Cdc tb risk assessment worksheet
[DOC File]Guidelines
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The Centers for Disease Control and Prevention (CDC) Division of Global Migration and Quarantine (DGMQ) generates the following Class B notification forms: CDC 75.17: “Notice of Arrival of Alien with Tuberculosis” DS-2053: “Medical Examination for Immigrant or Refugee Application” DS-3024: “Chest X-Ray and Classification Worksheet”
[DOCX File]Facility Tuberculosis (TB) Risk Assessment Worksheet ...
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Facility Tuberculosis (TB) Risk Assessment Instructions and Worksheet for Health Care Settings Licensed by MDH* Updated 6/2021. 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 ...
[DOC File]TB4 TB Risk Assessment Form - Kentucky
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Assess Risk for Acquiring LTBI. The Patient: ___ is a current high risk contact of a person known or suspected to have. TB disease. ___ has been in another country for - 3 or more months where TB is. common, and has been in the US for < 5 years ___ is a resident or an employee of a high TB risk congregate setting ___ is a healthcare worker who ...
[DOC File]Appendix B - Centers for Disease Control and Prevention
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This model worksheet should be considered for use in performing TB risk assessments for health-care facilities and nontraditional facility-based settings. Facilities with more than one type of setting will need to apply this table to each setting.
[DOCX File]Appendix 1. Facility Risk Assessment
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Facility Risk Assessment. Portions from the 2005 MMWR CDC Guidelines Appendix B: Tuberculosis (TB) Risk Assessment Worksheet Suggested updates to Reflect the 2019 MMWR CDC/NTCA Recommendations are in bold underlined text1,2 . The 2019 MMWR CDC/NTCA Recommendation states: ...
[DOCX File]Aerosol Transmissible Diseases Model Exposure Control Plan
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We offer latent TB infection screening (the TB skin test, TB blood test, or TB screening questionnaire) annually to all employees with reasonably foreseeable occupational exposures to ATD. We include employees if their occupational exposure risk is greater than that of employees in public contact operations that are not included within the ...
[DOC File]Developmental Disabilities Administration
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The Tuberculosis (TB) Risk Assessment Worksheet is in Appendix B of this document. The facility risk is determined by completing this worksheet which needs to be updated annually. The risk assessment provides an opportunity to review the population risk of clients served by the facility, as well as employee risk for TB.
[DOC File]Toolkit - CDC
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Sample Single Overriding Communications Objective (SOCO) Worksheet To provide an example of how to develop key messages around a particular TB topic. Chapter 9, page 70 14. Sample TB Article for Use with a High-Risk Population To show the type of article that a community leader might adapt and use to educate the local constituency about TB issues.
[DOC File]TUBERCULOSIS RISK ASSESSMENT WORKSHEE
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ANNUAL TUBERCULOSIS (TB) RISK ASSESSMENT WORKSHEET. CALENDAR YEAR: _____ DEFINITIONS: TST – Tuberculin skin test. 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 _____
[DOCX File]Tuberculosis (TB) risk assessment worksheet
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Tuberculosis (TB) Corrections Facility . Risk Assessment Worksheet. Adapted for correctional facilities from the following publication: CDC (2006).
[DOC File]Appendix B
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Centers for Disease Control and Prevention, Division of Tuberculosis Elimination, 2006. Appendix B. Tuberculosis (TB) risk assessment worksheet. This model worksheet should be considered for use in performing TB risk assessments for health-care facilities and nontraditional facility-based settings.
[DOC File]Summary of action items from February ... - Global TB Center
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6) TB-Related News and Journal Items Weekly Update: Provided by the CDC as a public service, subscribers receive: • A weekly update of TB-related news items • Citations and abstracts to new scientific TB journal articles
[DOC File]Tuberculosis Risk Assessment - HumanGood
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Case rate of TB disease per 100,000 population for the nation. Number of cases of TB disease in the facility for: the previous five years; and. the previous year. A tuberculosis risk assessment tool/worksheet. Steps in the Procedure. Steps in the Procedure (continued) Using the TB Risk Assessment Worksheet: Record the TB case rate for the nation.
Infection Control Assessment Tool for Long-term Care ...
The facility has a policy to assess healthcare personnel risk for TB (based on regional, community data) and requires periodic (at least annual) TB screening if indicated. Yes No The facility offers Hepatitis B vaccination to all personnel who may be exposed to blood or body fluids as part of their job duties
[DOCX File]Tuberculosis Exposure Control Plan - Oregon
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Review of TB risk factors (e.g. in a country with a high rate of TB for >1 month) and importance of getting tested for LTBI if a new risk factor is identified A self-assessment for symptoms of TB disease and reminder to report symptoms of TB disease
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