MN Facility Tuberculosis (TB) Risk Assessment Worksheet Instructions for Health Care Settings Licensed by MDH 2012 free printable template

1 Facility Tuberculosis (TB) Risk Assessment Worksheet for Healthcare Settings Licensed* by the Minnesota Department of Health (MPH) *boarding care homes, home care providers, hospices, nursing homes,

How to fill out MN Facility Tuberculosis TB Risk Assessment

How to fill out MN Facility Tuberculosis (TB) Risk Assessment Worksheet

1. Begin by gathering relevant patient and facility information.
2. Identify the facility type (e.g., hospital, nursing home, etc.).
3. Assess the patient population for TB risk factors (e.g., age, health conditions).
4. Evaluate the facility's history of TB cases.
5. Determine the likelihood of exposure to TB (e.g., contact with infectious individuals).
6. Fill out the worksheet based on the above assessments.
7. Review and finalize the completed worksheet with relevant staff.

Who needs MN Facility Tuberculosis (TB) Risk Assessment Worksheet?

1. Healthcare facilities providing inpatient or outpatient services.
2. Nursing homes and long-term care facilities.
3. Correctional facilities and shelters.
4. Any facility with a high risk of TB transmission.

People Also Ask about

What are the 2 types of tuberculosis test?

There are two kinds of tests used to detect TB bacteria in the body: the TB skin test (TST) and TB blood tests. A positive TB skin test or TB blood test only tells that a person has been infected with TB bacteria.

What is included in a tuberculosis risk assessment?

Baseline TB screening includes: (1) two-step TST or single TB blood test, (2) TB symptom screen, and (3) assessment of the patient's risk factors for TB exposure and progression.

What does TB risk assessment mean?

A TB screening tool to be administered by licensed healthcare providers. Use this form to identify asymptomatic adults for latent TB infection (LTBI) testing. * Re-test persons who previously tested negative, and have new risk factors since the last assessment.

Is a TB risk assessment the same as a TB test?

Information from the baseline individual TB risk assessment should be used to interpret the results of a TB blood test or TB skin test given upon hire (i.e., preplacement). Health care personnel with a positive TB test result should receive a symptom evaluation and a chest x-ray to rule out TB disease.

What is the baseline TB screening tool for healthcare workers?

Baseline TB screening includes ALL three components: Assessing the individual's TB risk factors and TB history. Testing for the presence of infection with Mycobacterium tuberculosis by administering either a single TB blood test (IGRA) or a two-step TST.

How often should a TB risk assessment be done?

Repeat risk assessment and testing Repeat risk assessments should occur every four years (unless otherwise required) to identify any additional risk factors, and TB testing based on the results of the TB risk assessment.

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What is MN Facility Tuberculosis (TB) Risk Assessment Worksheet?

The MN Facility Tuberculosis (TB) Risk Assessment Worksheet is a tool used by healthcare facilities in Minnesota to evaluate the risk of TB transmission within their establishment and to develop strategies to mitigate that risk.

Who is required to file MN Facility Tuberculosis (TB) Risk Assessment Worksheet?

Healthcare facilities, including hospitals, long-term care facilities, and other related institutions in Minnesota, are required to file the MN Facility Tuberculosis (TB) Risk Assessment Worksheet.

How to fill out MN Facility Tuberculosis (TB) Risk Assessment Worksheet?

To fill out the MN Facility Tuberculosis (TB) Risk Assessment Worksheet, a facility must assess factors such as its patient population, infection control practices, staff education, and prevention measures, and then document this information in the provided sections of the worksheet.

What is the purpose of MN Facility Tuberculosis (TB) Risk Assessment Worksheet?

The purpose of the MN Facility Tuberculosis (TB) Risk Assessment Worksheet is to systematically identify and assess the risk of TB transmission in a facility and to create a framework for implementing necessary control measures.

What information must be reported on MN Facility Tuberculosis (TB) Risk Assessment Worksheet?

The worksheet requires reporting on various aspects including facility characteristics, patient demographics, current infection control policies, staff training programs, and any previous incidences of TB within the facility.