DOT Competency
DOT Competency Quiz
Welcome to the DOT Competency Quiz! This quiz is designed for healthcare professionals involved in Directly Observed Therapy (DOT). It aims to assess your knowledge and understanding of protocols and best practices in managing patients.
- Evaluate your readiness for first visits.
- Test your knowledge on patient monitoring and medication management.
- Ensure compliance with safety protocols and documentation procedures.
DOT First Visit: Which of the following is WRONG during first visit?
Document in freetext, if patient has appointment the next day even thou is first visit
Check 2 identifier, Check NEHR medication list tally with DOT Form,
Orientation to clinic, Engage patient to recognized DOT medication and report side effect experiences
DDS DOT referral form, DOT form & DOT counselling checklist
DOT First visit: First visit what must the DOT nurse don on for PPE?
N95 mask
Surgical mask & gloves
N95 mask with apron
N95 mask with glove and apron
DOT First Visit: Patients who are under Liver Alert we as DOT nurse need to closely monitor for Side effect: (Please tick the correct type of liver alert. Hint there are 7 types)
Hepatitis B or C carriers
Patients with other chronic liver disease
Patients with asthma
Age >65 years
Patients who consume alcohol
Patients with speech impairment
Pregnant women
HIV positive
Mentally incapacitated patients
DOT First Visit: Advice Patient to Don on surgical mask if their DOT treatment is less then ____ ? (Can be check on the DOT referral form for date of start treatment)
1 month
1 week
2 week
2 months
DOT First Visit: When do DOT nurse pack medication for patient?
As requested by patient or caregiver in destress
When faxed received and instructed by TBCU or sunday and Public holidays
As requested by polyclinic Doctor
As requested by Nurse Mangers or Seniors Staff Nurses
DOT First Visit: Which are the correct action to do if patient report having side effect of DOT medication (choose more then 1 answer)
Served first then inform TBCU
Stop do not serve DOT medication first
Informed TBCU and take instruction from TBCU to serve DOT or not.
Document everything in Freetext only
Document everything in freetext & DOT form
Served first and write down in DOT form then inform TBCU
First Visit: Patient complain that DOT medicine has extra white tablet, what is your next course of action?
Timeout: call another staff to counter check with you
Timeout: check by yourself and assure patient is correct
Timeout: Trust patient and just remove the white tablet patient claims
Timeout: do not need to check just assure patient is correct
Going for TCU: Which are the action to be done?
Served DOT & return folder immediately
Served DOT, document DOT form & freetext, print out latest DOT page, file in TCU folder. (make sure TX number & TCU date is written on the photocopied) Return brown folder to patient
Served DOT, document DOT form, print out latest DOT page and file in TCU folder.
Served DOT, document in freetext, print out latest DOT page and file in TCU folder.
**** THIS IS NOT ANSWER BUT A REMINDER ** Please make sure you remove the DOT form from the printer after photocopy & not returning to patient an empty brown folder :)
Coming back from Appointment: What are the action to be done? (choose more then 1 answer)
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Management of Defaulter: By what time DOT nurse need to call and remind patient?
Weekdays:by 1500hrs Saturday: 1100hrs
Weekdays: by 1600hrs Saturday: 1200hrs
Weekdays: by 1630hrs Saturday: 1200hrs
Weekdays: by 1530hrs Saturday: 1130hrs
Management of Defaulter: Patient defaulted daily DOT, what are your course of action?
Give chance to patient tomorrow then inform TBCU
Email TBCU & CC NMs + DOT Champs(No NRIC only TX number and name as 2 identifier)
Put up alert card
Update in handover report
Document in DOT form
Document in freetext
Handover to late duty nurse
Photocopy DOT form and send for DDS
How does DOT nurse knows if patient is discharge or transfer to another institution?
Via faxed from TBCU, Document in freetext and shred photocopied DOT form kept in TCU folder (If any)
If patient's DOT brown folder in Woodlands Polyclinic but patient is discharged/left country, used the dispatched book sent via internal mail. (Pls follow up the return of the book)
TBCU will faxed and no need for documentation
Polyclinic Dr will decide for discharge
General DOT Reminder: How should DOT Nurse serve Isonizard 750mg ?
2 tab 300mg, 1 tab 100mg, & half tab 100mg (for 50mg)
2 tab 300 mg & half of 300 mg (150mg)
General DOT Reminder: check the boxes and agreed that you have read the following as reminder:
Endorse sample signature and stamp name on the bottom right hand corner of the page for reference.
Do not transcribe anything onto the DOT form.
Received faxed from TBCU: action done please strike off: state: NAME, DATE, TIME ACTION & SIGNATURE. (keep for 1 month then shred)
Daily review of TCU folder please.
Pounding of DOT medication please wear glove and surgical mask (WI-NUR-COP-020.A02)
Always check both pages of DOT form tally before serving DOT
DOT chiller to be clean once every month. Temperature range: 12 - 24 degree celcius
Anything written in handover need to have an Alert card in the DOT brown folder as a visual reminder
DOT exemption Drug file in Jdrive, current one is Rifampicin. Any changes in batch / expiry please update "start date usage"
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