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Licensing and Certification

Title 22 Chapters for the Use of TST (PPD) for Screening Employees for LTBI

The following Title 22 chapters require the use of the TST (PPD) for screening employees for LTBI

Chapter 1. General Acute Care Hospitals.
§ 70723. Employee Health Examinations and Health Records.

(b)(1) Initial examination for tuberculosis shall include a tuberculin skin test using the Mantoux method using a 5 Tuberculin Unit dose of PPD tuberculin stabilized with Tween-80, the result of which is read and recorded in millimeters of induration. If the result is positive, a chest film shall be obtained. A skin test need not be done on a person with a documented positive reaction to PPD but a baseline chest X-ray shall be obtained

Chapter 2. Acute Psychiatric Hospitals.
§71523. Employee Health Examinations and Health Records.

(b) A health examination performed under the direction of a physician shall be required as a requisite for employment and must be performed within one week after employment. Written examination reports signed by the physician which verify that employees are able to perform assigned duties shall be maintained. Repeat examinations shall be performed whenever necessary to ascertain that employees are free from symptoms indicating the presence of an infectious disease and are able to perform their assigned duties. Upon initial examination, and at least annually, the employee shall have a skin test for tuberculosis using Purified Protein Derivatives intermediate strength or a chest X-ray. Positive reactions to the skin test shall be followed by a 35.56 cm x 43.18 cm (14 “x 17”) chest X-ray.

Chapter 3. Skilled Nursing Facilities.
§ 72535. Employees' Health Examination and Health Records.

(b) The initial health examination and subsequent annual examination shall include a purified protein derivative intermediate strength intradermal skin test for tuberculosis. A chest X-ray is indicated if the employee has previously had a positive reaction to a tuberculosis skin test or is currently being treated for tuberculosis. Positive reaction to the skin test shall be followed by a 35.56 cm x 43.18 cm (14 " x 17 ") chest X-ray. Evidence of tuberculosis screening within 90 days prior to employment shall be considered as meeting the intent of this Section.

Chapter 4. Intermediate Care Facilities.
§73525. Employees’ Health Examination and Health Records.

(b) The initial health examination and subsequent annual examination shall include a protein purified derivative intermediate strength intradermal skin test for tuberculosis or a chest X-ray. Positive reaction to the skin test shall be followed by a 35.56cm x 43.18cm (14” x 17”) chest X-ray.

Chapter 6. Home Health Agencies.
§74723. Employee’s Health Examinations and Health Records.

(d) An employee shall not be required to undergo the tuberculosis screening requirements of (b)(3) if a physician certifies in writing that neither a skin test nor a chest x-ray needs to be performed as a prerequisite of employment, and the rationale for such an exemption is in accordance with applicable federal, state and local requirements and established professional standards.

Chapter 7. Primary Care Clinics.
§75051. Health Examinations and Health Records of Persons Working in the Clinic.

(b) The initial health examination and subsequent annual examination shall include a protein purified derivative intermediate strength intradermal skin test for tuberculosis or a chest X-ray. Positive reaction to the skin test shall be followed by a 35.56cm x 43.18cm (14” x 17”) chest X-ray. Evidence of tuberculosis screening with 12 months prior to employment shall be considered as meeting the intent of this regulation.

Chapter 7.2. Psychology Clinics.
§75335. Employee Health Examinations and Health Records.

(a) The initial health examination shall include a tuberculosis screening test consisting of a purified protein derivative intermediate strength intradermal skin test and a chest X-ray if the skin test is positive. The psychology clinic shall establish a policy regarding subsequent health examinations and tuberculosis screening tests based on an assessment of the following:

Chapter 8. Intermediate Care Facilities for the Developmentally Disabled.
§76539. Employee’ Health Examination and Health Records.

(b) The initial health examination and subsequent annual examination shall include a protein purified derivative intermediate strength intradermal skin test for tuberculosis or a chest X-ray. Positive reaction to the skin test shall be followed by a 35.56cm x 43.18cm (14” x 17”) chest X-ray.

Chapter 8.5. Intermediate Care Facilities/Developmentally Disabled – Habilitative.
§76919. Employees’ Health Examination and Health Records.

(b) At the time of employment, testing for tuberculosis shall consist of a purified protein derivative intermediate strength intradermal skin test. If a positive reaction is obtained from the skin test, the employee shall be referred to a physician to determine if a chest X-ray is necessary. Annual examinations shall be performed only when medically indicated.
 
 Chapter 9. Psychiatric Health Facilities.
§77121. Employee Health Examinations and Health Records.

(b) The initial health examination shall include a tuberculosis screening test consisting of a purified protein derivative intermediate strength intradermal skin test and a chest X-ray if the skin test is positive. The facility shall establish a policy regarding subsequent health examinations and tuberculosis screening test based on an assessment of the following:

Chapter 10. Adult Day Health Centers.
§78429. Employee Records.

(b) Each employee record shall contain at least the following:

(A) A chest X-ray or purified protein derivative intermediate strength test performed not more than 12 months prior to employment or with 7 days of employment.

Chapter 11. Chemical Dependency Recovery Hospital Licensing Regulations.
§79331. Employee Health Examinations and Health Records.

(b) A health examination performed by a person lawfully authorized to perform such an examination shall be required as a prerequisite for employment and shall be performed within one week after employment. The written health examination shall be signed by the person performing the examination and shall verify that the employee is able to perform assigned duties and is free from symptoms indicating the presence of an infectious disease. Repeat health examinations shall be performed whenever necessary to ascertain that employees continue to be free of symptoms indicating the presence of an infectious disease and are able to perform their assigned duties. Upon initial examination, and at least annually, the employee shall have a skin test for tuberculosis using purified protein derivatives, intermediate strength or a chest x-ray. Positive reactions to the skin test shall be followed by a 35.56cm x 43.38cm (14” x 17”) chest x-ray.

Chapter 12. Correctional Treatment Centers.
§79795. Employee Health Examinations and Health Records.

(b) The initial health examination shall include a tuberculin skin test using the Mantoux method using a 5 Tuberculin Unit dose of Purified Protein Derivative (PPD) stabilized with Tween-80, the result of which is read and recorded in millimeters of induration. If the result is positive, a chest film shall be obtained. A tuberculin skin test need not be done on a person with a documented positive reaction to PPD but a baseline chest X-ray shall be obtained. ​
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