South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:73 - Nursing facilities › Chapter 44:73:04 - Management and administration › Section 44:73:04:12 - Tuberculin screening requirements

Current through Register Vol. 51, page 10, July 15, 2024
Each facility shall develop criteria to screen healthcare
				  workers or residents for
Mycobacterium
tuberculosis (TB) based
				  on the guidelines issued by Centers for Disease Control and Prevention. Each
				  facility shall establish policies and procedures for conducting
Mycobacterium
tuberculosis risk assessment that include the
				  key components of responsibility, surveillance, containment, and education. The
				  frequency of repeat screening shall depend upon annual risk assessments
				  conducted by the facility.
Tuberculin screening requirements for healthcare workers or
				  residents are as follows:
(1) Each new
				healthcare worker or resident shall receive the two-step method of tuberculin
				skin test or a TB blood assay test to establish a baseline within 14 days of
				employment or admission to a facility. Any two documented tuberculin skin tests
				completed within a 12 month period prior to the date of admission or employment
				can be considered a two-step or one blood assay TB test completed within a 12
				month period prior to the date of admission or employment can be considered an
				adequate baseline test. Skin testing or TB blood assay tests are not necessary
				if a new employee or resident transfers from one licensed healthcare facility
				to another licensed healthcare facility within the state if the facility
				received documentation of the last skin testing completed within the prior 12
				months. Skin testing or TB blood assay test are not necessary if documentation
				is provided of a previous positive reaction to either test. Any new healthcare
				worker or resident who has a newly recognized positive reaction to the skin
				test or TB blood assay test shall have a medical evaluation and a chest X-ray
				to determine the presence or absence of the active disease;
(2) A new healthcare worker or resident who
				provides documentation of a positive reaction to the tuberculin skin test or TB
				blood assay test shall have a medical evaluation and chest X-ray to determine
				the presence or absence of the active disease; and
(3) Each healthcare worker or resident with a
				history of a positive reaction to the tuberculin skin test or blood assay shall
				be evaluated annually by a physician, physician assistant, nurse practitioner,
				clinical nurse specialist, or a nurse and a record maintained of the presence
				or absence of symptoms of
Mycobacterium
tuberculosis. If this
				evaluation results in suspicion of active tuberculosis, the person shall be
				referred for further medical evaluation to confirm the presence or absence of
				tuberculosis.
General Authority:
SDCL
					 34-12-13(1), (5), and
					 (14) 34-22-9.
Law Implemented:
SDCL
					 34-12-13(1), (5), and
					 (14).
Guidelines for Preventing the Transmission of
					 Mycobacterium Tuberculosis in Health-Care Facilities, 2005
. "Centers for
					 Disease Control and Prevention Morbidity and Mortality Weekly Report," December
					 30, 2005 (RR17).