TB Training Roadmap
Overview
Purpose
This Roadmap is a tool to guide public health nurses as they learn information needed to work
in TB. There are many TB resources available. The list below includes our recommendations for
a nurse new to TB. They are listed to build upon each other, and yet can be used in any order.
The following materials include both Training Materials and Resource Materials:
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Training materials are designed to build knowledge, skills, or competencies in the public
health workforce. This may include self-study modules or curricula, online courses or
webinars or other materials.
Resource materials are books, brochures, articles, posters, reminder cards, and other
materials that may be very useful in your learning about TB, but are not designed
specifically for instructional use. They may also be used as materials for patient education.
A wider list of these kinds of materials can be found at www.findtbresources.org.
This document is hyperlinked to make materials more accessible. To use the hyperlinks, you
must access this Roadmap electronically. You can access the hyperlinks in two ways:
a) Put your cursor on the blue text and click. The document will open in another browser.
b) Right click on the blue text. In the drop-down menu, select “open hyperlink.”
Supervisor Instructions:
Select which Roadmap materials you want your employee to review by checking the
appropriate boxes. You can also edit this Word document to create a personalized learning
guide; add or delete materials to suit your employee’s needs. For example, you can delete a
line in the table for topics that are not relevant for your employee. You can also add lines; for
example, add your local/state policies and forms. Remind your employee the Roadmap can be
completed over a period of time; it is not intended to be finished in one day.
Employee Instructions:
Give this form to your supervisor and ask them to suggest which materials you should review.
Once you have a customized Roadmap Training Plan, go through the materials at your own
pace and keep track of when you’ve reviewed them. The Roadmap can be completed over a
period of time; it is not intended to be finished in one day.
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TB Training Roadmap
Training Agreement
Employee Name: ______________________________________
Supervisor Name: ______________________________________
The Supervisor agrees to:
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Assess the employee’s learning needs for tuberculosis education
Review the Roadmap materials
Identify Roadmap materials that are most relevant and appropriate to the employee’s
learning needs
Check off the materials for the employee to review, using the Roadmap Training Plan to
create a personalized learning guide by adding and deleting resources as needed
Share the Roadmap Training Plan with the employee
Discuss suggested completion dates for each material
Assess employee learning by discussing the materials with the employee -ask what they
have learned and if they have any questions
Provide support and guidance to the employee
Allow time for the employee to review the materials
Review and sign the completed Roadmap Training Plan
The Employee agrees to:
 Share your learning needs with your supervisor or mentor
 Get a personalized Roadmap Training Plan from your supervisor or mentor
 Review Roadmap learning materials at your own pace
 Ask questions or make a list of questions to ask your mentor or supervisor when you meet
with them
 Document when you have completed each material
 Sign the completed Roadmap Training Plan and share with your supervisor
This is not a contract but a training agreement.
I have read the above Training Agreement and understand my responsibilities:
Employee Signature: ______________________________________
Date: __________
Supervisor Signature: ______________________________________
Date: __________
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TB Training Roadmap
Learning Materials
Background Knowledge of TB
Training materials
Suggested
Completion
Date
 TB 101 for Health Care Workers Web-based course Centers for Disease Control and Prevention (CDC)
 Self-Study Modules on Tuberculosis Self-study modules
(CDC)
 Modules 1-5 Introduction
 Module 1: Transmission and Pathogenesis of
Tuberculosis
 Module 2: Epidemiology of Tuberculosis
 Module 3: Targeted Testing and the Diagnosis of
Latent Tuberculosis Infection and Tuberculosis
Disease
 Module 4: Treatment of Latent Tuberculosis
Infection and Tuberculosis Disease
 Module 5: Infectiousness and Infection Control
 Modules 1-5 Glossary
 Modules 6-9 Introduction
 Module 6: Managing Tuberculosis Patients and
Promoting Adherence
 Module 7: Patient Rights and Confidentiality in
Tuberculosis Control
 Module 8: Contact Investigations for Tuberculosis
 Module 9: Tuberculosis Outbreak Detection and
Response
 Modules 6-9 Glossary
 Core Curriculum on Tuberculosis: What the Clinician
Should Know Self-study guide (CDC)
 Introduction and Table of Contents
 Chapter 1: Overview of Tuberculosis Epidemiology in
the United States
 Chapter 2: Transmission and Pathogenesis of
Tuberculosis
 Chapter 3: Testing for Tuberculosis Infection and
Disease
 Chapter 4: Diagnosis of Tuberculosis Disease
 Chapter 5: Treatment for Latent Tuberculosis
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Date
Completed
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Infection
Chapter 6: Treatment of Tuberculosis Disease
Chapter 7: Tuberculosis Infection Control
Chapter 8: Community Tuberculosis Control
Appendix A: Glossary
Appendix B: Answers to the Study Questions
Appendix C: PowerPoint Slide Set
Core Curriculum Slide Set
 Your local or state health department’s TB manual,
regulations, tasks and standards, policies and
procedures, etc.
