Get the free Latent TB Reactor Evaluation Form - health utah

Latent Tuberculosis Evaluation Form Date: Referring Nurse / Staff: Clinic / Corrections: Client's name: Last First Date of birth: Age: Gender: Male Female Middle Country of birth: What year came to

How to fill out latent tb reactor evaluation

How to fill out latent TB reactor evaluation:

1. Start by gathering all necessary information and documents for the evaluation, such as previous TB test results, medical history, and any recent symptoms.
2. Begin by filling out personal information, including name, address, contact details, and identification number.
3. Provide details about recent exposure to TB, such as living or working with individuals diagnosed with TB, or recent travel to high TB prevalence areas.
4. Indicate any previous TB infections or treatments that you have undergone, including the dates and types of medications used.
5. Record any current symptoms you may have experienced, such as cough, fever, night sweats, weight loss, or fatigue.
6. Proceed to answer questions related to your general health, such as any chronic medical conditions, allergies, or ongoing medications.
7. On the evaluation form, you may be asked to provide information about any close contacts who have been tested for TB or have been diagnosed with the disease.
8. Finally, carefully review all the provided information to ensure accuracy and completeness before submitting the evaluation.

Who needs latent TB reactor evaluation:

1. Individuals who have been exposed to someone with active TB disease should undergo a latent TB reactor evaluation.
2. Healthcare workers, particularly those working in high-risk settings like hospitals or clinics, may need to undergo regular latent TB reactor evaluations.
3. Individuals who have recently immigrated from countries with a high prevalence of TB are often recommended to have a latent TB reactor evaluation.
4. People living or working in congregate settings such as prisons, shelters, or nursing homes are often advised to undergo latent TB reactor evaluations.
5. Certain groups with medical conditions that increase the risk of developing active TB, such as HIV infection or suppressed immune systems, may require a latent TB reactor evaluation.
6. Students and staff in educational institutions or universities may be required to undergo latent TB reactor evaluations, particularly if there has been an outbreak or exposure.
7. Anyone who suspects they have been exposed to TB or is experiencing persistent respiratory symptoms should consult a healthcare professional for a latent TB reactor evaluation.

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