Get the free Tuberculin Skin Test Form

This form is used to document the Tuberculin Skin Test (also known as TB or PPD) for students. It includes sections for both the student and the healthcare provider to fill out, detailing the test\'s

How to fill out tuberculin skin test form

How to fill out tuberculin skin test form

1. Begin by entering the patient's personal information, including name, date of birth, and contact details.
2. Fill in the screening date when the test is administered.
3. Record the site of the test on the form, typically the inner forearm.
4. Document the specific type of tuberculin test used (e.g., PPD).
5. Indicate the dose administered in milliliters (usually 0.1 ml).
6. Note the healthcare provider's details, including their name and signature.
7. Leave space on the form for the interpretation of results after the reading date.
8. Ensure all information is accurate and legible before submission.

Who needs tuberculin skin test form?

1. Individuals who have been in close contact with someone with active tuberculosis.
2. People with weakened immune systems, such as those with HIV or on immunosuppressive therapy.
3. Healthcare workers who may be exposed to TB patients.
4. Individuals with a history of tuberculosis infection who need to check for reactivation.
5. People who are planning to travel to areas with a high prevalence of tuberculosis.

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What is tuberculin skin test form?

The tuberculin skin test form is a document used to record the results of the tuberculin skin test, which is a diagnostic tool for detecting tuberculosis (TB) infection in individuals.

Who is required to file tuberculin skin test form?

Healthcare providers, institutions, and organizations that perform the tuberculin skin test are required to file the tuberculin skin test form for individuals tested, particularly for those in high-risk settings.

How to fill out tuberculin skin test form?

To fill out the tuberculin skin test form, include the patient's personal information, the date of the test, the site of the injection, the result (induration size), and the interpretation of the result according to established guidelines.

What is the purpose of tuberculin skin test form?

The purpose of the tuberculin skin test form is to document the test administration, results, and follow-up recommendations, facilitating proper healthcare management and reporting of tuberculosis screening.

What information must be reported on tuberculin skin test form?

The information that must be reported on the tuberculin skin test form includes the patient's name and details, test date and site, the measurement of induration (if applicable), the interpretation of the result, and any relevant medical history.