If you conduct tests for TB infection/disease
Training materials
Suggested
Completion
Date
Date
Completed
 Core Curriculum on Tuberculosis, Chapter 3: Testing for
Tuberculosis Infection and Disease Self-study guide (CDC)
 Core Curriculum on Tuberculosis, Chapter 4: Diagnosis of
Tuberculosis Disease Self-study guide (CDC)
 Self-Study Modules on Tuberculosis Module 3: Targeted
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Testing and Diagnosis of Latent Tuberculosis Infection
and Tuberculosis Disease Self-study module (CDC)
Targeted Testing and Treatment of Latent TB Infection
Webinar –Curry International Tuberculosis Center (CITC)
Targeted Tuberculosis (TB) Testing and Treatment of
Latent TB Infection Slides (CDC)
Mantoux Tuberculin Skin Testing DVD or Podcast (CDC)
Tuberculosis Testing 2012: An Online Tutorial Using IGRA
Screening of Latent TB Infection Multimedia Video –
Global Tuberculosis Institute- (GTBI)
Diagnosis of Latent TB Infection Multimedia Video (GTBI)
Resource materials
 CDC Guidelines
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Diagnosis and Treatment of Latent Tuberculosis Infection (LTBI) Card (GTBI)
Latent Tuberculosis Infection: A Guide for Primary Health Care Providers Booklet (CDC)
LTBI Card: Patient's TB Testing and Treatment Record Booklet (GTBI)
Management of Latent Tuberculosis Infection in Children and Adolescents: A Guide for the
Primary Care Provider Booklet (GTBI)
 Mantoux Tuberculin Skin Test Wall Chart (CDC)
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 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
If you provide care for a person with TB infection
Training materials
Suggested
Completion
Date
Date
Completed
 Core Curriculum on Tuberculosis, Chapter 5: Treatment
for Latent Tuberculosis Infection Self-study guide (CDC)
 Self-Study Modules on Tuberculosis – Module 4:
Treatment of Latent Tuberculosis Infection and
Tuberculosis Disease Self-study module (CDC)
 Sharing the Care: Working Together on LTBI Treatment and
Management- September 2014 Webinar (CITC)
 Targeted Testing and Treatment of Latent TB Infection
Webinar (CITC)
 New Treatment Regimen for Latent Tuberculosis
Infection Podcast (CDC)
 Strategies for Ensuring Adherence to LTBI Treatment
Webinar (GTBI)
 Targeted Tuberculosis (TB) Testing and Treatment of
Latent TB Infection Slides (CDC)
 Treatment of Latent TB Infection Multimedia Video
(GTBI)
Resource materials
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CDC Guidelines
Diagnosis and Treatment of Latent Tuberculosis Infection (LTBI) Card (GTBI)
Latent Tuberculosis Infection (LTBI) Mobile Application for Health Care Providers (CDC)
Latent Tuberculosis Infection: A Guide for Primary Health Care Providers Booklet (CDC)
LTBI Card: Patient's TB Testing and Treatment Record Booklet (GTBI)
Management of Latent Tuberculosis Infection in Children and Adolescents: A Guide for the
Primary Care Provider Booklet (GTBI)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
If you provide care for a person with TB disease
Training materials
Suggested
Completion
Date
 Core Curriculum on Tuberculosis, Chapter 6: Treatment
5
Date
Completed
of Tuberculosis Disease Self-study guide (CDC)
 Self-Study Modules on Tuberculosis – Module 4:
Treatment of Latent Tuberculosis Infection and
Tuberculosis Disease Self-study module (CDC)
 Medical Management of Tuberculosis-2009 Webinar
(CITC)
 Management of TB: Managing Adverse Drug Effects
Webinar (GTBI)
Resource materials
 CDC Guidelines
 Management of the Active TB Patient at Risk of Hepatotoxicity Factsheet – Heartland
National Tuberculosis Center (HNTC)
 Treatment of Tuberculosis: Standard Therapy for Active Disease in Adults & Adolescents
Pocket Card (GTBI)
 Tuberculosis Adverse Drug Events Pocket Guide (HNTC)
 Tuberculosis Drug Information Guide, 2nd edition Manual (CITC)
 Tuberculosis Medication Drug and Food Interactions Pocket Guide (HNTC)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
