Get the free PPD Skin Test Record Form - California Northstate University

Updated 11/13 OR PPD Skin Test Record Form Patient Information Name: Address:

How to fill out ppd skin test record

How to fill out a PPD skin test record?

1. Obtain the necessary form: First, acquire the PPD skin test record form from a healthcare provider or download it from a reliable source.
2. Fill in personal information: Begin by entering the individual's personal details, such as their full name, date of birth, gender, and contact information. This ensures accurate identification and communication.
3. Document the date and time of the test: Indicate the exact date and time when the PPD skin test was administered. This information helps track the timeline of the test and identify any potential reactions.
4. Record the administrator and test location: Write down the name or initials of the healthcare professional who conducted the test. Additionally, include the name of the healthcare facility or clinic where the test was administered. This information aids in follow-up and coordination if needed.
5. Note the batch number and expiration date of the PPD solution: Document the specific batch number and expiration date of the PPD solution used for the skin test. This assists with quality control and allows for reference in case of any issues or concerns.
6. Observe the test site: Accurately measure the area of induration (swelling) observed at the test site after a designated amount of time, usually between 48-72 hours. Use a ruler or measuring tool to gauge the size of the induration. It is important to differentiate between redness from irritation and true induration.
7. Interpret and document the results: Based on the size of the induration, interpret the test as positive, negative, or indeterminate, following the guidelines established by relevant medical authorities. Clearly mark the corresponding box or provide a brief explanation of the result.
8. Include any additional comments or observations: If there are any notable observations or circumstances related to the test, such as the presence of any symptoms or other relevant information, provide a brief explanation in the designated section or add an additional comment.

Who needs a PPD skin test record?

1. Healthcare professionals: Healthcare providers like doctors, nurses, and medical technicians often need to maintain PPD skin test records for their patients. This information aids in monitoring a person's reaction to the test and assessing their susceptibility to tuberculosis (TB).
2. Individuals undergoing TB screening: Individuals who are required to undergo tuberculosis screening, such as employees in healthcare settings, correctional facilities, or certain educational institutions, may need a PPD skin test record. This helps ensure compliance with TB prevention guidelines and provides documentation for future reference.
3. Patients receiving TB treatment: Patients undergoing treatment for tuberculosis may require a PPD skin test record to monitor their progress. Regular testing and documentation enable healthcare providers to assess the effectiveness of the treatment and adjust it if necessary.

Remember to consult healthcare professionals or relevant authorities for specific guidelines and instructions on filling out a PPD skin test record, as requirements may vary depending on the region and purpose of the test.

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What is ppd skin test record?

The ppd skin test record is a medical record documenting the results of a tuberculin skin test.

Who is required to file ppd skin test record?

Healthcare providers and certain employees, such as those working in healthcare facilities, are required to file ppd skin test records.

How to fill out ppd skin test record?

PPD skin test records should be filled out by a healthcare provider after administering the tuberculin skin test and recording the results.

What is the purpose of ppd skin test record?

The purpose of the ppd skin test record is to track an individual's response to the tuberculin skin test and monitor for any potential signs of tuberculosis infection.

What information must be reported on ppd skin test record?

The ppd skin test record should include the individual's name, date of test, test result, healthcare provider's name, and any relevant medical history.