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Tuberculin Skin Test Disclosure and Consent Form In compliance with CDC guidelines, the practice conducts a baseline two-step tuberculin skin test (ST) for all employees to help achieve its goal of
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How to fill out tuberculin skin test disclosure

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How to fill out tuberculin skin test disclosure

01
Gather all necessary materials, including a tuberculin skin test form, a tuberculin syringe, and a tuberculin solution.
02
Identify the appropriate location on the forearm for administration of the test. This is typically about 2-3 inches from the elbow.
03
Cleanse the area with an alcohol swab and allow it to dry before proceeding.
04
Using the tuberculin syringe, draw up 0.1 mL of tuberculin solution.
05
Hold the syringe with the bevel up and inject the tuberculin solution intradermally into the cleansed area on the forearm.
06
Use a new, sterile needle for each individual test to prevent contamination.
07
Gently press a cotton ball or sterile gauze over the injection site to stop any bleeding.
08
Record the date, time, and location of the tuberculin skin test on the form, along with any relevant patient information.
09
Advise the patient on post-test care, such as not touching or itching the injection site.
10
Instruct the patient to return within 48-72 hours for the test to be read.
11
Assess the test site for any visible reaction after 48-72 hours.
12
Measure the induration (raised, hardened area) present at the test site using a ruler or calipers.
13
Document the results accurately on the tuberculin skin test form.
14
Provide appropriate follow-up and recommendations based on the test results.
15
Ensure proper disposal of all used materials, following healthcare facility protocols.

Who needs tuberculin skin test disclosure?

01
Individuals who may need a tuberculin skin test disclosure include:
02
- Healthcare workers regularly exposed to patients with tuberculosis (TB)
03
- Individuals with symptoms suggestive of TB, such as persistent cough, fatigue, weight loss, and night sweats
04
- Close contacts of individuals with active TB disease
05
- Individuals with weakened immune systems, such as those living with HIV/AIDS
06
- People from countries with a high prevalence of TB
07
- Residents and employees of high-risk settings, such as correctional facilities and homeless shelters
08
- Students and employees of healthcare and medical institutions
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Tuberculin skin test disclosure is a form that individuals fill out to disclose whether they have undergone a tuberculin skin test and the results of the test.
Individuals who have undergone a tuberculin skin test are required to file the disclosure form.
The form can be filled out by providing information about the date of the test, the results of the test, and any other relevant details requested.
The purpose of the disclosure form is to provide information about the individual's tuberculosis testing history for public health monitoring and screening purposes.
Information such as the date of the test, the results of the test, and any other relevant details about the testing process must be reported on the form.
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