Clinical guidelines for Tuberculosis(TB) screening and testing can be found on the Centers for Disease Control (CDC) website here https://www.cdc.gov/tb/default.htm.
Licensed healthcare providers are required to implement a TB screening & testing protocol as part of an effective Infection Control program. The regulations governing TB screening will be based on the type of healthcare agency you operate, and state and federal regulations.
ALL healthcare personnel should receive a TB screening prior to, or upon hire. The screening should occur prior to the first patient interaction. CDC guidelines also recommend employees receive a TB screening annually.
TB screening for a newly hired employee should include;
- A TB risk assessment and symptom screening
- A TB test (blood test or skin test)
- if a TST skin test is used, it should be a two step test
TB screening on an annual basis should include:
- A TB risk assessment and symptom screening
Annual testing (blood test or skin test) is NOT recommended unless the employee has been exposed to TB or there is ongoing transmission in the facility.
TB screening and testing for healthcare employees with a known TB exposure;
- TB symptom screening and testing
Employees who have tested positive for TB in the past only require a symptom screen after a known exposure. They do not need to be re-tested, but should receive a medical evaluation if symptoms are present.
Reporting
Confirmed cases of Tuberculosis should be reported to local or state authorities immediately, as required by state law. Additionally, state law may require you to report the case to your state licensing agency.
Documentation
Providers should maintain documentation of new hire screening and testing, annual screening, and any reports or referrals the provider has made regarding positive cases.
Do you have a TB Symptom Screening Form?
Download a basic form now for use in documenting your compliance.