Cdc tb questionnaire

    • [DOC File]TUBERCULOSIS RISK ASSESSMENT WORKSHEE

      https://info.5y1.org/cdc-tb-questionnaire_1_cdd206.html

      BAMT – Blood assay for TB. HCW – Health care worker. 1. Incidence of TB (Mycobacterium tuberculosis) Rate. a. What is the incidence of TB in the county or region served Community _____ by this health care facility and how does it compare with the State _____ state and national average? ...

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    • [DOC File]FOLLOW-UP QUESTIONNAIRE - Find TB Resources

      https://info.5y1.org/cdc-tb-questionnaire_1_003afd.html

      B5 TB low priority compared to other things. B6 TB meds not beneficial. B7 Perceived low risk of getting TB. B8 Doesn’t want others to know (stigma) B9 Doesn’t understand reason for meds. B10 Lack of social support. B11 Sick or ill with other illnesses. B12 Substance abuse. B13 Don’t believe they have LTBI. C. Pill-related Difficulties

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    • [DOCX File]Facility Tuberculosis (TB) Risk Assessment Worksheet for ...

      https://info.5y1.org/cdc-tb-questionnaire_1_ac6f7a.html

      Jun 24, 2020 · Facility Tuberculosis (TB) Risk Assessment Worksheet for Health Care Settings Licensed by MDH* Updated 6/24/2020. Background. Health care settings licensed by MDH (boarding care homes, home care providers, hospices, nursing homes, outpatient surgical centers, and supervised living facilities) may use either of the following options to meet the “perform a TB facility risk assessment ...

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    • [DOC File]Appendix B - Centers for Disease Control and Prevention

      https://info.5y1.org/cdc-tb-questionnaire_1_46c8d2.html

      What is the incidence of TB in your facility and specific settings and how do those rates compare? (Incidence is the number of TB cases in your community the previous year. A rate of TB cases per 100,000 persons should be obtained for comparison.)* This information can be obtained from the state or local health department. Community rate_____

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    • [DOC File]Demographic and Practice Characteristics Questionnaire

      https://info.5y1.org/cdc-tb-questionnaire_1_ae9dd5.html

      Otherwise please continue onto the next page to fill out the questionnaire. We would like you to respond to the following questions. The questionnaire is meant to be anonymous although your responses to the demographic questions could possibly identify you. The questionnaire will not be linked to your name. You do not have to answer every question.

      cdc annual tb questionnaire form


    • [DOCX File]Texas Health Steps TB Questionnaire

      https://info.5y1.org/cdc-tb-questionnaire_1_94ccff.html

      A person can have TB germs in their body but not have active TB disease. TB can be prevented and treated. Your answers to the questions below will let us know if your child might have been exposed to TB. If your answers show your child might have picked up the TB germs, we will want to give him or her a tuberculin skin test (TST).

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    • [DOC File]TB Screening Tool for Healthcare Workers

      https://info.5y1.org/cdc-tb-questionnaire_1_9bf74a.html

      Note: If TB symptoms are present, promptly refer HCW for a chest X-ray and medical evaluation before starting work. Do not wait for the TST or TB blood test result. HCW’s history (circle response) Have you ever had a positive reaction to a TB skin test or TB blood test?

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    • [DOCX File]Tuberculosis (TB) risk assessment worksheet

      https://info.5y1.org/cdc-tb-questionnaire_1_1788ad.html

      Tuberculosis (TB) Corrections Facility . Risk Assessment Worksheet. Adapted for correctional facilities from the following publication: CDC (2006).

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    • [DOCX File]Communicable Disease / Tuberculosis Screening ...

      https://info.5y1.org/cdc-tb-questionnaire_1_27f3ca.html

      DEPARTMENT OF HEALTH SERVICES. Division of Quality Assurance. F-01679 (12/2015) STATE OF WISCONSIN. Wis. Admin. Code § DHS 105.17(1r)(a-b) COMMUNICABLE DISEASE / TUBERCULOSIS SCREENING QUESTIONNAIRE. The Department requires that health care agencies or providers screen all health care staff WITHIN 90 DAYS BEFORE DIRECT CONTACT AND PERIODICALLY, to ensure …

      annual tb employee assessment questionnaire


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