New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIV - Office for People With Developmental Disabilities › Part 633 - Protection of Individuals Receiving Services in Facilities and Services Operated and/or Certified by OPWDD › Section 633.14 - Procedures for the control of tuberculosis

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
Applicability.
This section applies to developmental centers and facilities
				  certified by OPWDD, including family care. It does not apply to service
				  recipients of Clinic Treatment Facilities as defined in Part 679 of this
				  title.
(b)
Definitions.
The following definitions are applicable to this section
				  only.
(1)
AFB smears and
				cultures
. Laboratory tests used to determine the presence or absence
				of an active Mycobacterium tuberculosis infection. They are used to help
				determine whether tuberculosis (TB) is confined to the lungs (pulmonary) or has
				spread to organs outside the lungs (extrapulmonary).
(2)
Active pulmonary
				tuberculosis
. A contagious disease of the lungs that is confirmed by
				culture to be caused by the microorganism Mycobacterium tuberculosis.
(3)
Employee
. Someone who
				has an employee-employer full, part-time or seasonal relationship with a
				service provider, and who receives monetary or other compensation in exchange
				for his/her performance of assigned duties.
(4)
Contractor
. A party
				subject to a contractual arrangement with OPWDD or a service provider, to
				perform a service in exchange for financial or other consideration and who will
				be reasonably anticipated to have direct contact with service recipients. This
				includes independent contractors and parties who are employed by
				contractors.
(5)
Possible
				tuberculosis infection
. Someone demonstrating a significant reaction
				to a TB test, but who has no signs or symptoms of active pulmonary tuberculosis
				and no tuberculosis organisms are found in the sputum.
(6)
Mycobacterium tuberculosis (M.
				tuberculosis)
. The bacterium that causes most cases of
				tuberculosis.
(7)
Purified
				protein derivative (PPD)
. A purified protein derivative of the
				tubercle bacilli, used in the tuberculin skin test (see tuberculin skin
				test).
(8)
Service
				provider
. A developmental center or operator of a facility certified
				by OPWDD, other than Clinic Treatment Facilities described in Part 679 of this
				title. In the case of a family care home, the sponsoring agency shall be
				responsible for complying with requirements applicable to the service
				provider.
(9)
Service
				recipient
. Any person receiving services from a develop- mental center
				or facility certified by OPWDD, except for those receiving services through a
				Clinic Treatment Facility described in Part 679 of this title.
(10)
Suspected active pulmonary
				tuberculosis
. A condition in which a person either exhibits the
				clinical signs and symptoms of active pulmonary tuberculosis or has a
				significant reaction to the TB test and is awaiting the results of diagnostic
				testing.
(11)
TB
				testing
. Screening for tuberculosis infection utilizing a test
				currently approved by the United State Food and Drug Administration (FDA)
				and/or recommended by the Centers for Disease Control (CDC) for that
				purpose.
(12)
Tuberculin
				skin test (TST)
. A test which involves the introduction of a purified
				protein derivative (PPD) of the tubercle bacilli, called tuberculin, into the
				skin by intradermal injection and which is read in millimeters of induration
				within 48-72 hours.
(13)
Two-step PPD
. A procedure performed to rule out the presence
				of an anamnestic response in people who were infected with tuberculosis in the
				distant past. An anamnestic phenomenon is one in which an initial negative TST
				triggers an immune response, resulting in a subsequent positive TST.
(14)
Volunteer
. A person who
				meets the definition of "volunteer" in section
				633.99  of
				this Part who has regular direct contact with persons receiving services. This
				does not include participants in groups that only periodically are in contact
				with persons receiving services (
e.g.,
groups who come in to
				sing holiday songs). The provisions applying to volunteers in this section also
				apply to students, interns and senior companions.