Bristol Community College Tuberculosis Skin Test Form 2016-2025 free printable template

Student Name: TUBERCULOSIS SKIN TEST FORM Healthcare Professional/Patient Name: Testing Location: Date Placed: Site: Right Left Lot#: Expiration Date: Signature (administered by): RN MD Other: Date

How to fill out tb skin test documentation form

How to fill out Bristol Community College Tuberculosis Skin Test Form

1. Obtain the Bristol Community College Tuberculosis Skin Test Form from the college's health services or website.
2. Fill in your personal information, including your full name, date of birth, and any identification number as required.
3. Provide contact information such as your phone number and address.
4. Indicate the reason for the test, such as enrollment or employment requirements.
5. Ensure to answer any health history questions, particularly regarding previous TB tests or any symptoms.
6. Sign and date the form to confirm that the information provided is accurate.
7. Submit the completed form to the appropriate health services office at Bristol Community College.

Who needs Bristol Community College Tuberculosis Skin Test Form?

1. Students enrolling in Bristol Community College who are entering health programs.
2. Staff and faculty members working in close contact with the student population.
3. Individuals with a history of TB exposure or related health concerns as per college policy.

People Also Ask about tuberculosis surveillance form

How far apart is the 2 step TB test?

A 2 step is defined as two TST's done within 1month of each other. 2. What is the procedure for 2-step TB skin test? Both step 1 and step 2 of the 2 step TB skin test must be completed within 28 days.

How do you do a 2 step TB skin test?

In this procedure a person is given a baseline PPD test. If the test is negative, a second test is administered one to three weeks later. If the second test is negative, the person is considered uninfected.

Which arm do you give a TB skin test?

The injection should be placed on the palm-side-up surface of the forearm, about 2 to 4 inches below the elbow. Your local institutional policy may specify the right or the left forearm for the skin test.

What is a normal TB skin test result?

When placed correctly, the injection should produce a pale elevation of the skin (a wheal) 6 to 10 mm in diameter.

How do you document a TB skin test?

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.

Does it matter which arm for TB test?

The right arm represents a positive reaction to PPD (a skin test for tuberculosis protein). The left arm represents a positive reaction to Candida protein. Candida antigen is tested to determine if the individual's immune system is functioning well; a normal immune system demonstrates a positive reaction.

How long does it take to complete a 2 step TB skin test?

The skin test reaction should be read between 48 and 72 hours after administration by a health care worker trained to read TST results.

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What is Bristol Community College Tuberculosis Skin Test Form?

The Bristol Community College Tuberculosis Skin Test Form is a document used to record the results of a tuberculosis (TB) skin test, which is required for certain students and staff to ensure public health and safety.

Who is required to file Bristol Community College Tuberculosis Skin Test Form?

Students and staff who are required to undergo tuberculosis screening as part of their admission or employment process at Bristol Community College must file the form.

How to fill out Bristol Community College Tuberculosis Skin Test Form?

To fill out the Bristol Community College Tuberculosis Skin Test Form, you must provide personal information such as your name, date of birth, and contact details, followed by the test results and the signature of the healthcare provider who administered the test.

What is the purpose of Bristol Community College Tuberculosis Skin Test Form?

The purpose of the Bristol Community College Tuberculosis Skin Test Form is to document an individual's TB screening results to prevent the spread of tuberculosis and protect the health of the college community.

What information must be reported on Bristol Community College Tuberculosis Skin Test Form?

The form must report the individual's name, date of birth, the date the test was administered, the date the results were read, the interpretation of the test results, and the signature of the healthcare provider.