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Get the free REQUEST FOR QUANTIFERON-TB GOLD TEST IN-TUBE ... - nursing lsuhsc

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SINEW ORLEANSTUBERCULOSIS SCREENINGForm only required after positive PPD or blood work (This form should be completed by your health care provider)Name of applicant: ___ PPD Date: ___PPD Result:Quantifier
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How to fill out request for quantiferon-tb gold

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How to fill out request for quantiferon-tb gold

01
Obtain a request form for Quantiferon-TB Gold from your healthcare provider.
02
Fill out all required patient information on the form, including your name, date of birth, and contact information.
03
Provide information regarding any relevant medical history or clinical indications that indicate the need for the test.
04
Make sure to include the reason for the test (e.g. suspected exposure to TB, symptoms of TB, etc.).
05
Submit the completed request form to the laboratory or healthcare facility where the test will be performed.

Who needs request for quantiferon-tb gold?

01
Individuals who have been exposed to someone with active TB disease.
02
Healthcare workers who are at increased risk of TB exposure.
03
Individuals with symptoms of TB, such as persistent cough, fever, or weight loss.
04
Patients with conditions that weaken the immune system, such as HIV/AIDS or organ transplant recipients.
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The request for Quantiferon-TB Gold is a form used to order a blood test that helps detect latent tuberculosis infection (LTBI) and active TB disease.
Healthcare providers, such as doctors and nurse practitioners, are required to file the request for Quantiferon-TB Gold on behalf of their patients.
The request should include patient information like name, date of birth, and medical history, along with the provider's details and the reason for testing.
The purpose of the request is to evaluate a patient's risk for tuberculosis infection and guide appropriate clinical management.
Information that must be reported includes patient demographics, clinical indications for testing, and any relevant medical history.
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