South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part II - ADMINISTRATION AND MANAGEMENT › Section 61-12.II.204 - Personnel. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Each facility shall have a staff that is adequately trained
				  and capable of providing appropriate service and supervision to the
				  patients.
A. The licensee shall obtain
				written applications for employment from all employees. The licensee shall
				obtain and verify information on the application as to education, training,
				experience, appropriate licensure, if applicable, and health and personal
				background of each employee.
B.
				Prior to performing job duties, all employees, to include volunteers who have
				direct patient contact within the clinic, shall have tuberculin skin testing
				conducted unless a previously positive reaction is documented in millimeters.
				The intradermal (Mantoux) method, using five tuberculin units of stabilized
				purified protein derivative (PPD) is to be used. For employees/volunteers who
				have no documentation of a negative PPD result during the preceding 12 months,
				then the two-step procedure (one PPD test with negative result followed one to
				three weeks later by another PPD test) is required to establish a reliable
				baseline. If employees/volunteers have complete documentation of a negative PPD
				during the preceding 12 months (may be a single PPD or a two-step PPD), then a
				single PPD is acceptable to establish the baseline for current employment.
1. Persons with negative tuberculin skin
				tests who have direct contact with patients shall have an annual tuberculin
				skin test.
2. There is no need to
				perform an initial or routine chest X-ray on employees or volunteers with
				negative tuberculin tests who are asymptomatic.
3. Personnel with a positive reaction to the
				skin test shall have no patient contact until certified non-contagious by a
				physician.
4. Employees and
				volunteers with reactions of 10mm and over to the pre-employment tuberculin
				test, those new employees/volunteers who have previously-documented positive
				reactions, those with newly-converted skin tests and those with symptoms
				suggestive of TB (e.g., cough, weight loss, night sweats, fever, etc.), shall
				be given a chest X-ray to determine whether TB disease is present. If TB
				disease is diagnosed, appropriate treatment shall be given and contacts
				examined.
5. Personnel who are
				known or suspected to have TB shall be required to be evaluated by a physician
				and will not be allowed to return to work until they have been certified
				non-contagious by the physician.
6.
				Preventive treatment of personnel with new positive reactions is essential, and
				shall be considered for all infected employees/volunteers who have patient
				contact, unless specifically contraindicated. Routine annual chest X-rays of
				persons with positive reactions do not prevent TB and therefore are not a
				substitute for preventive treatment nor are required.
a. Employees and volunteers who complete
				treatment, either for disease or infection, may be exempt from further routine
				chest radiographic screening unless they have symptoms of TB.
b. Positive reactors who are unable or
				unwilling to take preventive treatment need not receive an annual chest X-ray.
				These individuals must be informed of their lifelong risk of developing and
				transmitting TB to individuals in the institution and in the community. They
				shall be informed of symptoms which suggest the onset of TB, and the procedure
				to follow should such symptoms develop.
7. Post-exposure skin tests should be
				provided for tuberculin negative employees/volunteers within 12 weeks after
				termination of contact for any suspected exposure to a documented case of
				pulmonary TB.
8. A person shall be
				designated in writing at each facility to coordinate TB screening of personnel
				and any other TB control activities.