[MCOH-EH] Tb screening on locum providers

[Therese Bovee-McKelvey]

We screen as a new hire.  For TB we require the following;

*         Two-step TST or a Quantiferon Test - OR

*         Documentation of annual TST's from at least the last 2 years

o   If last TST is over one year we get a current TST

o   If > 2year gap between TST's we get a two-step

*         If previous positive TST or newly positive TST/Quantiferon positive

o   Chest x-ray completed within the last 2 years

o   Current signs and symptoms check

Therese
Therese Bovee McKelvey, MN, RN  Sr. Employee Health Nurse - Employee Health
425.899.2278 (P)  |  425.899.2277 (F)  | TMBoveeMcKelvey at evergreenhealth.com<mailto:TMBoveeMcKelvey at evergreenhealth.com>
EvergreenHealth MS-42, 12040 NE 128th St., Kirkland, WA 98034
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From: MCOH-EH [mailto:mcoh-eh-bounces+tmboveemckelvey=evergreenhealthcare.org at mylist.net] On Behalf Of Morelli, Karen J
Sent: Monday, March 12, 2018 7:32 AM
To: 'mcoh-eh at mylist.net'
Subject: [MCOH-EH] Tb screening on locum providers

Warning: This email originated from outside of EvergreenHealth. Do not click links or open attachments unless you recognize the sender and are expecting the message. Report suspicious emails to Helpdesk at evergreenhealthcare.org<mailto:Helpdesk at evergreenhealthcare.org>

Good Morning,
I am curious about what everyone else's process is for Tb screening on locums providers.  I find that, unlike traveling nurses or students, locums don't necessarily have Tb screening done annually.  With traveling nurses and students, it is a requirement of their school/contract to have this done annually.  Therefore, if a student or traveling nurse has had a Tb screen within the last 12 months (and has the documentation) we don't do anything further.  With locums, we have been treating them like a new hire and going on the MMWR recommendations of testing, thus our screening depends on what documentation they bring us for historical Tb screening.  We then move forward to provide them with an updated screening (example, if they bring us a documented ppd they had 6 months ago, we would plant one more ppd.  If they have no documentation, we would just go straight to the IGRA).  We are questioned why we don't treat locums like traveling nurses/students with regard to the Tb screening (and accept one Tb screen within the last 12 months).  I appreciate any knowledge you have on the topic.
Thank you,

Karen Morelli RN, BSN, Clinical Manager
WorkHealth LLC
973-7382
kmorelli at emhs.org<mailto:kmorelli at emhs.org>

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