We are a “high risk” facility for TB so we do a 2 step TST on hire then one annually.  We have about 8000-10000 people who need this per year.  Can anyone in a high risk facility tell me how you manage this?  Does anyone do all IGRAs?  Does anyone do IGRA on hire, then TST annually?  We are looking at ways to do our onboarding differently to ensure staff are compliant before starting work.  Seems like asking employees to come 4 times for a 2 step TST preplacement is a lot to ask.  We are considering making everything due prior to starting, but just one TST required to start, then hope we capture their 2^nd TST after they start – seems like this may cause problems….thoughts/ideas appreciated!  Elena

Elena Riker, CMA
Clinic Operations Supervisor
Occupational Health - OHSU
riker@ohsu.edu

p: 503 346-0186 | f: 503-494-4457

My office hours are: M-F 7:00 AM – 3:30 PM