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This document certifies the Tuberculin (PPD) test results for students in the School of Education, including provisions for physician verification.
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How to fill out tuberculin test form

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How to fill out TUBERCULIN TEST FORM

01
Gather necessary patient information such as name, date of birth, and contact details.
02
Fill in the date of the test administration.
03
Record the name of the healthcare provider administering the test.
04
Indicate the test site on the form (e.g., left arm, right arm).
05
Enter the type of tuberculosis test being administered (e.g., Mantoux test).
06
Document the initial injection details, including the type and amount of purified protein derivative (PPD) used.
07
Provide instructions for the patient regarding follow-up for reading the test result, including when to return.

Who needs TUBERCULIN TEST FORM?

01
Individuals who have been in close contact with someone with active tuberculosis.
02
People showing symptoms of tuberculosis, such as a persistent cough or unexplained weight loss.
03
Individuals with a weakened immune system, including those with HIV/AIDS or certain chronic illnesses.
04
Healthcare workers or those working in high-risk environments (e.g., correctional facilities, hospitals).
05
Travelers to regions with high prevalence of tuberculosis.
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The TST is an intradermal injection of 0.1 ml of tuberculin (PPD) on the inner surface of the forearm. The skin test reaction should be read between 48 and 72 hours after administration.
Tuberculin PPD is indicated as an aid in the detection of infection with Mycobacterium tuberculosis. The Mantoux test is performed by injection intradermally, with a syringe and needle, 0.1 mL of Tuberculin PPD. For the intradermal (Mantoux) tuberculin test, the dose is 5 tuberculin units (TU) per test dose of 0.1 mL.
The standard dose is 2 tuberculin units per 0.1 mL, which is bioequivalent to the recommended 5-unit dose of the international standard tuberculin, PPD-S.
The tuberculin skin test (also known as the Mantoux test) is one of the tests used to diagnose TB. The main use of the tuberculin test is to identify people infected with TB bacteria, but who do not have active disease. This is called latent TB infection.
The TB skin test is performed by injecting 0.1 ml of tuberculin purified protein derivative (PPD) into the inner surface of the forearm. The injection should be made with a disposable 27-gauge tuberculin syringe, with the needle bevel facing upward. The TB skin test is an intradermal injection.
Tuberculin PPD is indicated as an aid in the detection of infection with Mycobacterium tuberculosis. The Mantoux test is performed by injection intradermally, with a syringe and needle, 0.1 mL of Tuberculin PPD. For the intradermal (Mantoux) tuberculin test, the dose is 5 tuberculin units (TU) per test dose of 0.1 mL.
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.
11:16 26:36 The superficial layer of skin. So that the entire bevel is covered and lies just under the skin theMoreThe superficial layer of skin. So that the entire bevel is covered and lies just under the skin the injection will produce inadequate. Results if the needle angle is too deep or too shallow.

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The Tuberculin Test Form is a document used to record the administration and results of the tuberculin skin test, which is used to detect tuberculosis infection.
Healthcare providers administering the tuberculin test are required to file the Tuberculin Test Form for patients who undergo the test.
To fill out the Tuberculin Test Form, the healthcare provider should enter patient details, the date of test administration, the type of test used, the test results, and any additional relevant medical information.
The purpose of the Tuberculin Test Form is to document the test process and results, which assists in monitoring and managing tuberculosis exposure and infection.
The information that must be reported on the Tuberculin Test Form includes patient identification details, test date, test type, reading of the test result, and any other pertinent clinical observations.
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