Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part II - The Control of Diseases › Chapter 5 - Health Examinations for Employees, Students, Volunteers and Patients at Certain Medical Facilities › Section II-505 - Required Medical Examinations of All Persons Admitted to Nursing Homes and Residential Facilities [formerly paragraph 2:026]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any person (adult or child) admitted to
				any nursing home or other residential facility shall have a complete history
				and physical examination, including symptoms and signs of pulmonary
				tuberculosis, by a licensed physician within 30 days prior to or up to 72 hours
				after admission, except that any resident/patient who has complied with this
				provision shall be exempt from re-examination if transferred to another
				residential facility provided the record of examination is transferred to the
				new facility. This examination shall include laboratory tests as indicated by
				the history and physical examination. A United States Food and Drug
				Administration approved screening test for tuberculosis,
i.e.,
a purified protein derivative skin test for tuberculosis, 5 tuberculin unit
				strength, given by the Mantoux method or a blood assay for
Mycobacterium tuberculosis
shall be given to all
				residents/patients. A chest X-ray shall be given to all residents/patients
				whose screening test for tuberculosis is positive, or who have signs and/or
				symptoms of tuberculosis no more than 30 days prior to admission to any nursing
				home or other residential facility. If the skin test or a blood assay for
Mycobacterium tuberculosis
is not done prior to admission, it
				may be done within 72 hours after admission and interpreted at the appropriate
				time. A repeat skin test or a blood assay for
Mycobacterium
				tuberculosis
is not required if the resident/patient has a chest X-ray
				with no abnormalities indicative of tuberculosis and has had a negative skin
				test or a blood assay for
Mycobacterium tuberculosis
approved
				by the United States Food and Drug Administration, documented within 1 year of
				admission or if the resident/patient has a previously documented positive skin
				test or a positive result of a blood assay for
Mycobacterium
				tuberculosis
and had a chest X-ray with no abnormalities indicative of
				tuberculosis. A record of the admission history, physical examination, purified
				protein derivative skin test for tuberculosis, 5 tuberculin unit strength,
				given by the Mantoux method, or a blood assay for
Mycobacterium
				tuberculosis
approved by the United States Food and Drug
				Administration, chest X-ray, and any other laboratory tests shall be a part of
				the permanent record of each resident/patient. No resident/patient with
				evidence of active tuberculosis shall be admitted unless the examining
				physician states that the resident/patient is on an effective drug regimen, is
				responding to treatment, and presents no imminent danger to other
				residents/patients or employees, or unless the facility has been specifically
				approved by the LDH-OPH to house residents/patients with active tuberculosis.
				The approval by the LDH-OPH will include the provision that the nursing home or
				residential facility has a designated isolation (negative pressure)
				room.
B. [formerly paragraph
				2:026-1] Any resident/patient who is a case or an asymptomatic carrier of a
				communicable disease which may pose a serious risk to other residents/patients
				or employees shall not be admitted except under the supervision of the state
				health officer or his agent.
C.
				[formerly paragraph 2:027] When a suspicious case or carrier of a communicable
				disease poses a serious public health risk, appropriate measures shall be taken
				to prevent the disease from spreading to other residents/patients.
D. [formerly paragraph 2:028] Any child under
				18 years of age in any residential facility in the state shall have an annual
				examination by a licensed physician to determine the child's physical
				condition, mental condition and the presence of any indication of hereditary or
				other constitutional disease. Any deformity or abnormal condition found upon
				examination shall be entered by the physician on the medical record of the
				child.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(2) and
				  R.S.
				  40:5.