If you see pediatric patients with TB disease or LTBI
Training materials
Suggested
Completion
Date
Date
Completed
 Pediatric Tuberculosis: The Essentials Webinar (CITC)
 Advanced Concepts in Pediatric TB Webinar Series (SNTC)
Resource materials
 Epidemiology of Pediatric Tuberculosis in the United States Slide set (CDC)
 Management of Latent Tuberculosis Infection in Children and Adolescents: A Guide for the
Primary Care Provider Booklet (GTBI)
 Targeted Tuberculin Skin Testing and Treatment of Latent Tuberculosis Infection in Children
and Adolescents Journal Article (American Academy of Pediatrics, 2004)
 Treatment of Tuberculosis: Standard Therapy for Active Disease in Children &
Adolescents Booklet (GTBI)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
If you conduct contact investigations
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Training materials
Suggested
Completion
Date
Date
Completed
 Self-Study Modules on Tuberculosis – Module 8: Contact
Investigations for Tuberculosis Self-study module (CDC)
 Effective TB Interviewing for Contact Investigation (CDC)
 Guide
 Modules
 DVD
 TB Interviewing for Contact Investigation: A Practical
Resource for the Healthcare Worker Booklet (GTBI)
 Checklist
 Tuberculosis Contact Investigation in Congregate
Settings: A Resource for Evaluation Booklet (GTBI)
 Tuberculosis Field Investigation: A Resource for the Health
Care Worker Booklet (GTBI)
 Tuberculosis Contact Investigation in Jail: A Facilitator Guide
Booklet (CITC)
Resource materials
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Guidelines for the Investigation of Contacts of Persons with Infectious Tuberculosis:
Recommendations from the National Tuberculosis Controllers Association and CDC
MMWR 2005; 54 (No. RR-15, 1-37)
 Project Your Family and Friends from TB: The TB Contact Investigation Brochure (CDC)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Public Health Skills
Training materials
Suggested
Completion
Date
 Self-Study Modules on Tuberculosis Self-study modules
(CDC)
 Module 1: Transmission and Pathogenesis of
Tuberculosis
 Module 2: Epidemiology of Tuberculosis
 Modules 6-9 Introduction
 Module 6: Managing Tuberculosis Patients and
Promoting Adherence
 Module 7: Patient Rights and Confidentiality in
Tuberculosis Control
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Date
Completed
 Module 8: Contact Investigations for Tuberculosis
 Module 9: Tuberculosis Outbreak Detection and
Response
 Modules 6-9 Glossary
 Core Curriculum on Tuberculosis: What the Clinician
Should Know Self-study guide (CDC)
 Chapter 1: Overview of Tuberculosis Epidemiology in
the United States
 Chapter 2: Transmission and Pathogenesis of
Tuberculosis
 Basic Epidemiology for Tuberculosis Program Staff (GTBI)
 Practical Uses of Epidemiology for TB Control (GTBI)
If you do case management of a confirmed TB case
Training materials
Suggested
Completion
Date
Date
Completed
 Self-Study Module 6: Managing Tuberculosis Patients
and Promoting Adherence Self-study module (CDC)
 Tuberculosis Case Management for Nurses: Self-Study
Modules Self-study module (GTBI)
 Asking the Right Questions: A Visual Guide to
Tuberculosis Case Management for Nurses Online toolkit
(CITC)
 Case Studies in TB: Nurse Case Management Training
Tools for Patient Success Booklet (HNTC)
Resource materials
 Tuberculosis Medication Drug and Food Interactions Card (HNTC)
 Tuberculosis Drug Information Guide, 2nd Edition Booklet (CITC)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
If you provide clinic- or field-based DOT to TB patients
Training materials
Suggested
Completion
Date
 Directly Observed Therapy Training Curriculum for TB
Control Programs (CITC)
 Strategies and Approaches for Using Video Based
Directly Observed Therapy (DOT) Webinar (GTBI)
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Date
Completed
 Your local or state health department’s TB manual,
regulations, tasks and standards, policies and
procedures, etc.
