure room Meet Case manager Meet nursing staff Physician completes history and physical Social Worker meets with patient Dietary assessment completed by dietician Substance Abuse counselor Psychologist completes assessment Vision and Hearing test’s completed Sputum collected Chest x-ray EKG

11. Cultural Activities

12. 4 th of July Picnic

13. Cultural Awareness Biannual evaluation of patients’ ethnic background Variety of ethnic holidays and activities are celebrated annually Community cultural activities are accessible to patients Cultural preferences of patients are considered-food, clothing religion and grooming Staff is provided culturally sensitive training Language specific medical information Use of ATT Language line

14. Holiday Celebrations

15. Los Posadas

16. Specialized Care for Patients Physical Therapy Respiratory Therapy Psychiatric Counseling Group therapy Dental Care Vision Podiatry Radiology Pharmacy Substance Abuse Counseling Recreational Therapy Work programs Educational programs Music therapy

17. Preparing our Patients…… Group counseling AA Meetings-English, Spanish and Women's meetings Smoking Cessation Program Patient worker program Family visits Church services Dining hall for meals Recreational activities: daily 2 mile walk, knitting, painting, sewing Placement for homeless Volunteer program Diabetic teaching

18. Contact Information For Admission questions please contact: Texas Center for Infectious Disease 2303 S.E. Military Dr. San Antonio, Texas Phone: 1-800-TEX-LUNG Or 210-534-8857

19. THANK YOU

20. Dawn L. Farrell, BSN, RN Nurse Educator/Training Coordinator 2303 S.E. Military Dr. San Antonio, TX 78223 Phone: 210-531-4965 Cell: 210-834-7674 Fax: 210-531-4516 dawn.farrell@dshs.state.tx.us