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Tuberculin Skin Test Documentation Form For All Credentialed Practitioners Type of Credentialing Application: REAPPOINTMENT NOTE: Completion of this form is not required if you are ONLY applying to
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How to fill out tuberculin skin test documentation

How to fill out tuberculin skin test documentation
01
Obtain a tuberculin skin test (TST) administration form.
02
Document the patient's name, age, and date of birth on the form.
03
Clean the patient's forearm with an alcohol swab and let it dry.
04
Using a tuberculin syringe, inject 0.1 ml of tuberculin solution into the inner layers of the forearm, creating a small wheal.
05
Record the exact time of the injection on the form.
06
Instruct the patient to keep the injection site dry and avoid scratching or rubbing it.
07
Advise the patient to return to have the test read within 48 to 72 hours.
08
Document the date and time of the TST reading.
09
Measure the diameter of the indurated area using a ruler or calipers.
10
Record the induration size on the form, along with any relevant notes or observations.
11
Sign and date the form to confirm completion.
Who needs tuberculin skin test documentation?
01
Individuals with a history of potential exposure to tuberculosis (TB).
02
Healthcare workers who may come into contact with TB-infected patients.
03
Close contacts of individuals with active TB disease.
04
People with weakened immune systems, such as HIV/AIDS patients.
05
Individuals scheduled for organ transplantation or certain medical procedures.
06
Residents and employees of congregate settings, such as correctional facilities.
07
Individuals from countries with high TB prevalence rates.
08
People receiving immunosuppressive therapy or medications.
09
Individuals with signs or symptoms consistent with TB.
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What is tuberculin skin test documentation?
Tuberculin skin test documentation is a record of the results of a test used to determine if a person has been infected with the bacteria that causes tuberculosis.
Who is required to file tuberculin skin test documentation?
Healthcare providers, employers, and schools are often required to file tuberculin skin test documentation for their employees or students.
How to fill out tuberculin skin test documentation?
Tuberculin skin test documentation should be filled out by trained healthcare professionals who have administered the test. They should accurately record the date, time, and result of the test.
What is the purpose of tuberculin skin test documentation?
The purpose of tuberculin skin test documentation is to track and monitor the incidence of tuberculosis infection in a population, and to ensure that individuals who test positive receive appropriate treatment and follow-up care.
What information must be reported on tuberculin skin test documentation?
Tuberculin skin test documentation should include the individual's name, date of birth, date and time of test administration, test result (positive, negative, or indeterminate), and any relevant medical history.
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