Cultural Competency and Patient Communication
Suggested
Completion
Date
Training materials
Date
Completed
 Cultural Competency and Tuberculosis Care: A Guide for SelfStudy and Self-Assessment Booklet (GTBI)
 Making the Connection: An Introduction to Interpretation Skills
for TB Control, 2nd edition DVD or YouTube video (CITC)
 Working Effectively with Diverse Populations Webinar (GTBI)
Resource materials
 Country Guides available for 19 countries Booklets – Southeastern National Tuberculosis
Center (SNTC)
 Quick Reference Guides available for 7 countries: China, Guatemala, Haiti, India, Mexico,
Philippines, Vietnam Booklets (SNTC)
 Ethnographic Guides available for Burma, China, Laos (Hmong), Mexico, Somalia & Vietnam
Booklets (CDC)
 TB & Cultural Competency: Notes from the Field Newsletter (GTBI)
 ¡Vivir a Todo Pulmón! Spanish educational materials (SNTC)
 What You Need To Know About Tuberculosis Flipbook (GTBI)
 Testing for Tuberculosis (TB) Factsheet (CDC)
 What you need to know about the TB skin test Pamphlet (CDC)
 6 Culturally Competent Patient Education Materials Brochures (CDC)
 Get the Facts About TB Disease
 What You Need to Know about TB Infection
 What you Need to Know About the TB Skin Test
 Protect Your Family and Friends from TB : The TB Contact Investigation
 Take Steps to Control TB When You Have HIV
 Staying on Track With TB Medication
Available in English only , English/Tagalog, and English Spanish versions
 Seven brochures for clients about basic TB information (Minnesota Department of Health)
 Active TB Disease
 Home Respiratory Precautions for Patients with Potentially Infectious Tuberculosis
 Instructions for Collecting Sputum for TB
 TB Contact Investigations
 TB Skin Test (Mantoux)
 Treatment for Latent TB Infection
 Tuberculosis (TB) Blood Test (IGRA)
These are available in English and are translated into 16 languages.
 Seven brochures for clients about basic TB information (Virginia Department of Health)
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Do I Need a TB Skin Test?
Just the Facts About BCG and TB
Stop TB Infection Before It Makes You Sick
TB and HIV: A Dangerous Partnership
TB Disease: You Need Treatment to Make You Well
What is a TB Skin Test?
What You Should Know About Taking Tuberculosis Medicines
Available in English and 15 other languages as well as multimedia audio/visual versions in 9
languages
 What Parents Need to Know About Tuberculosis (TB) Infection In Children Brochure (GTBI)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Community Collaboration
Training materials
Suggested
Date
Completion Completed
Date
 Core Curriculum on Tuberculosis: What the Clinician Should
Know Chapter 8: Community Tuberculosis Control Selfstudy module (CDC)
 Engaging the Private Sector in TB Prevention Webinar (CITC)
Resource materials
 Latent Tuberculosis Infection: A Guide for Primary Health Care Providers Booklet (CDC)
 Treating the Patient with Tuberculosis: A Guide for Collaborating with Community Physicians
Booklet (GTBI)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Special Circumstances
Homeless Shelters
Selected Training and Resource materials
 Homelessness and TB Toolkit (CITC)
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Prevention and Control of Tuberculosis Among Homeless Persons (ACET)
MMWR 1992; 41 (No. RR-5)
 TB Among the Homeless: Dealing with Unique Challenges Webinar (GTBI)
 Shelters and TB: What Staff Need to Know, Second Edition web-based, CD or YouTube
video (CITC)
 Tuberculosis Infection Control: A Practical Manual for Preventing TB Booklet (CITC)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
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Corrections
Selected Training and Resource materials
 CDC Guidelines
 TB in Corrections Toolkit (SNTC)
 Arresting TB: Understanding the Culture of Corrections Webinar, slides and Supporting
documents (SNTC)
 Tuberculosis Contact Investigation in Jail: A Facilitator Guide Booklet (CITC)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Hospitals and Nursing Homes
Selected Training and Resource materials
 Core Curriculum on Tuberculosis: What the Clinician Should Know Chapter 8: Community
Tuberculosis Control (CDC)
 Guidelines for Environmental Infection Control in Health-Care Facilities Guidelines (CDC)
 Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care
Settings, 2005 Guidelines (CDC)
 Additional FAQ's for Clarification of Recommendations in the Guidelines
 Appendix B. Tuberculosis (TB) Risk Assessment Worksheet PDF or Word
 Staying Safe: Preventing TB Transmission in Health Care Facilities Webinar (CITC)
 Tuberculosis Infection Control: A Practical Manual for Preventing TB Booklet (CITC)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Immigrants and Refugees
Selected Training and Resource materials
 TB Technical Instructions for Civil Surgeons: Implications for Health Departments Webinar
(GTBI)
 TB Technical Instructions for Panel Physicians: Implications for US Practitioners Webinar
(GTBI)
 Tuberculosis Screening and Treatment Technical Instructions (TB TIs) using Cultures and
Directly Observed Therapy (DOT) for Panel Physicians Guidelines (CDC)
 2008 Tuberculosis Technical Instructions for Civil Surgeons
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Pregnancy/Antenatal Clinic
Selected Training and Resource materials
 Diagnosis and Management of Tuberculosis in the Pregnant Patient Webinar (GTBI)
 Evaluation of Pregnant Patient at Risk for TB Factsheet (HNTC)
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 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Schools and Colleges
Selected Training and Resource materials
 Tuberculosis Handbook for School Nurses Booklet (GTBI)
 Tuberculosis Education for School Nurses: A Trainer's Guide Online training guide (GTBI)
 Model Tuberculosis Prevention Program for College Campuses Booklet (HNTC)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Drug Resistance
Selected Training and Resource materials
 CDC Guidelines
 Drug-Resistant Tuberculosis: A Survival Guide for Clinicians, 2nd Edition Booklet (CITC)
 Multidrug-resistant Tuberculosis: An Online Presentation Webinar (CITC)
 New Directions in MDR TB Treatment Webinar (SNTC)
 MDR TB Care Plan Factsheet (HNTC)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Chemotherapy or Other Immune Suppression
Selected Training and Resource materials
 Tumor Necrosis Factor-Alpha (TNF-α) antagonists and the increased risk of tuberculosis
Factsheet (HNTC)
 Beyond TNF Inhibitors: TB in the Age of Biologics Webinar (SNTC)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Persons with HIV/Infectious Disease Clinic
Selected Training and Resource materials
 CDC Guidelines
 HIV Screening in TB Programs: A Practical Approach Webinar (GTBI)
 TB in the HIV Patient Webinar (HNTC)
 TB Prevention in the HIV-infected Patient: Screening, Testing, and Treatment of Latent TB
Infection Online course (CITC)
 Delivering HIV Rapid Test Results: Experiences from the Field Video and Discussion Guide - Region 1
Federal Training Center Collaborative (FTCC)
 New Advances in HIV Diagnostic Testing Online Course -Region 1 FTCC
 Limiting Liver Toxicity in the HIV-Positive Patient with Latent Tuberculosis Infection
Brochure (HNTC)
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 Treatment of Tuberculosis (TB) in Adult and Adolescent Patients Co-Infected with the
Human Immunodeficiency Virus (HIV) Factsheet (GTBI)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Elderly Persons
 CDC Guidelines
Diabetes
Selected Training and Resource materials
 TB & Diabetes –2013 Webinar (SNTC)
 TB and Diabetes-2013 Webinar (HNTC)
 Tuberculosis and Diabetes - December 10, 2009 Webinar (CITC)
 Rifamycins and Anti-Diabetic Agents- Drug-Drug Interactions Factsheet (HNTC)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
Mental Health & Substance Use
Selected Training and Resource materials
 Alcohol, Cigarettes, and Tuberculosis – Webinar (CITC)
 TB and the Subculture of Methamphetamine Users Newsletter (GTBI)
 The Intersection between Tuberculosis and Mental Health (GTBI)
 Working with Substance Users and Homeless Populations Webinar (GTBI)
 Working with Patients with Mental Health Issues – 2006 Webinar (GTBI)
 Your local or state health department’s TB manual, regulations, tasks and standards,
policies and procedures, etc.
I certify that I have reviewed the Roadmap materials indicated above:
Employee Name: ___________________________ Signature:____________________________
Supervisor Name: ___________________________ Signature:___________________________
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