Nevada Administrative Code › Chapter 441A - INFECTIOUS DISEASES; TOXIC AGENTS › INVESTIGATING, REPORTING, PREVENTING, SUPPRESSING AND CONTROLLING PARTICULAR COMMUNICABLE DISEASES › Tuberculosis › Section 441A.370 - Correctional facilities: Testing and surveillance of employees and inmates; investigation for contacts; course of preventive treatment for person with tuberculosis infection; documentation

Current through June 11, 2024
1. Each correctional
				facility in this State shall develop and implement an infection control program
				to prevent and control tuberculosis infections within the correctional
				facility. The correctional facility shall consult with the health authority
				having jurisdiction where the correctional facility is located in developing
				and implementing the infection control program.
2. An employee , independent contractor or
				volunteer of a correctional facility who provides direct services to an inmate
				in the custody of the correctional facility and who does not have a documented
				history of a positive tuberculosis screening test shall submit to such test
				before first commencing to work in the correctional facility.
3. An inmate in the custody of a correctional
				facility must meet any applicable screening guidelines and recommendations set
				forth in the recommendations, guidelines and publications adopted by reference
				pursuant to NAC 441A.200.
4. If a
				tuberculosis screening test administered pursuant to subsection 2 or 3 is
				negative, the person must be retested in accordance with any applicable testing
				guidelines and recommendations set forth in the recommendations, guidelines and
				publications adopted by reference pursuant to NAC 441A.200.
5. If a tuberculosis screening test
				administered pursuant to subsection 2 or 3 is positive or if the person has a
				documented history of a positive tuberculosis screening test and has not
				completed an adequate course of medical treatment, the person shall submit to a
				chest X ray and a medical evaluation to determine the presence of active
				tuberculosis.
6. Surveillance of
				employees , independent contractors and volunteers of a correctional facility
				and inmates must be maintained for the purpose of identifying any development
				of symptoms of active tuberculosis. If active tuberculosis is suspected or
				diagnosed, the case or suspected case must be cared for in a manner consistent
				with the provisions of NAC 441A.375.
7. If a case having active tuberculosis is
				located in a correctional facility, the medical staff of the correctional
				facility shall carry out an investigation in cooperation with the local health
				authority having jurisdiction where the correctional facility is located for
				contacts in a manner consistent with the provisions of NAC 441A.355.
8. The medical staff of the correctional
				facility shall submit a report to the health authority having jurisdiction
				where the correctional facility is located within 7 days after initiating an
				investigation required pursuant to subsection 7. The report must include,
				without limitation, the name, sex, date of birth, address and lab result of
				each person who may have been exposed to tuberculosis as a result of the case
				having active tuberculosis.
9. A
				person who has tuberculosis infection but does not have active tuberculosis
				must be offered a course of preventive treatment unless medically
				contraindicated.
10. Any action
				carried out pursuant to this section and the results thereof must be documented
				in the person's medical record.
Added to NAC by Bd. of
				  Health, eff. 1-24-92; A by R084-06, 7-14-2006; A by
				  R121-14,
				  eff. 10/27/2015
NRS
					 441A.120,
					 441A.167