Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 59 - Tuberculosis (TB) Screening › Rule 481-59.7 - Screening of Hcws Who Transfer to Other Health Care Facilities or Hospitals

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
HCWs
				transferring from a low-risk health care facility or hospital to another
				low-risk health care facility or hospital.
HCWs with documentation of
				baseline TB screening who are transferring from a low-risk health care facility
				or hospital to another low-risk health care facility or hospital do not need to
				repeat baseline TB screening if the time frame between employment from one
				facility or hospital to another does not exceed 90 days. If the time frame
				between employment from one facility or hospital to another exceeds 90 days,
				baseline TB screening shall be restarted for an HCW with a previous negative
				test result and a TB symptom screen shall be performed for an HCW with a
				previous positive TB test result in accordance with 59.5(5).
(2)
HCWs transferring from a low-risk
				health care facility or hospital to a medium-risk health care facility or
				hospital.
HCWs with documentation of baseline TB screening who are
				transferring from a low-risk health care facility or hospital to a medium-risk
				health care facility or hospital do not need to repeat baseline TB screening if
				the time frame between employment from one facility or hospital to another does
				not exceed 90 days. If the time frame between employment from one facility or
				hospital to another exceeds 90 days, baseline TB screening shall be restarted
				for an HCW with a previous negative test result and a TB symptom screen shall
				be performed for an HCW with a previous positive TB test result in accordance
				with 59.5(5).
(3)
HCWs
				transferring from a low- or medium-risk health care facility or hospital to a
				health care facility or hospital classified as potential ongoing
				transmission.
HCWs with documentation of baseline TB screening who are
				transferring to a potential ongoing risk health care facility or hospital do
				not need to repeat baseline TB screening if the time frame between employment
				from one facility to another does not exceed 90 days. If the time frame between
				employment from one facility or hospital to another exceeds 90 days, baseline
				TB screening shall be restarted for an HCW with a previous negative test result
				and a TB symptom screen shall be performed for an HCW with a previous positive
				TB test result in accordance with 59.5(5).
(4)
HCWs transferring from a
				medium-risk health care facility or hospital to a low-risk health care facility
				or hospital.
a. An HCW who is
				transferring from a medium-risk health care facility or hospital to a low-risk
				health care facility or hospital and whose previous TB test result was negative
				shall receive a symptom screen and a single TST or IGRA upon employment if the
				time frame between employment from one facility to another does not exceed 90
				days. If the time frame between employment from one facility or hospital to
				another exceeds 90 days, baseline TB screening shall be restarted.
b. An HCW who is transferring from a
				medium-risk health care facility or hospital to a low-risk health care facility
				or hospital and whose previous TB test result was positive shall receive a
				symptom screen upon employment in accordance with 59.5(5).