[MCOH-EH] TB skin test competencies

[Lawrence Budnick]

It is our policy too. According to the 2005 CDC Guidelines for Preventing TB Transmission in HCFs https://www.cdc.gov/mmwr/pdf/rr/rr5417.pdf on page 84:

HCWs and patients should not be allowed to read and report their own TST results; therefore, self-reading cards for reporting TST results are not recommended. All TST results should be read and recorded by a trained TST reader other than the person on whom the TST was placed.

Lawrence D. Budnick, MD, MPH
Director, Occupational Medicine Service
Professor of Medicine
Rutgers University - New Jersey Medical School
65 Bergen Street, Suite GA-167, Newark, NJ 07107
tel 973.972.2900
fax 973.972.2904
lawrence.budnick at rutgers.edu

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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+budnicla=njms.rutgers.edu at mylist.net] On Behalf Of Thrasher, Terri
Sent: Wednesday, August 02, 2017 8:56 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] TB skin test competencies

I don't think it's a JCstandard but it is best practice that every nurse and MD is not allowed to read a tb skin test.   There is a skill to the reading.  

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Angeli Mancuso
Sent: Wednesday, August 02, 2017 8:34 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] TB skin test competencies

Our policy for annual (and post exposure) TB screening states that every employee able to get a TB skin test must do so at Employee Health & Safety. Reads must also occur here. Occasionally, for employees who don't plan ahead and have to get their tests read on the weekend to avoid our compliance deadline, we ask our house supervisors to read on our behalf. TB screening competency is maintained in personnel files for those authorized to perform this duty.

I get a question regarding why all nurses can't read their own or their co-workers' TB tests instead of returning to employee health. Our stance has always been that we must maintain competency in this skill just as floor nurses maintain competencies that we, as EHNs, do not maintain. I haven't given an IV push med in 8 years so I shouldn't be allowed to do so tomorrow.

Is this a policy you all maintain as well? Are we off the mark and should we consider having any RN document the result of a TB skin test? I've always been under the impression this is a Jt. Commission standard but cannot lay my hands on the exact reference.

Angeli Mancuso, RN, COHN-S/CM
Manager, Employee Health & Safety | Cottage Health P.O Box 689 | 400 W. Pueblo St | Santa Barbara, CA 93102-0689
Office: (805) 569-7866 |  Fax: (805) 569-8271 a1mancus at sbch.org | cottagehealth.org https://na01.safelinks.protection.outlook.com/?url=www.lifewhereyouloveit.org&data=02%7C01%7Cbudnicla%40njms.rutgers.edu%7C9143598871b0429565b708d4da0c2b95%7Cb92d2b234d35447093ff69aca6632ffe%7C1%7C0%7C636373193197171435&sdata=u0TNi6u%2BjtzakwUx88jzFjlveWF7gp1EGpF5xQpCrEI%3D&reserved=0




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