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Bristol Community College Tuberculosis Skin Test Form 2010 free printable template

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Tuberculosis Skin Test Form Healthcare Professional/Patient Name: Testing Location: Date Placed: Site: Right Left Lot#: Expiration Date: Signature (administered by): RN MD Other: 48placed): Date Read
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How to fill out Bristol Community College Tuberculosis Skin Test Form

01
Begin by gathering necessary personal information such as your name, date of birth, and contact information.
02
Locate the section for your address and fill it in completely.
03
Provide details about your medical history related to tuberculosis exposure or previous testing.
04
If applicable, list any current medications you are taking that may affect the test.
05
Fill in the date when the test was administered.
06
Ensure you have the healthcare provider's information and signature to validate the test.
07
Review the form for any missing information or errors before submission.

Who needs Bristol Community College Tuberculosis Skin Test Form?

01
Students entering health programs at Bristol Community College.
02
Individuals who have been in exposure risk situations.
03
Employees who work in healthcare or education settings.
04
Those required by law or institutional policy to demonstrate tuberculosis screening.
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People Also Ask about

A 2 step is defined as two TST's done within 1month of each other. 2. What is the procedure for 2-step TB skin test? Both step 1 and step 2 of the 2 step TB skin test must be completed within 28 days.
In this procedure a person is given a baseline PPD test. If the test is negative, a second test is administered one to three weeks later. If the second test is negative, the person is considered uninfected.
The injection should be placed on the palm-side-up surface of the forearm, about 2 to 4 inches below the elbow. Your local institutional policy may specify the right or the left forearm for the skin test.
When placed correctly, the injection should produce a pale elevation of the skin (a wheal) 6 to 10 mm in diameter.
TST Documentation Requirements Name and signature of person administering test. Date and time test administered. Location of test (e.g., right forearm, left forearm, alternate site) Tuberculin manufacturer, lot number and expiration date.
The right arm represents a positive reaction to PPD (a skin test for tuberculosis protein). The left arm represents a positive reaction to Candida protein. Candida antigen is tested to determine if the individual's immune system is functioning well; a normal immune system demonstrates a positive reaction.
The skin test reaction should be read between 48 and 72 hours after administration by a health care worker trained to read TST results.

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The Bristol Community College Tuberculosis Skin Test Form is a document used to record the results of a tuberculosis skin test (TST) required for certain students and employees to ensure they do not have active tuberculosis.
Students enrolled in health-related programs, employees who work in healthcare settings, and any individual who has been requested to provide proof of a tuberculosis test by the college or state regulations are required to file this form.
To fill out the form, you need to provide your personal information including name, date of birth, and other identifying information, as well as the details from the tuberculosis skin test including the date administered, date read, and results of the test.
The purpose of the form is to document the results of the tuberculosis skin test to ensure the safety of students, employees, and patients by preventing the spread of tuberculosis in college settings.
The form must report personal identification information, details of the test such as test date, reading date, results (positive or negative), and any additional comments or recommendations from the healthcare provider.
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