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[DOCX File]Form Template - Tennessee
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EMPLOYEE TO ANSWER QUESTIONS BELOW: Have you ever had a positive TB test or had tuberculosis? ... status, including results of a chest x-ray, which has been performed in the past 6 months in the U.S.A. Yes No. TB Risk Factors. Have you had contact or lived with someone who has been sick with TB in the last 2 years? Yes No. Were you born in ...
tb risk factor questionnaire

[DOC File]Standing Order Template
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A negative result may be a false negative. Contact MDH TB Program at 651-201-5414 for guidance. Immunization with a live-virus vaccine within past 6 weeks Defer TST until 4 - 6 weeks after immunization with live-virus vaccine. Suspected active TB disease (based on signs, symptoms, and risk factors)
tb risk factor screen

[PDF File]TB Exposure Control Plan Template
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Training on tuberculosis is provided at Introduction to Correctional Techniques (ICT), Phase 1, and in Annual Refresher Training to assure employee knowledge regarding the mode of TB transmission, its signs and symptoms, risk factors for tuberculosis, reporting of inmates with TB symptoms, purpose and proper use of controls (e.g., N-95 respirator masks and “AII” rooms), and protocols in ...
tb risk factors cdc

[DOC File]Texas Department of State Health Services Mobile
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Include these questions after completing a standard clinical interview with an inmate to determine: ... gathering social history. This document is intended for use . after. gathering the medical history, including TB symptoms, TB history, diagnosis review, TB risk factors, etc. Use this document to . guide. ... Ask about additional risk factors ...
tb risk assessment

[DOC File]TB education for the community health nurse
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Lymphatics – TB scrofula. Identifying Persons at Risk for Developing TB Disease. The risk of progressing from TB infection to disease is the greatest in the first 1 to 2 years after exposure, therefore, those with known or suspected exposure to TB should be skin tested. TB risk factors include: Recent, prolonged exposure to a person with ...
tb assessment questions

[DOC File]EHS EXERCISE 1: Environmental Risk ... - Global TB Center
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The probability of the risk for transmission of M. tuberculosis is increased as a result of various environmental factors, including: • Exposure to TB in small, enclosed spaces • Inadequate local or general ventilation that results in insufficient dilution or removal of infectious droplet nuclei
social risk factors of tuberculosis

[DOC File]Centers for Disease Control and Prevention
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Several factors likely contribute to the burden of TB in minorities: Among people from countries where TB is common, TB disease may result from an infection acquired in their home country. Among racial and ethnic minorities, unequal distribution of TB risk factors, particularly HIV infection, can also increase the chance of developing the disease.
tb risk assessment form

[DOC File]Developmental Disabilities Administration
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Local health department TB Control programs may be contacted to assist in development and review of facility infection control plans and discussion of local epidemiology and risk factors for TB. Local health department TB program staff may also be contacted to discuss and/or arrange for employee education and training regarding tuberculosis.
tb risk factor form

[DOCX File]Tuberculosis (TB) risk assessment worksheet
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Does the written TB Infection Control Plan need to be updated based on the timing of the previous update |(i.e., >1 year, changing TB epidemiology of the community or setting, the occurrence of a TB outbreak, change in state or local TB policy, or other factors related to a change in risk for transmission of
tb risk factor questionnaire

[DOCX File]Facility Tuberculosis (TB) Risk Assessment Worksheet for ...
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Jun 24, 2020 · A separate Facility TB Risk Assessment Worksheet is required for each type of license. A separate Facility TB Risk Assessment Worksheet is required for each physical address. Instructions for completing worksheet, including 2019 data, begin on page 2. Worksheet begins on page 7. If you have questions, please contact the MDH TB Program at 651 ...
tb risk factor screen

Tb risk factors questions