Free Printable Tb Skin Test Form To determine if a skin test should be administered conduct a risk assessment for each patient that takes into consideration recent exposure to TB disease clinical conditions that increase the risk for TB disease if infected and the program s capacity to deliver treatment for latent TB infection Wheal should be 6 to 10 mm in diameter
Two Step Tuberculin Skin Test Form Author Anna M Kephart Created Date 7 10 2020 11 47 29 AM The Tuberculosis Skin Test is a way of identifying TB infection You cannot get TB from the skin test RISKS POSSIBLE SIDE EFFECTS If you have been exposed to TB in the past swelling and redness may develop at the site of the test A blister or scar may also result
Free Printable Tb Skin Test Form
Free Printable Tb Skin Test Form
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PDF 1 5 1 0 obj endobj 2 0 obj endobj 3 0 obj ExtGState XObject ProcSet PDF Text ImageB ImageC ImageI MediaBox 0 0 612 792 Contents 4 0 Tuberculin Skin Test TST Record Form Patient Information Name Address
Do an initial tuberculin skin test Mantoux 5 TU PPD Read results 48 72 hours later If the results from Step 1 is 0 9mm of induration Do a second tuberculin skin test in the other arm 7 to 21 days after Step 1 The TUBERCULOSIS SKIN TEST is a way of identifying TB infection You cannot get TB from the skin test Health care workers are required to be screened regularly for TB SIDE EFFECTS If you have been exposed to TB in the past swelling and redness may develop at the site of the test A blister or scar may also result
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PPD Skin Test Record Form Patient Information I hereby agree to have a PPD tuberculin skin test To my knowledge I have not previously had a positive skin test for TB nor have I had a chest x ray that was positive for TB I understand that there may be a reaction to this test in the form of small skin eruption at the site of the injection Please note that a positive result requires a chest x ray
TB Skin tests must be read between 48 72 hours Do not repeat a positive TB skin test Positive exposure TB requires an x ray every 2 years History of reaction to TB skin test Children less A TB skin test is given to screen people for tuberculosis A reaction to this test does not necessarily mean that you have tuberculosis It is important however to have the test site examined within the timeframe of 48 to 72 hours If it has been more than 72 hours since the test was administered the
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https://www.cdc.gov/.../pdf/Mantoux_TB_Skin_Test.pdf
To determine if a skin test should be administered conduct a risk assessment for each patient that takes into consideration recent exposure to TB disease clinical conditions that increase the risk for TB disease if infected and the program s capacity to deliver treatment for latent TB infection Wheal should be 6 to 10 mm in diameter
https://www.allegany.edu/.../nmwc-documents/TST-2-step-form.pdf
Two Step Tuberculin Skin Test Form Author Anna M Kephart Created Date 7 10 2020 11 47 29 AM
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Free Printable Tb Skin Test Form - Tuberculin Skin Test TST Record Form Patient Information Name Address