Tb test questionnaire form pdf
[DOCX File]Texas Health Steps TB Questionnaire
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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 …
[DOC File]TB-207 - Texas
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TB-207 Targeted Tuberculin Testing Screening Form Rev 12/07 Texas Department of State Health Services. Targeted Tuberculin Testing Screening Form Instructions. Indications for use: Complete this form for any client receiving or requesting a tuberculin skin test, such as contacts, persons targeted for screening, or walk-ins requesting a test.
[DOC File]TB4 TB Risk Assessment Form - Ky CHFS
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Given the high rates of false positive TB skin test results, the Kentucky TB Prevention and Control Program discourages administration of the Mantoux TST to persons who are at a low risk for TB …
[DOC File]Appendix B - Centers for Disease Control and Prevention
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Does the written 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 …
[DOC File]TUBERCULOSIS RISK ASSESSMENT WORKSHEE
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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 …
[DOC File]TB Screening Tool for Healthcare Workers
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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…
[DOC File]STANDARD QUESTIONNAIRE FORMAT
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-Questionnaire-ASSESSING VETERANS’ ATTITUDES ABOUT THE GENOMIC MEDICINE PROGRAM ... in the Genomic Medicine Program [INSERT LINK TO IMAGE], you would be asked to sign a consent form. Part of the consent form would describe how your samples and information would be used. ... A person has a genetic test …
[DOC File]Infection Control Questions for Staff
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TB testing is completed at the time of employment. Two-step testing is performed if the new employee has not had a TB test within the prior 12 months. Subsequent testing is determined based on an …
[DOC File]Developmental Disabilities Administration
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A two-step TST or single TB blood test should be repeated. If the repeat TST test is positive the person is considered to have a newly positive TB test and should be evaluated for active TB by a medical …
[DOCX File]Communicable Disease / Tuberculosis Screening ...
https://info.5y1.org/tb-test-questionnaire-form-pdf_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 / …
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